DR. GARY ROBERT BOTSTEIN (NPI# 1003853177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003853177 |
| Entity Type | Individual |
| Full Name | DR. GARY ROBERT BOTSTEIN |
| Credential | M.D. |
| Practice Address |
2712 N Decatur Rd Decatur GA 30033-5930 |
| Practice Telephone | 4042990187 |
| Practice Fax Number | 4042922766 |
| Mailing Telephone | 4042990187 |
| Mailing Fax Number | 4042922766 |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2011-02-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
022515 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00252315B | 05 |
| Street Address |
2712 N DECATUR RD |
| City | DECATUR |
| State | GA |
| Zip Code | 30033-5930 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821071002 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 2712 N Decatur Rd, Decatur, GA 30033-5930 | 2005-11-22 |
| 1568706653 | Ferhana Najam | Internal Medicine | 2712 N Decatur Rd, Decatur, GA 30033-5910 | 2012-11-15 |
| 1871812917 | Sanford S Hartman, Md PC | Internal Medicine | 2712 N Decatur Rd, Decatur, GA 30033-5910 | 2010-05-28 |
| 1639300601 | Lisha Butler Davis | Physician Assistant | 2712 N Decatur Rd, Decatur, GA 30033-5910 | 2009-08-07 |
| 1124209481 | Jefrey D Lieberman Md | Exclusive Provider Organization | 2712 N Decatur Rd, Decatur, GA 30033-5910 | 2007-11-15 |
| 1164637401 | W. Hugh Spruell, Md, PC | Internal Medicine | 2712 N Decatur Rd, Decatur, GA 30033-5910 | 2007-05-11 |
| 1023183415 | Gary R Botstein Md | Internal Medicine | 2712 N Decatur Rd, Decatur, GA 30033-5910 | 2006-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922613785 | Healing Minds, Helping Hearts, LLC | Social Worker | 2532 N Decatur Rd, Apt 1304, Decatur, GA 30033 | 2020-09-09 |
| 1700412517 | Delana Finney | Orthotist | Vamc - Atlanta, 1670 Clairmont Rd, Decatur, GA 30033 | 2020-03-13 |
| 1194389353 | Katherine Serafen | Physician Assistant | 2701 N Decatur Road, Ground Floor Suite 520, Decatur, GA 30033 | 2019-04-23 |
| 1194290973 | Suzanne Johnson | Psychologist | Atlanta Va Health Care System, 1670 Clairmont Rd, Decatur, GA 30033 | 2018-10-09 |
| 1245705334 | Mcleod Counseling Services, LLC | Clinic/Center | 2801 N. Decatur Rd, Suite 185, Decatur, GA 30033 | 2018-10-04 |
| 1225514797 | Erkin Mirkhatovich Turganov | Pharmacist | 2951 Cedar Brook Dr, Decatur, GA 30033 | 2018-07-17 |
| 1356834972 | Sharlencia Lord | Nurse Practitioner | 2738 N Decatur Rd # 292-3173, Decatur, GA 30033 | 2018-06-08 |
| 1194213140 | Zacarias Yanis Jr. | Clinical Neuropsychologist | 1276 Mcconnell Drive Ste C., Decatur, GA 30033 | 2018-04-25 |
| 1780181370 | Ryan Patton | Orthopaedic Surgery | 2723 Hollywood Dr, Decatur, GA 30033 | 2018-04-10 |
| 1437669751 | Sholanda D Hooper | Nurse Practitioner | 1601 Clairmont Rd, Decatur, GA 30033 | 2017-10-02 |
| Find all providers in zip 30033 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366525057 | Jefrey D Lieberman | Internal Medicine | 2712 N Decatur Road, Decatur, GA 30033 | 2006-10-24 |
| 1649281270 | Nehemiah Tan, Md, S.c. | Internal Medicine | 2499 N Monroe St, Decatur, IL 62526-4368 | 2006-08-10 |
| 1497762389 | Sanford Stuart Hartman | Internal Medicine | 2712 North Decatur Road, Decatur, GA 30033-5910 | 2006-08-02 |
| 1376951228 | Arthritis and Rheumatology Specialists, Pa | Internal Medicine | 2351 S Fm 51, Suite 100, Decatur, TX 76234-3777 | 2014-07-23 |
| 1568706653 | Ferhana Najam | Internal Medicine | 2712 N Decatur Rd, Decatur, GA 30033-5910 | 2012-11-15 |
| 1871812917 | Sanford S Hartman, Md PC | Internal Medicine | 2712 N Decatur Rd, Decatur, GA 30033-5910 | 2010-05-28 |
| 1164637401 | W. Hugh Spruell, Md, PC | Internal Medicine | 2712 N Decatur Rd, Decatur, GA 30033-5910 | 2007-05-11 |
| 1023183415 | Gary R Botstein Md | Internal Medicine | 2712 N Decatur Rd, Decatur, GA 30033-5910 | 2006-11-21 |
| 1710921556 | Ayesha Abdulkadar Iqbal | Internal Medicine | 1670 Clairmont Rd, Dept. of Rheumatology 111, Decatur, GA 30033-4004 | 2006-06-15 |
| 1578520995 | Nehemiah T Tan | Internal Medicine | 102 W Kenwood Ave, Ste 110, Decatur, IL 62526-4300 | 2006-04-28 |
| Find all providers in DECATUR | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.