WELLLCARE SURGICAL ASSISTING (NPI# 1043601016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043601016 |
| Entity Type | Organization |
| Organization Name | WELLLCARE SURGICAL ASSISTING |
| Practice Address |
4455 Lower Roswell Rd 684121 Marietta GA 30068-0149 |
| Practice Telephone | 7704908645 |
| Mailing Telephone | 7704908645 |
| Enumeration Date | 2015-02-12 |
| Last Update Date | 2017-03-22 |
| Authorized Official Name | WILLIAM DALTON (CEO) |
| Authorized Official Telephone | 7704908645 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4455 LOWER ROSWELL RD 684121 |
| City | MARIETTA |
| State | GA |
| Zip Code | 30068-0149 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588087944 | William Dalton | Physician Assistant | 4455 Lower Roswell Rd, 684121, Marietta, GA 30068-0149 | 2014-01-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831798917 | Barbara Ann Goldschmidt | Pharmacist | 4088 Lower Roswell Rd, Marietta, GA 30068 | 2020-10-20 |
| 1285274480 | Cory Plasker | Chiropractor | 519b Johnson Ferry Road, Suite 350, Marietta, GA 30068 | 2020-01-15 |
| 1952949893 | Dr Amy L Varner LLC | Internal Medicine | 1000 Johnson Ferry Rd Bldg E Ste 200, Marietta, GA 30068 | 2019-12-11 |
| 1417501834 | Cornerstone Hospice and Palliative Care of Georgia, LLC | Hospice Care, Community Based | 1225 Johnson Ferry Rd., Bldg. 100, Suite 160, Marietta, GA 30068 | 2019-07-25 |
| 1639721038 | Cayla Clark | Behavior Technician | 137 Johnson Ferry Road Suite 2170, Marietta, GA 30068 | 2019-07-15 |
| 1467910828 | 2me Healthcare,llc | Home Health | 2586 Club Valley Drive Ne, Marietta, GA 30068 | 2019-03-05 |
| 1265912604 | Feidy Chiropractic Clinic Inc, Dba Cardwell Chiropractic Clinic | Chiropractor | 1230 Johnson Ferry Pl Ste G30, Marietta, GA 30068 | 2018-08-15 |
| 1225514219 | Audrey Hughes. Lcsw, LLC | Clinic/Center | 1212 Johnson Ferry Rd, Suite 300, Marietta, GA 30068 | 2018-07-13 |
| 1316461379 | Evan King | Registered Nurse | 52 Pioneer Trl, Marietta, GA 30068 | 2017-08-01 |
| 1912431867 | Anthony Izore | Nurse Practitioner | 5163 Tall Oak Drive, Marietta, GA 30068 | 2017-04-18 |
| Find all providers in zip 30068 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922640739 | Jeremiah George Blair | Physician Assistant | 61 Whitcher St Suite 2100, Marietta, GA 30060 | 2019-10-14 |
| 1164969192 | Henry Payton | Physician Assistant | 1001 Burnt Hickory Rd Nw, Apt 231, Marietta, GA 30064-1368 | 2017-01-29 |
| 1588087944 | William Dalton | Physician Assistant | 4455 Lower Roswell Rd, 684121, Marietta, GA 30068-0149 | 2014-01-21 |
| 1205277043 | Carmeceia Lavonde Dowdell | Physician Assistant | 626 Pecan Knoll Dr, Marietta, GA 30008-3102 | 2013-07-09 |
| 1275895963 | La Tosha Eugena Walker | Physician Assistant | 409 Bloombridge Way Nw, Marietta, GA 30066-3486 | 2012-06-09 |
| 1306008032 | Marlys Joel | Physician Assistant | 4084 Audubon Dr, Marietta, GA 30068-2605 | 2008-06-25 |
| 1659531945 | Michelle Yvonne Larue | Physician Assistant | 4653 Pond Ln, Marietta, GA 30062-5618 | 2008-06-11 |
| 1467640649 | Wendy Kae Jetton | Physician Assistant | 915 Randall Ct Nw, Marietta, GA 30064-4724 | 2007-10-12 |
| 1154446433 | Rhonda Kay Thompson Herring | Physician Assistant | 800 Kennesaw Ave Nw Ste 120, Marietta, GA 30060 | 2007-03-19 |
| 1508918475 | Aneeta Anderson | Physician Assistant | 4488 Pine Hill Ter Ne, Marietta, GA 30066-2419 | 2007-01-18 |
| Find all providers in MARIETTA | ||||
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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.