DR. LIVIA VAN


Address: 2470 Mt. Zion Parkway, Kaiser Permanente Southwood Specialty Center, Jonesboro, GA 30236
Phone: 7706033585

DR. LIVIA VAN (NPI# 1023262185) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023262185
Entity Type Individual
Full Name DR. LIVIA VAN
Credential MD
Practice Address 2470 Mt. Zion Parkway
Kaiser Permanente Southwood Specialty Center
Jonesboro
GA 30236
Mailing Address 3495 Piedmont Road, Ne
Nine Piedmont Center
Atlanta
GA 30305
Practice Telephone 7706033585
Mailing Telephone 4043647070
Enumeration Date 2008-11-14
Last Update Date 2012-08-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207N00000X Dermatology 067449 GA Allopathic & Osteopathic Physicians
N 207N00000X Dermatology 004019 GA Allopathic & Osteopathic Physicians

Office Location

Street Address 2470 MT. ZION PARKWAY
KAISER PERMANENTE SOUTHWOOD SPECIALTY CENTER
City JONESBORO
State GA
Zip Code 30236

Providers in the same location

NPI Name Taxonomy Address Enumeration
1922114974 Sareeta S. Parker Dermatology 2470 Mt. Zion Parkway, Kaiser Permanente Southwood Specialty Center, Jonesboro, GA 30236 2006-08-22
1891954459 Dionne Denise Louis Dermatology 2470 Mt. Zion Parkway, Kaiser Permanente Southwood Specialty Center, Jonesboro, GA 30236 2008-06-08
1770762452 Rahul S Nayak Internal Medicine 2470 Mt. Zion Parkway, Kaiser Permanente - Southwood Specialty Office, Jonesboro, GA 30236 2007-10-30
1245393511 Amish N. Patel Internal Medicine 2470 Mt. Zion Parkway, Kaiser Permanente Southwood Specialty Center, Jonesboro, GA 30236 2006-12-18
1811091085 Eun Chung Internal Medicine 2470 Mt. Zion Parkway, Kaiser Permanente Southwood Specialty Center, Jonesboro, GA 30236 2006-09-11

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1972123362 Life Source Counseling & Consulting, LLC Clinic/Center 118 North Avenue, Suite A, Jonesboro, GA 30236 2020-04-25
1639609555 New Beginnings Behavioral Counseling,llc Social Worker 9456 S Main St Ste E2, Jonesboro, GA 30236 2017-06-13
1437696762 Clarissa Alexandra Poole Counselor 2106 Fair Ridge Ct, Jonesboro, GA 30236 2017-01-25
1588012892 Sundance Healthcare Service Inc In Home Supportive Care 7861 Collinswood Court, Jonesboro, GA 30236 2016-05-26
1942669205 Adrianne Smiley Gurley Occupational Therapist 1299 Battlecreek Rd Ste 210, Jonesboro, GA 30236 2016-02-15
1336505809 Integrated Health Center Dentist 8600 Tara Blvd, Suite D, Jonesboro, GA 30236 2016-01-13
1467827402 Surrell Porter Nurse Practitioner 1287 Georgia Highway 138 Spur, Suite 8, Jonesboro, GA 30236 2015-12-02
1740688910 Jacqueline Carolyn Edwards Registered Nurse 8081 Tara Blvd, 265, Jonesboro, GA 30236 2014-12-19
1770991861 Lower Extremity Diagnostics, LLC Podiatrist 6911 Tara Boulevard, Jonesboro, GA 30236 2014-08-01
1760899710 Fresenius Medical Care Jonesboro, LLC Clinic/Center 8060 Summitt Business Parkway, Jonesboro, GA 30236 2014-07-22
Find all providers in zip 30236

Taxonomy Information

Taxonomy Code 207N00000X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology

Taxonomy Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1710229141 Mallory Hurst Dermatology 800 S Church St Ste 202, Jonesboro, AR 72401 2013-03-24
1922114974 Sareeta S. Parker Dermatology 2470 Mt. Zion Parkway, Kaiser Permanente Southwood Specialty Center, Jonesboro, GA 30236 2006-08-22
1790751444 David Howard Weingold Dermatology 4334 E Highland Dr, Jonesboro, AR 72401-6621 2006-02-23
1306366885 Doctors Health Group, Inc. Dermatology 800 S Church St Ste 203, Jonesboro, AR 72401-4106 2017-06-26
1770932550 Sills Dermatology, Pllc Dermatology 1003 Windover Rd, Jonesboro, AR 72401-6007 2016-06-12
1891954459 Dionne Denise Louis Dermatology 2470 Mt. Zion Parkway, Kaiser Permanente Southwood Specialty Center, Jonesboro, GA 30236 2008-06-08
1871651182 Florence M Humphrey Dermatology Department of Dermatology, 2470 Mount Zion Parkway, Jonesboro, GA 30236 2006-12-05
1699841304 Rena L Keeby Dermatology 2470 Mount Zion Parkway, Department of Dermatology, Jonesboro, GA 30236 2006-11-27
1790851673 Kenya H Anders Dermatology 2470 Mount Zion Parkway, Department of Dermatology, Jonesboro, GA 30236 2006-11-24
1952326951 Adam Ashley Sills Dermatology 1003 Windover Rd, Jonesboro, AR 72401-6007 2006-07-12
Find all providers in JONESBORO

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City JONESBORO
Zip Code 30236

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Dataset Information

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.

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