DR. SOURENDRA RAUT


Address: 1100 Northside Forsyth Drive, Suite 340, Cumming, GA 30041
Phone: 7708868111

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
GA 003100434C 05
GA 003100434B 05
GA 003100343A 05

Office Location

Street Address 1100 NORTHSIDE FORSYTH DRIVE
SUITE 340
City CUMMING
State GA
Zip Code 30041

Providers in the same location

NPI Name Taxonomy Address Enumeration
1063511673 Roger Bruce Bessey Pediatrics 1100 Northside Forsyth Drive, Suite 360, Cumming, GA 30041 2006-09-21

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207XX0004X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery
Specialization Foot and Ankle Surgery

Taxonomy Definition

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.

Providers in the same taxonomy and state

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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Competitor

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City CUMMING
Zip Code 30041

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Dataset Information

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.

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