DR. SOURENDRA RAUT (NPI# 1073847794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073847794 |
Entity Type | Individual |
Full Name | DR. SOURENDRA RAUT |
Credential | MD FRCSC |
Practice Address |
1100 Northside Forsyth Drive Suite 340 Cumming GA 30041 |
Practice Telephone | 7708868111 |
Practice Fax Number | 7702058539 |
Mailing Telephone | 7708868111 |
Mailing Fax Number | 7702058539 |
Enumeration Date | 2009-09-28 |
Last Update Date | 2011-12-28 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgery | 065169 | GA | Allopathic & Osteopathic Physicians |
Y | 207XX0004X |
Orthopaedic Surgery Specialization: Foot and Ankle Surgery |
065169 | GA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | 003100434C | 05 | |
GA | 003100434B | 05 | |
GA | 003100343A | 05 |
Street Address |
1100 NORTHSIDE FORSYTH DRIVE SUITE 340 |
City | CUMMING |
State | GA |
Zip Code | 30041 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063511673 | Roger Bruce Bessey | Pediatrics | 1100 Northside Forsyth Drive, Suite 360, Cumming, GA 30041 | 2006-09-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962036905 | Annie Kyungjin Han | Nurse Practitioner | 1505 Northside Forsyth Drive, Suite 2500, Cumming, GA 30041 | 2020-02-28 |
1295388197 | Pamela Edler | Pharmacist | 1200 Northside Forsyth Drive, Pharmacy Department, Cumming, GA 30041 | 2019-07-19 |
1720557127 | Dr. Tiffany Lamonde LLC | Physical Therapist | 1445 Haw Creek Circle, Suite 503, Cumming, GA 30041 | 2018-11-15 |
1487140893 | Bhbd LLC | Chiropractor | 425 Peachtree Parkway, Suite 315, Cumming, GA 30041 | 2018-07-09 |
1891219861 | Anna Gawrys | Pharmacist | 1525 Marketplace Blvd, Cumming, GA 30041 | 2017-08-01 |
1679029219 | Square One Dental LLC | Clinic/Center | 3510 Rowe Lane, Cumming, GA 30041 | 2016-09-01 |
1720441454 | Pavilion Psychological Services LLC | Psychologist | 1445 Haw Creek Corners Circle East, Suite 501, Cumming, GA 30041 | 2016-03-31 |
1346606506 | American Health Imaging of Ga, LLC | Clinic/Center | 1050 Haw Creek Pkwy, Suite 100, Cumming, GA 30041 | 2016-01-04 |
1013311307 | Stephen Hartle | Physician Assistant | 2576 Peachtree Pkwy, Suite 100, Cumming, GA 30041 | 2014-10-15 |
1063828408 | Stephanie Evans Wellborn | Physician Assistant | 1800 Northside Forsyth Dr Ste 450, Cumming, GA 30041 | 2014-07-07 |
Find all providers in zip 30041 |
Taxonomy Code | 207XX0004X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
Specialization | Foot and Ankle Surgery |
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: title modified, definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. ACGME Accredited Residency Program Requirements: 1 year of training with 5 years Orthopedic Surgery for a total of 6 years. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134546625 | Rishin Jatin Kadakia | Orthopaedic Surgery | 100 Woodruff Cir, Suite 327, Atlanta, GA 30322-0001 | 2014-03-24 |
1326333402 | Michelle Coleman | Orthopaedic Surgery | 57 Executive Park S Ste 120, Atlanta, GA 30329-2248 | 2011-06-16 |
1992704514 | Steven Louis Shapiro | Orthopaedic Surgery | 6715 Forest Park Dr, Savannah, GA 31406-2507 | 2005-07-15 |
1194387571 | Nathaniel A Ptak | Orthopaedic Surgery | 1670 Clairmont Rd, Decatur, GA 30033-4004 | 2019-07-05 |
1487140950 | Kanesha Monique Gillyard | Orthopaedic Surgery | 1670 Clairmont Rd, Decatur, GA 30033-4004 | 2018-07-07 |
1952697336 | Michael Gary Hull | Orthopaedic Surgery | 300 Tower Rd Ne Ste 200, Marietta, GA 30060 | 2011-06-23 |
1205071552 | Daniel Lee Maxwell | Orthopaedic Surgery | 150 Clinic Ave Ste 101, Carrollton, GA 30117-4402 | 2008-12-15 |
1275601171 | Perimeter Orthopaedics, P.C. | Orthopaedic Surgery | 5673 Peachtree Dunwoody Rd, Suite 825, Atlanta, GA 30342 | 2006-12-01 |
1477623098 | Paul Victor Spiegl Sr. | Orthopaedic Surgery | 5673 Peachtree Dunwoody Rd Ne, Suite 825, Atlanta, GA 30342-1731 | 2006-11-09 |
1861562381 | Lamar L Fleming | Orthopaedic Surgery | 49 Jesse Hill Jr Dr Se, Suite 311, Atlanta, GA 30303-3049 | 2006-11-09 |
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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.