DR. KENNETH G. KUPKE (NPI# 1053319228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053319228 |
| Entity Type | Individual |
| Full Name | DR. KENNETH G. KUPKE |
| Credential | M.D. |
| Practice Address |
5901 Peachtree Dunwoody Rd Ne Suite B 420 Atlanta GA 30328-5382 |
| Practice Telephone | 4042529751 |
| Practice Fax Number | 6789905763 |
| Mailing Telephone | 4042529751 |
| Mailing Fax Number | 6789905763 |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2011-04-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
034637 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00470434A | 05 | |
| GA | 00470434E | 05 | |
| GA | 00470434D | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649388893 | Kenneth M Kupke | Anesthesiology | 1000 Waterman Way, Tavares, FL 32778-5266 | 2006-08-28 |
| Street Address |
5901 PEACHTREE DUNWOODY RD NE SUITE B 420 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30328-5382 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922311265 | Virginia Inpatient Medicine Associates LLC | Physician Assistant | 5901 Peachtree Dunwoody Rd Ne, Suite C-350, Atlanta, GA 30328-5382 | 2010-07-15 |
| 1326285388 | Mary Neel Johnson | Nurse Practitioner | 5901 Peachtree Dunwoody Rd Ne, Suite B-420, Atlanta, GA 30328-5382 | 2009-01-13 |
| 1831340801 | Kimberly Ann Meade | Physician Assistant | 5901 Peachtree Dunwoody Rd Ne, Ste B-420, Atlanta, GA 30328-5382 | 2008-10-08 |
| 1235321530 | Kim Verleigh Cooley | Nurse Practitioner | 5901 Peachtree Dunwoody Rd Ne, Atlanta, GA 30328-5382 | 2007-08-10 |
| 1831272434 | Michael Scott Halan | Chiropractor | 5901 Peachtree Dunwoody Rd Ne, Suite B-485, Atlanta, GA 30328-5382 | 2006-10-24 |
| 1932134525 | Neal A Guttenberg | Pediatrics | 5901 Peachtree Dunwoody Rd Ne, Suite B-420, Atlanta, GA 30328-5382 | 2006-07-11 |
| 1962472613 | Tara Choate Davis | Nurse Practitioner | 5901 Peachtree Dunwoody Rd Ne, Suite B-420, Atlanta, GA 30328-5382 | 2006-01-25 |
| 1659372761 | Janet Chastain | Nurse Practitioner | 5901 Peachtree Dunwoody Rd Ne, Suite B 420, Atlanta, GA 30328-5382 | 2005-08-10 |
| 1881695823 | Betty Darlene Carnes | Nurse Practitioner | 5901 Peachtree Dunwoody Rd Ne, Suite B 420, Atlanta, GA 30328-5382 | 2005-08-01 |
| 1215937743 | Anne Olesen | Physician Assistant | 5901 Peachtree Dunwoody Rd Ne, Suite B 420, Atlanta, GA 30328-5382 | 2005-07-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467910042 | Amber Andrews | Behavior Technician | 750 Hammond Drive Bldg 7 Suite 100, Atlanta, GA 30328 | 2019-03-04 |
| 1215492830 | Ryan William Dubinin | Behavior Technician | 750 Hammond Drive, Building 7, Suite 100, Atlanta, NJ 30328 | 2019-02-07 |
| 1346710142 | Emily Rose Lloyd Swavely | Speech-Language Pathologist | 5825 Glenridge Rd., Building 1, Suite 133, Atlanta, GA 30328 | 2018-12-05 |
| 1063994481 | Mark Edward Brachmanski | Optometrist | 800 Mount Vernon Highway Ne, Suite 130, Atlanta, GA 30328 | 2018-09-01 |
| 1407352578 | Nina Brown | Massage Therapist | 7100 Peachtree Dunwoody Rd Ste 110, Sandy Springs, GA 30328 | 2018-04-05 |
| 1336657741 | Renee Usher Reeves | Assistant Behavior Analyst | 750 Hammond Dr Building 7, Suite 100, Atlanta, GA 30328 | 2018-01-19 |
| 1487168274 | Patricia Nicole Felder | Student in an Organized Health Care Education/Training Program | 270 Carpenter Dr, Ne, Suite # 400, Atlanta, GA 30328 | 2017-12-01 |
| 1447762927 | Ponders Podiatry LLC | Podiatrist | 275 Carpenter Drive Ne, Suite 106, Atlanta, GA 30328 | 2017-10-24 |
| 1770093601 | Syed M Rasheed | Physician Assistant | 5788 Roswell Rd Ste 100, Atlanta, GA 30328 | 2017-10-05 |
| 1437678190 | Jeanette Denise Jones | Counselor | 270 Carpenter Drive, Suite 400, Sandy Springs, GA 30328 | 2017-09-13 |
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| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| 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/certification - 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 |
|---|---|---|---|---|
| 1124348826 | Suneeti Gupta | Pediatrics | 5901 Peachtree Dunwoody Rd # C, Suite C 65, Atlanta, GA 30328-5382 | 2010-06-03 |
| 1528201027 | Sarita A. Patel | Pediatrics | 5901 Peachtree Dunwoody Rd, Suite B 420, Atlanta, GA 30328-5382 | 2009-04-13 |
| 1598959124 | Danielle Cecelia Giliberti Kallmyer | Pediatrics | 1428 Markan Dr Ne, Atlanta, GA 30306-2305 | 2007-08-27 |
| 1710060256 | William Ranson Laforce | Pediatrics | 315 Boulevard Ne Ste 500, Atlanta, GA 30312-1266 | 2006-10-20 |
| 1518047877 | Heidi Eigenrauch Karpen | Pediatrics | Emory Childrens Center Neonatology, 2015 Uppergate Drive Ne, Atlanta, GA 30322-1014 | 2006-10-17 |
| 1891896478 | Mohammed Haytham Al Rabbat | Pediatrics | 115 Dunwoody Creek Ct, Atlanta, GA 30350-4318 | 2006-09-26 |
| 1497781215 | Lucky Jain | Pediatrics | 2015 Uppergate Drive, 3rd Floor, Atlanta, GA 30322-0001 | 2006-06-23 |
| 1891743878 | Anthony Joseph Piazza | Pediatrics | 49 Jesse Hill Jr Drive, Dept of Pediatrics, Division of Neonatal-perinatal Med, Atlanta, GA 30303-3049 | 2006-05-04 |
| 1851351944 | David P Carlton | Pediatrics | 2015 Uppergate Dr, Atlanta, GA 30327 | 2006-03-24 |
| 1285632455 | William G. Keyes | Pediatrics | 5901b Peachtree Dunwoody Rd Ne, Suite B-420, Atlanta, GA 30328-5382 | 2005-07-12 |
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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.