DR. DOMENIC SCALAMOGNA (NPI# 1003880964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003880964 |
| Entity Type | Individual |
| Full Name | DR. DOMENIC SCALAMOGNA |
| Credential | M.D. |
| Practice Address |
354 Newnan Crossing Byp Ste 200 Newnan GA 30265-2434 |
| Mailing Address |
910 N 5th St Ste H Cordele GA 31015-3254 |
| Practice Telephone | 7704604747 |
| Practice Fax Number | 6786735102 |
| Mailing Telephone | 2292762286 |
| Mailing Fax Number | 2292762289 |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2019-06-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 69632 | GA | Allopathic & Osteopathic Physicians |
| N | 207X00000X | Orthopaedic Surgery | D0078710 | MD | Allopathic & Osteopathic Physicians |
| N | 207X00000X | Orthopaedic Surgery | 0101233236 | VA | Allopathic & Osteopathic Physicians |
| Street Address |
354 NEWNAN CROSSING BYP STE 200 |
| City | NEWNAN |
| State | GA |
| Zip Code | 30265-2434 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982254330 | Esi Cudjoe | Nurse Practitioner | 354 Newnan Crossing Byp Ste 200, Newnan, GA 30265-2434 | 2019-09-18 |
| 1538640891 | Courtney Burch | Nurse Practitioner | 354 Newnan Crossing Byp Ste 200, Newnan, GA 30265-2434 | 2018-08-24 |
| 1689929671 | Tonya M Kinsey | Physical Therapist | 354 Newnan Crossing Byp Ste 200, Newnan, GA 30265-2434 | 2012-07-17 |
| 1851596563 | Daniel Patrick Delozier | Physician Assistant | 354 Newnan Crossing Byp Ste 200, Newnan, GA 30265-2323 | 2007-06-21 |
| 1801014329 | Malinda Johnson | Occupational Therapist | 354 Newnan Crossing Byp Ste 200, Newnan, GA 30265-2434 | 2007-04-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265041537 | Shiva Bazargan | Pharmacist | 3116 Sr 34 West, Newnan, GA 30265 | 2020-07-23 |
| 1992322549 | Doctorsbeyond Inc. | Clinic/Center | 277 Skyview Court, Newnan, GA 30265 | 2020-06-30 |
| 1225652936 | Jerrica Conyers | Nurse Practitioner | 1635 Highwat 34 East Suite C, Newnan, GA 30265 | 2020-05-29 |
| 1982234688 | Morgan Elizabeth Bross | Physician Assistant | 1825 Ga- 34, Newnan, GA 30265 | 2020-01-22 |
| 1013553379 | Hopebridge LLC | Behavior Technician | 2147 Newnan Crossing Boulevard East, Newnan, GA 30265 | 2019-11-21 |
| 1518528116 | Stepping Stones Psychiatric Care LLC | Nurse Practitioner | 3025 Sharpsburg Mccullum Rd, Building B Suite 103, Newnan, GA 30265 | 2019-06-25 |
| 1356823363 | Stephen William Jacon | Specialist/Technologist | 29 Muirfield Court, Newnan, GA 30265 | 2018-09-05 |
| 1881176832 | Blueprint Psychiatry, LLC | Psychiatry & Neurology | 1601 Highway 34 E Ste A, Newnan, GA 30265 | 2018-09-05 |
| 1548790769 | Timothy Collins | Physical Therapist | 1755 Ga-34, Suite 1300, Rehab Department, Newnan, GA 30265 | 2017-06-20 |
| 1497289748 | Edible Health & Wellness,llc | Clinic/Center | 90f Glenda Trace Pmb 318, Newnan, GA 30265 | 2017-04-13 |
| Find all providers in zip 30265 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346653714 | Clark Monroe Walker | Orthopaedic Surgery | 1755 Highway 34 E Ste 2200, Newnan, GA 30265-3190 | 2014-06-03 |
| 1679838718 | Charles Edward Claps | Orthopaedic Surgery | 2301 Newnan Crossing Blvd E, Suite 100, Newnan, GA 30265-2542 | 2012-07-04 |
| 1982193041 | Resurgens, PC | Orthopaedic Surgery | 2301 Newnan Crossing Blvd E, Suite 100, Newnan, GA 30265 | 2018-05-04 |
| 1386023901 | Orthoatlanta | Orthopaedic Surgery | 354 Newnan Crossing Byp, Suite 200, Newnan, GA 30265-2323 | 2015-05-28 |
| 1942528757 | David Joseph Heinsch | Orthopaedic Surgery | 1755 Highway 34 E, Suite 2200, Newnan, GA 30265-5631 | 2010-05-05 |
| 1659533545 | David A Brcka | Orthopaedic Surgery | 2201 Newnan Crossing Blvd E Ste 100, Newnan, GA 30265-2551 | 2008-07-01 |
| 1194991125 | Virginia M Jones | Orthopaedic Surgery | 2201 Newnan Crossing Blvd E Ste 100, Newnan, GA 30265-2551 | 2008-04-30 |
| 1336344324 | Susan Stewart Jordan | Orthopaedic Surgery | 2201 Newnan Crossing Blvd E Ste 100, Newnan, GA 30265-2551 | 2007-06-19 |
| 1639266620 | Jack H. Powell IIi | Orthopaedic Surgery | 1755 Highway 34 E, Suite 2200, Newnan, GA 30265-5631 | 2006-10-10 |
| 1285721274 | Michael V. Cushing | Orthopaedic Surgery | 1755 Highway 34 E, Suite 220, Newnan, GA 30265-5631 | 2006-10-10 |
| Find all providers in NEWNAN | ||||
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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.