ORTHOATLANTA, LLC (NPI# 1053819854) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053819854 |
| Entity Type | Organization |
| Organization Name | ORTHOATLANTA, LLC |
| Practice Address |
455 Legends Pl Se Ste 890 Atlanta GA 30339-4245 |
| Mailing Address |
900 Circle 75 Pkwy Se Ste 1700 Atlanta GA 30339-3087 |
| Practice Telephone | 4044189090 |
| Mailing Telephone | 7709536929 |
| Enumeration Date | 2018-01-26 |
| Last Update Date | 2018-01-26 |
| Authorized Official Name | MICHAEL OCHAL (CEO) |
| Authorized Official Telephone | 7709536829 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208100000X | Physical Medicine & Rehabilitation | Allopathic & Osteopathic Physicians | ||
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265047005 | Orthoatlanta, LLC | Orthopaedic Surgery | 3929 Peachtree Rd Ne Ste 250, Brookhaven, GA 30319-3374 | 2020-09-09 |
| 1720350747 | Orthoatlanta, LLC | Orthopaedic Surgery | 620 Cherokee St Ne Ste 300, Marietta, GA 30060-7202 | 2012-02-07 |
| 1982618294 | Orthoatlanta, LLC | Orthopaedic Surgery | 900 Circle 75 Pkwy Se, Suite 1700, Atlanta, GA 30339-3035 | 2006-07-29 |
| 1851937114 | Orthoatlanta, LLC | Orthopaedic Surgery | 2201 Newnan Crossing Blvd E Ste 100, Newnan, GA 30265-2551 | 2019-11-21 |
| 1629624507 | Orthoatlanta, LLC | Orthopaedic Surgery | 620 Cherokee St Ne Ste 300, Marietta, GA 30060-7202 | 2019-08-15 |
| 1508302472 | Orthoatlanta, LLC | Orthopaedic Surgery | 2785 Highway 54, Peachtree City, GA 30269-1063 | 2017-01-16 |
| 1851756506 | Orthoatlanta, LLC | Orthopaedic Surgery | 1800 Howell Mill Rd Nw, Suite 200, Atlanta, GA 30318-2538 | 2015-12-23 |
| 1386946598 | Orthoatlanta, LLC | Orthopaedic Surgery | 354 Newnan Crossing Byp, Suite 200, Newnan, GA 30265-2323 | 2010-11-19 |
| 1215260922 | Orthoatlanta, LLC | Orthopaedic Surgery | 3525 Busbee Dr Nw, Kennesaw, GA 30144-5677 | 2009-09-13 |
| 1164646139 | Orthoatlanta, LLC | Radiologic Technologist | 6300 Hospital Pkwy, Suite 400, Johns Creek, GA 30097-1828 | 2007-04-12 |
| Street Address |
455 LEGENDS PL SE STE 890 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30339-4245 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891303426 | Cheryl E Williams | Counselor | 1870 The Exchange, Suite 200 - 361, Atlanta, GA 30339 | 2020-07-20 |
| 1245854371 | Synergia Integrated Telebehavioral Health | Clinic/Center | 3941 Old Atlanta Station Drive, Southeast, Atlanta, GA 30339 | 2020-06-04 |
| 1972123883 | Elizabeth Newton, Psyd and Assoc Inc | Psychologist | 1827 Powers Ferry Rd, Bldg 21, Atlanta, GA 30339 | 2020-04-21 |
| 1881165207 | Le Reve Medical Clinic PC | Family Medicine | 1827 Powers Ferryy Rd Se Bldg 7, Suite 150, Atlanta, GA 30339 | 2018-12-11 |
| 1013499821 | Deonna Pennamon | Specialist/Technologist | 5625 Suffex Green Lane, Atlanta, GA 30339 | 2018-08-29 |
| 1205326915 | Matthew Buyert | Counselor | 1827 Powers Ferry Rd Se Ste 22, Atlanta, GA 30339 | 2018-05-17 |
| 1760991632 | Horizons Unlimited Professional Services Inc. | Community/Behavioral Health | 1755 The Exchange Se Ste 190, Atlanta, GA 30339 | 2017-09-23 |
| 1932624418 | Kheder Basheer | Student in an Organized Health Care Education/Training Program | 3224 Post Woods Dr., Apt E, Atlanta, GA 30339 | 2017-08-07 |
| 1417486820 | Ashley Drake | Counselor | 4695 N Church Ln Se Apt 10306, Atlanta, GA 30339 | 2017-06-08 |
| 1992248298 | New Legacy Counseling and Training Center | Point of Service | 3350 Riverwood Parkway, Suite 1925, Atlanta, GA 30339 | 2016-11-18 |
| Find all providers in zip 30339 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386258 | Thrive Orthopaedics LLC | Orthopaedic Surgery | 5775 Peachtree Dunwoody Rd Ne Ste C150a, Atlanta, GA 30342-1501 | 2020-11-02 |
| 1588273122 | Mallory Mary Garretson | Orthopaedic Surgery | 3240 N E Expy Ne Ste 100, Atlanta, GA 30341-4003 | 2020-07-29 |
| 1831670322 | Performance Orthopaedics & Sports Medicine | Orthopaedic Surgery | 755 Mount Vernon Hwy Ne Ste 305, Atlanta, GA 30328-4274 | 2018-08-23 |
| 1477039741 | Atlanta Knee and Shoulder Clinic PC | Orthopaedic Surgery | 3200 Downwood Cir Nw Ste 410, Atlanta, GA 30327 | 2018-07-19 |
| 1114422250 | Atlanta Breast Reconstruction | Orthopaedic Surgery | 2795 Peachtree Rd Ne Unit 309, Atlanta, GA 30305-3672 | 2018-03-29 |
| 1093129678 | Roy M Rubin | Orthopaedic Surgery | 3806 Ashford Knls Ne, Atlanta, GA 30319-1868 | 2014-06-11 |
| 1053755207 | Thomas Windrow Marks | Orthopaedic Surgery | 1011 West Paces Ferry Rd.n.w., Atlanta, GA 30327 | 2013-04-18 |
| 1144583261 | Amy L Ravindra | Orthopaedic Surgery | 1839 Buford Hwy Ne, Ste 100, Atlanta, GA 30309 | 2012-06-22 |
| 1316213788 | Oren Goltzer | Orthopaedic Surgery | 57 Executive Park S Ste 160-3, Atlanta, GA 30329-2288 | 2012-03-29 |
| 1457624215 | Allan Neil Levine | Orthopaedic Surgery | 1060 Riverside Trce Nw, Atlanta, GA 30328-3655 | 2012-02-09 |
| Find all providers in ATLANTA | ||||
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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.