HOLLY BAUSER-HEATON (NPI# 1073756631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073756631 |
| Entity Type | Individual |
| Full Name | HOLLY BAUSER-HEATON |
| Credential | M.D., PH.D. |
| Practice Address |
2835 Brandywine Rd Suite 400 Atlanta GA 30341 |
| Mailing Address |
3333 Burnet Ave Ml 5018 Cincinnati OH 45229-3039 |
| Practice Telephone | 4042562593 |
| Practice Fax Number | 7704889408 |
| Mailing Telephone | (513) 363-4315 |
| Mailing Fax Number | 1516366567 |
| Enumeration Date | 2009-04-13 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 094041 | GA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 003177562B | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3333 Burnet Ave, Mll 3016, Cincinnati, OH 452293039 | 5136364588 | 5136360345 |
| Street Address |
2835 BRANDYWINE RD SUITE 400 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30341 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548262967 | Chad Mao | Pediatrics | 2835 Brandywine Rd, Suite 300, Atlanta, GA 30341-5540 | 2005-08-15 |
| 1851612261 | Divya Suthar | Pediatrics | 2835 Brandywine Rd, Suite 300, Atlanta, GA 30341-5510 | 2010-06-21 |
| 1316111719 | Michelle Wallace | Pediatrics | 2835 Brandywine Rd, Suite 300, Atlanta, GA 30341-5540 | 2008-04-16 |
| 1164692174 | Usama B Kanaan | Pediatrics | 2835 Brandywine Rd, Suite 300, Atlanta, GA 30341-5540 | 2008-03-05 |
| 1972787760 | Glen Joseph Iannucci | Pediatrics | 2835 Brandywine Rd, Suite 300, Atlanta, GA 30341-5510 | 2007-12-28 |
| 1568661767 | Timotheus George Watson | Pediatrics | 2835 Brandywine Rd, Suite 300, Atlanta, GA 30341-5510 | 2007-07-17 |
| 1235336538 | Fred Henry Rodriguez IIi | Pediatrics | 2835 Brandywine Rd, Suite 300, Atlanta, GA 30341-5510 | 2007-06-29 |
| 1538377502 | Benjamin J Toole | Emergency Medicine | 2835 Brandywine Rd, Suite 300, Atlanta, GA 30341-5510 | 2007-05-21 |
| 1154539385 | Brandon W Harden | Emergency Medicine | 2835 Brandywine Rd, Suite 300, Atlanta, GA 30341-5510 | 2007-05-20 |
| 1124233606 | Matthew Eric Ferguson | Pediatrics | 2835 Brandywine Rd, #300, Atlanta, GA 30341-5540 | 2007-05-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992207344 | Rabun Marie Robertson | Occupational Therapist | 2320 Perimeter Park Drive, Atlanta, GA 30341 | 2018-03-01 |
| 1568986313 | Charles Edge IIi | Nurse Practitioner | 4770 Buford Highway, Atlanta, GA 30341 | 2017-08-02 |
| 1366971277 | Park Ridge Healthcare and Physical Medicine LLC | Nurse Practitioner | 2896 Chamblee Tucker Road, Suite 4, Atlanta, GA 30341 | 2017-06-06 |
| 1437502937 | Chara Mcgill | Counselor | 13207 Jefferson Circle N, Chamblee, GA 30341 | 2016-07-20 |
| 1982063913 | Stepping Stone of Atlanta | Community/Behavioral Health | 3705 Chamblee Dunwoody Rd, Chamblee, GA 30341 | 2016-02-18 |
| 1013317577 | Marne Day | Counselor | 3720 Chamblee Dunwoody Rd, Chamblee, GA 30341 | 2014-09-02 |
| 1013343680 | Keelan Walker | Speech-Language Pathologist | 4961 Buford Highway Suite 201, Suite 201, Chamblee, GA 30341 | 2013-09-16 |
| 1578901955 | Promonitor LLC | Electrodiagnostic Medicine | 3300 Northwest Expy Bldg 7, Atlanta, GA 30341 | 2013-06-07 |
| 1639415359 | Lawanda B Cooke | Health Educator | 5280 Peachtree Ind Blvd, Chamblee, GA 30341 | 2012-12-28 |
| 1457602773 | Arthur Macrae Wendel | Family Medicine | 4770 Buford Hwy Ms F60, Atlanta, GA 30341 | 2012-09-26 |
| Find all providers in zip 30341 | ||||
| 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 |
|---|---|---|---|---|
| 1588219810 | Dayana Regis | Pediatrics | 808 York Ave Sw, Atlanta, GA 30310 | 2019-08-04 |
| 1922660547 | Taylor Noelle Hemmerick | Pediatrics | 312 Highland Square Dr Ne, Atlanta, GA 30306-2283 | 2019-07-03 |
| 1710499983 | Muin Joseph Khoury | Pediatrics | 1923 Mercedes Ct Ne, Atlanta, GA 30345-3939 | 2017-10-27 |
| 1730602459 | Brandi Jo Middour-oxler | Pediatrics | 1605 Chantilly Dr Ne Ste 305, Atlanta, GA 30324-3267 | 2017-07-25 |
| 1043743354 | Sally Azer | Pediatrics | 2015 Uppergate Drive 423b, Atlanta, GA 30322-1910 | 2017-04-05 |
| 1588027502 | Lauren Roach | Pediatrics | 2015 Uppergate Drive Rm 534, Atlanta, GA 30322-0001 | 2016-03-29 |
| 1760858252 | Baybol Pediatrics LLC | Pediatrics | 9 Dunwoody Park Ste 126, Atlanta, GA 30338-6712 | 2015-08-19 |
| 1174919500 | John Charles Watson | Pediatrics | 2616 Varner Dr Ne, Atlanta, GA 30345-1559 | 2015-04-13 |
| 1679967582 | Elizabeth Sinclair | Pediatrics | Pediatric Divisions of Gi and Transplant Hepatology, 2015 Uppergate Drive Ne, Atlanta, GA 30322 | 2015-03-28 |
| 1447644430 | Juhi Jain | Pediatrics | 2015 Uppergate Drive Emory Children's Center #400, Atlanta, GA 30322 | 2015-03-27 |
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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.