Sheena Khan (NPI# 1609186360, PAC ID# 7810118734) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1609186360 |
| PAC ID by PECOS | 7810118734 |
| Professional Enrollment ID | I20141017001821 |
| Full Name | Sheena Khan |
| Organization Legal Name | MARIETTA OB GYN AFFILIATES, P.A. |
| Address |
699 Church St Ne Suite 220 Marietta GA 30060-1116 |
| Phone Number | 7704228505 |
| Gender | F |
| Graduation Year | 2010 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 2264323187 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110035 | WELLSTAR KENNESTONE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3475 Dallas Hwy Sw, Suite 410, Marietta, GA 30064-6409 | 7704228505 | MARIETTA OB GYN AFFILIATES, P.A. |
| 699 Church St Ne, Suite 220, Marietta, GA 30060-1116 | 7704228505 | MARIETTA OB GYN AFFILIATES, P.A. |
| Organization Legal Name | MARIETTA OB GYN AFFILIATES, P.A. |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vonda Klein | Obstetrics/gynecology | Marietta Ob Gyn Affiliates, P.a. | 699 Church St Ne, Suite 220, Marietta, GA 30060-1116 |
| Carlos I Alarcon | Obstetrics/gynecology | Marietta Ob Gyn Affiliates, P.a. | 699 Church St Ne, Suite 220, Marietta, GA 30060-1116 |
| Stacy L Sims | Obstetrics/gynecology | Marietta Ob Gyn Affiliates, P.a. | 699 Church St Ne, Suite 220, Marietta, GA 30060-1116 |
| Elizabeth R Taghechian | Obstetrics/gynecology | Marietta Ob Gyn Affiliates, P.a. | 699 Church St Ne, Suite 220, Marietta, GA 30060-1116 |
| Gregg Bauer | Obstetrics/gynecology | Marietta Ob Gyn Affiliates, P.a. | 699 Church St Ne, Marietta, GA 30060-1116 |
| Street Address |
699 CHURCH ST NE SUITE 220 |
| City | MARIETTA |
| State | GA |
| Zip | 30060-1116 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vonda Klein | Obstetrics/gynecology | Marietta Ob Gyn Affiliates, P.a. | 699 Church St Ne, Suite 220, Marietta, GA 30060-1116 |
| Carlos I Alarcon | Obstetrics/gynecology | Marietta Ob Gyn Affiliates, P.a. | 699 Church St Ne, Suite 220, Marietta, GA 30060-1116 |
| Stacy L Sims | Obstetrics/gynecology | Marietta Ob Gyn Affiliates, P.a. | 699 Church St Ne, Suite 220, Marietta, GA 30060-1116 |
| Elizabeth R Taghechian | Obstetrics/gynecology | Marietta Ob Gyn Affiliates, P.a. | 699 Church St Ne, Suite 220, Marietta, GA 30060-1116 |
| Gregg Bauer | Obstetrics/gynecology | Marietta Ob Gyn Affiliates, P.a. | 699 Church St Ne, Marietta, GA 30060-1116 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jerwanda Lavette Johnson | Nurse Practitioner | Wellstar Medical Group, LLC | 2130 Anderson Mill Rd, Marietta, GA 30060 |
| Connie Dessonville Hill | Psychologist, Clinical | 125 Church Nest, Suite 210, Marietta, GA 30060 | |
| William L. Cousins | Internal Medicine | Wellstar Medical Group, LLC | 166 Vann Nest, Marietta, GA 30060 |
| Ansley Carnes | Physician Assistant | Wellstar Medical Group, LLC | 166 Vann Nest, Marietta, GA 30060 |
| Kimberly Malejko | Physician Assistant | Wellstar Medical Group, LLC | 166 Vann Nest, Marietta, GA 30060 |
| Allyson J Underwood | Nurse Practitioner | Wellstar Medical Group, LLC | 166 Vann Nest, Marietta, GA 30060 |
| Tonette Robinson | Psychologist, Clinical | Wellstar Medical Group, LLC | 55 Whitcher St, Suite 420, Marietta, GA 30060-0000 |
| Amanda Denise Parkinson | Clinical Social Worker | Wellstar Medical Group, LLC | 55 Whitcher St, Suite 420, Marietta, GA 30060-0000 |
| Callie B Dunn | Psychologist, Clinical | Wellstar Medical Group, LLC | 55 Whitcher St, Suite 420, Marietta, GA 30060-0000 |
| Candace S Hunter | Clinical Psychologist | Wellstar Medical Group, LLC | 55 Whitcher St, Suite 420, Marietta, GA 30060-0000 |
| Find all physicians in zip 30060 | |||
| City | MARIETTA |
| Zip Code | 30060 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | MARIETTA + OBSTETRICS/GYNECOLOGY |
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| 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.