Jose Itram Marti (NPI# 1902206576, PAC ID# 6305153545) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1902206576 |
| PAC ID by PECOS | 6305153545 |
| Professional Enrollment ID | I20150921000788 |
| Full Name | Jose Itram Marti |
| Organization Legal Name | GEORGIA BRAIN AND SPINE CENTER |
| Address |
4355 Johns Creek Pkwy Suwanee GA 30024-9100 |
| Phone Number | 4044464424 |
| Gender | M |
| Graduation Year | 2013 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 0042351025 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110189 | FANNIN REGIONAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 4355 Johns Creek Pkwy, Suwanee, GA 30024-9100 | 4044464424 | GEORGIA BRAIN AND SPINE CENTER |
| 4355 Johns Creek Pkwy, Suite 520, Suwanee, GA 30024-9100 | 4044464424 | GEORGIA BRAIN AND SPINE CENTER |
| Organization Legal Name | GEORGIA BRAIN AND SPINE CENTER |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Viren S Vasudeva | Neurosurgery | Georgia Brain and Spine Center | 4355 Johns Creek Pkwy, Suite 520, Suwanee, GA 30024-9100 |
| Elias Dagnew | Neurosurgery | Georgia Brain and Spine Center | 4355 Johns Creek Pkwy, Suite 520, Suwanee, GA 30024-9100 |
| Street Address |
4355 JOHNS CREEK PKWY |
| City | SUWANEE |
| State | GA |
| Zip | 30024-9100 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Viren S Vasudeva | Neurosurgery | Georgia Brain and Spine Center | 4355 Johns Creek Pkwy, Suite 520, Suwanee, GA 30024-9100 |
| Ranjan Paul | Internal Medicine | 4355 Johns Creek Pkwy, Suite 500, Suwanee, GA 30024-9100 | |
| Elias Dagnew | Neurosurgery | Georgia Brain and Spine Center | 4355 Johns Creek Pkwy, Suite 520, Suwanee, GA 30024-9100 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica Christine Allen | Qualified Audiologist | Johns Creek Audiology | 203 Woodpark Place, Suite B 100, Woodstock, GA 30024 |
| John Yozen Shih | Family Medicine | 960 Ptree Industrial Blvd, Suwanee, GA 30024 | |
| Benjamin Laremont | Family Practice | Maternal and Family Medicine Ctr | 1630 Peachstreet Industrial Blvd A, Suwanee, GA 30024 |
| Christin Brooke Means | Qualified Audiologist | Johns Creek Audiology | 203 Woodpark Place, Suite B 100, Woodstock, GA 30024 |
| Deborah T Woodward | Qualified Audiologist | Johns Creek Audiology | 203 Woodpark Place, Suite B 100, Woodstock, GA 30024 |
| Sae J Kim | Physical Therapy | 1325 Satellite Nwblvd, Suite 1302, Suwanee, GA 30024 | |
| Sarah O Licht | Qualified Audiologist | Johns Creek Audiology | 203 Woodpark Place, Suite B 100, Woodstock, GA 30024 |
| Christa Barefoot Nelms | Audiologist | Johns Creek Audiology | 203 Woodpark Place, Suite B 100, Woodstock, GA 30024 |
| Joshua Hasty | Chiropractic | 2615 Peachtree Pkwy, Suite 270, Suwanee, GA 30024-1050 | |
| Malcolm M Traxler Jr. | Internal Medicine | Evergreen Primary Care and Wellness PC | 3000 Celebration Blvd, Suwanee, GA 30024-1054 |
| Find all physicians in zip 30024 | |||
| City | SUWANEE |
| Zip Code | 30024 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | SUWANEE + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Jose Itram Marti.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.