DR. ROMUALDA S KLICIUS (NPI# 1033108121) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033108121 |
| Entity Type | Individual |
| Full Name | DR. ROMUALDA S KLICIUS |
| Credential | MD |
| Practice Address |
2230 Towne Lake Pkwy Building 300, Suite 100 Woodstock GA 30189-5540 |
| Practice Telephone | 7705171900 |
| Practice Fax Number | 7709263215 |
| Mailing Telephone | 7705171900 |
| Mailing Fax Number | 7709263215 |
| Enumeration Date | 2005-10-20 |
| Last Update Date | 2011-12-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 046305 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
2230 TOWNE LAKE PKWY BUILDING 300, SUITE 100 |
| City | WOODSTOCK |
| State | GA |
| Zip Code | 30189-5540 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316574551 | Jane Schutter | Behavioral Analyst | 2230 Towne Lake Pkwy, Woodstock, GA 30189-5540 | 2020-03-26 |
| 1225569437 | New Ways Pain Management | Radiology | 2230 Towne Lake Pkwy, Bldg, No. 900, Suite 250 & 150, Woodstock, GA 30189-5540 | 2017-03-21 |
| 1487047791 | Tl Dental Group, LLC | Dentist | 2230 Towne Lake Pkwy, Bldg. 100, Suite 100, Woodstock, GA 30189-5540 | 2015-03-11 |
| 1952712390 | Connect Hearing, Inc. | Audiologist | 2230 Towne Lake Pkwy, Building 800 Ste 100, Woodstock, GA 30189-5540 | 2014-05-19 |
| 1851656151 | Caroline Michelle Malloy | Physical Therapist | 2230 Towne Lake Pkwy, Bldg 1200-100, Woodstock, GA 30189-5540 | 2012-07-12 |
| 1649531344 | Donaco Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 2230 Towne Lake Pkwy, Bldg 200 Ste 100, Woodstock, GA 30189-5540 | 2012-05-30 |
| 1295015709 | Kunjan Patel | Dentist | 2230 Towne Lake Pkwy, Bldg 1300 Suite 100, Woodstock, GA 30189-5540 | 2011-08-29 |
| 1326340407 | John Iaculli | Dentist | 2230 Towne Lake Pkwy, Building 1100, Ste 100, Woodstock, GA 30189-5540 | 2010-11-23 |
| 1326349945 | Family Orthodontics of Ws, LLC | Dentist | 2230 Towne Lake Pkwy, Building 1100, Ste 100, Woodstock, GA 30189-5540 | 2010-11-12 |
| 1194952283 | Tingley Family Chiropractic, LLC | Chiropractor | 2230 Towne Lake Pkwy, Bldg. 700 Suite 120, Woodstock, GA 30189-5540 | 2009-06-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801494356 | Susan Iruku | Pharmacist | 12050 Ga-92 #112, Woodstock, GA 30189 | 2020-10-15 |
| 1598267437 | Kelly Sierra | Nurse Practitioner | 100 Stoneforest Dr Ste 300, Woodstock, GA 30189 | 2018-03-07 |
| 1548770449 | Chandra Johnson | Nurse Practitioner | 295 Molly Lane Ste 150, Woodstock, GA 30189 | 2017-10-05 |
| 1083133912 | Amanda Bostock Sowisdral | Physician Assistant | 250 Parkbrooke Pl Ste 300, Woodstock, GA 30189 | 2017-09-12 |
| 1780101659 | Laura C Koch Woodstock LLC Dba Fountain View Dentistry | Dentist | 1816 Eagle Drive, Building 200-a, Woodstock, GA 30189 | 2017-08-23 |
| 1265954788 | Vicky Morton Bryan | Nurse Practitioner | 422 Sycamore Trail, Woodstock, GA 30189 | 2017-07-17 |
| 1063933588 | Marietta Eye Clinic, Pa | Optometrist | 2990 Eagle Dr Ste 110, Woodstock, GA 30189 | 2017-07-06 |
| 1275914749 | Nrup Tolat | Podiatrist | 100 Stoneforest Dr Ste 120, Woodstock, GA 30189 | 2015-06-10 |
| 1558781534 | Mary Jansson Carmon | Nurse Practitioner | 1000 Towne Lake Pkwy, Woodstock, GA 30189 | 2014-04-17 |
| 1518388941 | Afc Physicians of Georgia, PC | General Practice | 6440 Bells Ferry Rd, Woodstock, GA 30189 | 2014-01-03 |
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| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578906830 | Adele Handy Goodloe | Pediatrics | 250 Parbrooke Place, Suite 200, Woodstock, GA 30189-6401 | 2013-04-16 |
| 1306191721 | Thanhtam Thi Le | Pediatrics | 2000 Professional Way Ste 200, Woodstock, GA 30188-4093 | 2012-07-23 |
| 1649409244 | Shalini Mala Shah | Pediatrics | 900 Towne Lake Pkwy Ste 306, Woodstock, GA 30189-1604 | 2009-07-06 |
| 1760678817 | David Allen Stumpf | Pediatrics | 1101 Alpine Ln, Woodstock, IL 60098-9726 | 2007-09-22 |
| 1346319308 | Timothy Christopher Lorenz | Pediatrics | 155 River Park Xing, Woodstock, GA 30188-7801 | 2006-11-06 |
| 1760575567 | Anthony Robert Neri | Pediatrics | 1065 S Main St, Woodstock, VA 22664-1041 | 2006-10-02 |
| 1114958824 | Harriet Eyvonne Cadle | Pediatrics | 3221 S Cherokee Ln Ste 1810, Woodstock, GA 30188-4797 | 2006-07-05 |
| 1194775189 | Susan Cardona | Pediatrics | 2392 Glasco Tpke, Woodstock, NY 12498-1076 | 2006-05-11 |
| 1992763791 | Laura M Larkner | Pediatrics | 3707 Doty Rd Ste H, Woodstock, IL 60098 | 2006-05-02 |
| 1447218334 | Adriana Rzeznik | Pediatrics | 2000 Professional Way, Bldg 200 Ste B, Woodstock, GA 30188 | 2006-05-02 |
| Find all providers in WOODSTOCK | ||||
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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.