Glen J Iannucci (NPI# 1972787760, PAC ID# 8022259761) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
| Nation Provider ID (NPI) | 1972787760 |
| PAC ID by PECOS | 8022259761 |
| Professional Enrollment ID | I20130723000782 |
| Full Name | Glen J Iannucci |
| Organization Legal Name | EMORY EGLESTON CHILDRENS HEART CENTER |
| Address |
200 S Enota Dr Ne Suite 400 Gainesville GA 30501-3474 |
| Phone Number | 4042562593 |
| Gender | M |
| Medical School | MEDICAL COLLEGE OF GEORGIA |
| Graduation Year | 2007 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Secondary Specialties | PEDIATRIC MEDICINE |
| Group Practice PAC ID | 6901888395 |
| Number of Group Practice Members | 21 |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 200 S Enota Dr Ne, Suite 400, Gainesville, GA 30501-3474 | 4042562593 | EMORY EGLESTON CHILDRENS HEART CENTER |
| Organization Legal Name | EMORY EGLESTON CHILDRENS HEART CENTER |
| Physicians | 35 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephanie Burns Wechsler | Medical Genetics and Genomics | Emory Egleston Childrens Heart Center | 2135 Eastview Pkwy, Suite 300, Conyers, GA 30013-5771 |
| Nanci R Stauffer | Cardiovascular Disease (cardiology) | Emory Egleston Childrens Heart Center | 2040 Ridgewood Nedr, Atlanta, GA 30322-1028 |
| Wesley L Blackwood | Cardiovascular Disease (cardiology) | Emory Egleston Childrens Heart Center | 60 Executive Park S Ne, Suite 100, Atlanta, GA 30329-2229 |
| Peter Seth Fischbach | Pediatric Medicine | Emory Egleston Childrens Heart Center | 3300 Old Milton Pkwy, Suite 100, Alpharetta, GA 30005-2425 |
| Brooke A Lewis | Cardiovascular Disease (cardiology) | Emory Egleston Childrens Heart Center | 355 Tower Rd Ne, Suite 204, Marietta, GA 30060-9413 |
| Cyrus Samai | Cardiovascular Disease (cardiology) | Emory Egleston Childrens Heart Center | 60 Executive Park S Ne, Suite 100, Atlanta, GA 30329-2229 |
| Matthew E Ferguson | Cardiovascular Disease (cardiology) | Emory Egleston Childrens Heart Center | 60 Executive Park S Ne, Suite 100, Atlanta, GA 30329-2229 |
| Denver Sallee Iii | Cardiovascular Disease (cardiology) | Emory Egleston Childrens Heart Center | 1505 Northside Blvd, Suite 3800, Cumming, GA 30041-8247 |
| Robert D Whitehill | Pediatric Medicine | Emory Egleston Childrens Heart Center | 60 Executive Park S Ne, Suite 100, Atlanta, GA 30329-2229 |
| William T Mahle | Cardiovascular Disease (cardiology) | Emory Egleston Childrens Heart Center | 60 Executive Park S Ne, Suite 100, Atlanta, GA 30329-2229 |
| Street Address |
200 S ENOTA DR NE SUITE 400 |
| City | GAINESVILLE |
| State | GA |
| Zip | 30501-3474 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Heather M Tillery | Nurse Practitioner | Heart Center LLC | 200 S Enota Dr Ne, Gainesville, GA 30501-3466 |
| James Varnell Jr. | Cardiovascular Disease (cardiology) | Heart Center LLC | 200 S Enota Dr Ne, Suite 200, Gainesville, GA 30501-3466 |
| Veronica Eberhart | Nurse Practitioner | Heart Center LLC | 200 S Enota Dr Ne, Gainesville, GA 30501-3466 |
| Michael D Wood | Physician Assistant | Heart Center LLC | 200 S Enota Dr Ne, Gainesville, GA 30501-3466 |
| Keith D Adkins | Nurse Practitioner | Heart Center LLC | 200 S Enota Dr Ne, Suite 200, Gainesville, GA 30501-3466 |
| Nima Ghasemzadeh | Interventional Cardiology | Heart Center LLC | 200 S Enota Dr Ne, Suite 200, Gainesville, GA 30501-3466 |
| Zaid Houfdhi Said | Cardiovascular Disease (cardiology) | Heart Center LLC | 200 S Enota Dr Ne, Suite 100, Gainesville, GA 30501-3466 |
| Tram B Contreras | Physician Assistant | Heart Center LLC | 200 S Enota Dr Ne, Gainesville, GA 30501-3466 |
| Crystal Dale | Nurse Practitioner | Heart Center LLC | 200 S Enota Dr Ne, Gainesville, GA 30501-3466 |
| Pavani Kolakalapudi | Cardiovascular Disease (cardiology) | Heart Center LLC | 200 S Enota Dr Ne, Suite 200, Gainesville, GA 30501-3466 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leroy W Robinson Iii | Optometry | Lanier Eye Associates, LLC | 625 S Enota Nedr, Gainesville, GA 30501 |
| William C Ackerman | Ophthalmology | Lanier Eye Associates, LLC | 625 S Enota Nedr, Gainesville, GA 30501 |
| Julius Nathaniel Skeete | Optometry | 150 Pearl Nix Pkwy, D3a, Gainesville, GA 30501-0001 | |
| William T Crews | Chiropractic | 1864 Thompson Bridge Rd, Gainesville, GA 30501-1119 | |
| Julia H Strong | Clinical Social Worker | 1709 B Cleveland Hwy, Gainesville, GA 30501-1353 | |
| Kathryn W. Dudas | Family Medicine | Northeast Georgia Physicians Group Inc | 1856 Thompson Bridge Rd, Suite 14, Gainesville, GA 30501-1620 |
| Yesenia Delosangeles | Clinical Social Worker | Northeast Georgia Physicians Group Inc | 1856 Thompson Bridge Rd, Suite 14, Gainesville, GA 30501-1620 |
| Christy M Wagner | Family Medicine | Northeast Georgia Physicians Group Inc | 1856 Thompson Bridge Rd, Suite 14, Gainesville, GA 30501-1620 |
| Catherine E Norton | Nurse Practitioner | Northeast Georgia Physicians Group Inc | 1856 Thompson Bridge Rd, Suite 14, Gainesville, GA 30501-1620 |
| Jennifer A Roark | Nurse Practitioner | Northeast Georgia Physicians Group Inc | 1856 Thompson Bridge Rd, Suite 14, Gainesville, GA 30501-1620 |
| Find all physicians in zip 30501 | |||
| City | GAINESVILLE |
| Zip Code | 30501 |
| Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| City + Specialty | GAINESVILLE + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
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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.