UROLOGICAL PROFESSIONAL SERVICES, LLC (NPI# 1033521810) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1033521810 |
Entity Type | Organization |
Organization Name | UROLOGICAL PROFESSIONAL SERVICES, LLC |
Practice Address |
1000 Johnson Fy Rd Ne Atlanta GA 30342-1606 |
Practice Telephone | 4048518000 |
Enumeration Date | 2014-05-28 |
Last Update Date | 2015-10-22 |
Authorized Official Name | JORGE J. HERNANDEZ (VP-ADMIN, CCO) |
Authorized Official Telephone | 4048516378 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
Street Address |
1000 JOHNSON FY RD NE |
City | ATLANTA |
State | GA |
Zip Code | 30342-1606 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548296684 | Raghuveer Suryadevara | Internal Medicine | 1000 Johnson Fy Rd Ne, Atlanta, GA 30342-1606 | 2006-06-23 |
1114524592 | Bonnie Bell | Nurse Anesthetist, Certified Registered | 1000 Johnson Fy Rd Ne, Atlanta, GA 30342-1606 | 2020-10-08 |
1073129581 | Amanda Walter | Clinical Nurse Specialist | 1000 Johnson Fy Rd Ne, Atlanta, GA 30342-1611 | 2020-09-21 |
1831705557 | Christina Nicole Di Natale | Registered Nurse | 1000 Johnson Fy Rd Ne, Atlanta, GA 30342-1611 | 2020-09-17 |
1497369516 | Melony Ethel Shelton | Nurse Practitioner | 1000 Johnson Fy Rd Ne, Atlanta, GA 30342-1606 | 2020-09-04 |
1134748320 | Adity Dutta | Registered Nurse | 1000 Johnson Fy Rd Ne, Atlanta, GA 30342-1611 | 2020-04-08 |
1548893050 | Whitney Addison | Registered Nurse | 1000 Johnson Fy Rd Ne, Atlanta, GA 30342-1606 | 2020-02-13 |
1962032912 | Brandon Brand | Nurse Practitioner | 1000 Johnson Fy Rd Ne, Atlanta, GA 30342-1606 | 2020-01-17 |
1790321867 | Carla Bray | Registered Nurse | 1000 Johnson Fy Rd Ne, Atlanta, GA 30342-1606 | 2019-11-22 |
1851934244 | Sarah Brianne Sammons | Nurse Practitioner | 1000 Johnson Fy Rd Ne, Atlanta, GA 30342-1606 | 2019-10-18 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144820614 | Nia Charnice Griffin | Nurse Practitioner | 5670 Peachtree Dunwoodyroad, Suite 900, Atlanta, GA 30342 | 2020-10-26 |
1255945184 | Jennifer Lynne Cole | Behavior Technician | 5555 Glenridge Con Suite 200, Atlanta, GA 30342 | 2020-09-08 |
1093336232 | Van Tran | Respiratory Therapist, Registered | 1000 Johnson Ferry Rd Ne, Atlanta, Ga 30342, Atlanta, GA 30342 | 2020-04-28 |
1356978340 | Twyla Douglas Jackson I | Clinical Nutrition, 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342 | 2020-03-27 | |
1760013411 | Emily Hamm | Dietitian, Registered | 933 D Johnson Ferry Road, Suite 250, Atlanta, GA 30342 | 2020-01-31 |
1043855984 | Mackenzie Tucker Wayda | Registered Nurse | 1001 Johnson Ferry Rd. Ne, Atlanta, GA 30342 | 2019-11-14 |
1386288454 | Tiauna Lashun Cochman | Psychologist | 1307 Glenridge Dr, Sandy Springs, GA 30342 | 2019-11-01 |
1164074399 | Stephen J. White | Hearing Instrument Specialist | 5775 Peachtree Dunwoody Rd Suite 600 Fl. 6, Uhc Hearing, Atl., GA 30342 | 2019-07-09 |
1144788142 | Jaytyn LLC | Internal Medicine | 4600 Broswell Road, Atlanta, GA 30342 | 2019-03-08 |
1760954705 | Mishele Walker LLC | Counselor | 555 Glenridge Connector, Suite 200, Sandy Springs, GA 30342 | 2018-12-31 |
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Taxonomy Code | 208800000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Urology |
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982182655 | Advanced Urology Institute of Georgia | Urology | 1460 S Johnson Ferry Rd, Atlanta, GA 30319-4301 | 2018-08-03 |
1720510241 | Georgia Urology Pa | Urology | 1110 W Peachtree St Nw Ste 1020, Atlanta, GA 30309-3609 | 2017-04-03 |
1033552799 | Andrew Pridjian | Urology | 5673 Peachtree Dunwoody Rd Ste 910, Atlanta, GA 30342-1776 | 2013-04-12 |
1518256890 | Aaron David Weiss | Urology | Emory Univ Hosp Dept of Urology, Ste B1400 1365 Clifton Rd Ne, Atlanta, GA 30322-0001 | 2011-04-07 |
1407172877 | Dhruti Mukund Patel | Urology | 1450 S Johnson Ferry Rd, Atlanta, GA 30319 | 2010-04-10 |
1598990533 | Tariq S Hakky | Urology | 371 E Paces Ferry Road, Suite 550, Atlanta, GA 30305 | 2009-05-20 |
1932351277 | Milton Joseph Deitch | Urology | 5770 Cameron Hall Pl Nw, Atlanta, GA 30328-4896 | 2008-10-17 |
1588812440 | Jaime Alan Wan Cheung Wong | Urology | 1800 Howell Mill Rd Nw Ste 500, Atlanta, GA 30318-2594 | 2008-09-04 |
1619161007 | Nathan F Pursifull | Urology | 275 Collier Rd Nw Ste 400, Atlanta, GA 30309-1711 | 2007-08-29 |
1437275385 | Christopher Paul Filson | Urology | 1365 Clifton Rd Ne Ste B1400, Atlanta, GA 30322-5330 | 2007-03-22 |
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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.