Mario J Ravry (NPI# 1518931633, PAC ID# 9830180686) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GASTROENTEROLOGY.
| Nation Provider ID (NPI) | 1518931633 |
| PAC ID by PECOS | 9830180686 |
| Professional Enrollment ID | I20040520000462 |
| Full Name | Mario J Ravry |
| Organization Legal Name | NORTHSIDE PRIMARY CARE PROFESSIONAL SERVICES,LLC |
| Address |
5505 Peachtree Dunwoody Rd Suite 650 Atlanta GA 30342-1755 |
| Phone Number | 4044599340 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1963 |
| Primary Specialty | GASTROENTEROLOGY |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 9638343924 |
| Number of Group Practice Members | 158 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110082 | SAINT JOSEPH'S HOSPITAL OF ATLANTA, INC |
| 110161 | NORTHSIDE HOSPITAL |
| 110005 | NORTHSIDE HOSPITAL FORSYTH |
| 110008 | NORTHSIDE HOSPITAL CHEROKEE |
| Address | Phone | Organization |
|---|---|---|
| 5505 Peachtree Dunwoody Rd, Suite 650, Atlanta, GA 30342-1755 | 4044599340 | NORTHSIDE PRIMARY CARE PROFESSIONAL SERVICES,LLC |
| 5505 Peachtree Dunwoody Rd, Atlanta, GA 30342-1755 | 4044599340 | NORTHSIDE PRIMARY CARE PROFESSIONAL SERVICES,LLC |
| Organization Legal Name | NORTHSIDE PRIMARY CARE PROFESSIONAL SERVICES,LLC |
| Physicians | 170 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gail L Hartman | Nurse Practitioner | Northside Primary Care Professional Services,llc | 960 Johnson Ferry Rd, Suite 500, Atlanta, GA 30342-1630 |
| Hannah Butler Cummings | Nurse Practitioner | Northside Primary Care Professional Services,llc | 3380 Paddock Pkwy, Suwanee, GA 30024-9119 |
| Katy R Hanaford | Nurse Practitioner | Northside Primary Care Professional Services,llc | 3850 Windermere Pkwy, Suite 105, Cumming, GA 30041-7033 |
| Jason Stanley Krahnke | Pulmonary Disease | Northside Primary Care Professional Services,llc | 460 Northside Cherokee Blvd, Suite 130, Canton, GA 30115-8016 |
| Melissa A Dubois | Nurse Practitioner | Northside Primary Care Professional Services,llc | 960 Woodstock Pkwy, Suite 300, Woodstock, GA 30188-4867 |
| Gorka Zurinaga | Internal Medicine | Northside Primary Care Professional Services,llc | 11785 Northfall Ln, Suite 505, Alpharetta, GA 30009-7961 |
| Otto C Goyco | Internal Medicine | Northside Primary Care Professional Services,llc | 3340 Paddock Pkwy, Suwanee, GA 30024-9119 |
| Karen P Cooksey | Nurse Practitioner | Northside Primary Care Professional Services,llc | 10745 W Way, Suite 125, Alpharetta, GA 30009 |
| Lonnie Herzog | Internal Medicine | Northside Primary Care Professional Services,llc | 5670 Peachtree-dunwoody Rd Ne, Suite 1200, Atlanta, GA 30342-4791 |
| Syed Wasi Rizvi | Internal Medicine | Northside Primary Care Professional Services,llc | 3400 A-old Milton Pkwy, Suite 200, Alpharetta, GA 30005-3707 |
| Street Address |
5505 PEACHTREE DUNWOODY RD SUITE 650 |
| City | ATLANTA |
| State | GA |
| Zip | 30342-1755 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ajey Alurkar | Ophthalmology | Southeast Eye Surgery Center, PC | 5505 Peachtree Dunwoody Rd, Suite 300, Atlanta, GA 30342-1713 |
| Katherine Alice Rupley | Dermatology | Forefront Dermatology Sc | 5505 Peachtree Dunwoody Rd, Suite 412, Atlanta, GA 30342-1758 |
| Adam Jude Carter | Dermatology | Forefront Dermatology Sc | 5505 Peachtree Dunwoody Rd, Suite 412, Atlanta, GA 30342-1758 |
| Paul C Ajamian | Optometry | Southeast Eye Surgery Center, PC | 5505 Peachtree Dunwoody Rd, Suite 300, Atlanta, GA 30342-1713 |
| Rachel Gilmore | Anesthesiology Assistant | Epix Anesthesia of Georgia PC | 5505 Peachtree Dunwoody Rd, Suite 370, Atlanta, GA 30342-1713 |
| Douglas C Redd | Diagnostic Radiology | Center for Vascular Intervention LLC | 5505 Peachtree Dunwoody Rd, Suite 370, Atlanta, GA 30342-1713 |
| Yeon-jeen Chang | Plastic and Reconstructive Surgery | 5505 Peachtree Dunwoody Rd, Suite 220, Atlanta, GA 30342-1749 | |
| Stephen L Miller | Anesthesiology | Epix Anesthesia of Georgia PC | 5505 Peachtree Dunwoody Rd, Suite 370, Atlanta, GA 30342-1713 |
| Lauren H Randall | Internal Medicine | Northside Primary Care Professional Services,llc | 5505 Peachtree Dunwoody Rd, Suite 650, Atlanta, GA 30342-1755 |
| Belinda E Marcus | Emergency Medicine | Center for Vascular Intervention LLC | 5505 Peachtree Dunwoody Rd, Suite 370, Atlanta, GA 30342-1713 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jerry T Todd | Anesthesiology | Mak Anesthesia Holdings, LLC | 9930 Johnson Ferry Rd Ne, Suite 200, Atlanta, GA 30342 |
| Nelson Enrique Castillo | Plastic and Reconstructive Surgery | 5445 Meridian Mark Rd Ne, Suite 395, Sandy Springs, GA 30342 | |
| Mackenzie J King | Nurse Practitioner | Northside Radiology Associates PC | 5445 Meridian Mark Rd, Suite 450, Atlanta, GA 30342 |
| Stephen Kraus | Emergency Medicine | Dermatology Associates of Atlanta | 5555 Peachtree Dnwdy Rd, Suite 190, Atlanta, GA 30342 |
| Charles F Peebles | Podiatry | Perry H Julien Dpm | 5600 Roswell Rd Ne, M190, Atlanta, GA 30342-1134 |
| Perry H Julien | Podiatry | Perry H Julien Dpm | 5600 Roswell Rd Ne, M190, Atlanta, GA 30342-1134 |
| Amanda Elizabeth Williams | Psychiatry | 5605 Glenridge Dr, Suite 620, Atlanta, GA 30342-1377 | |
| Daniel J Wachtel | Psychologist, Clinical | 5605 Glenridge Dr Ne, Suite 600, Atlanta, GA 30342-1377 | |
| James A Purvis | Psychologist, Clinical | 5605 Glenridge Dr, Suite 620, Atlanta, GA 30342-1377 | |
| Viviana L Mahoney | Psychologist, Clinical | 5605 Glenridge Dr, Suite 620, Atlanta, GA 30342-1377 | |
| Find all physicians in zip 30342 | |||
| City | ATLANTA |
| Zip Code | 30342 |
| Specialty | GASTROENTEROLOGY |
| City + Specialty | ATLANTA + GASTROENTEROLOGY |
Please comment or provide details below to improve the information on Mario J Ravry.
| 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.