ATLANTA WOMEN'S SURGERY SPECIALISTS, P.C. (NPI# 1104261528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104261528 |
| Entity Type | Organization |
| Organization Name | ATLANTA WOMEN'S SURGERY SPECIALISTS, P.C. |
| Practice Address |
216 Riverstone Dr Canton GA 30114-5256 |
| Mailing Address |
1305 Hembree Rd Suite 202 Roswell GA 30076-3810 |
| Practice Telephone | 7707207733 |
| Practice Fax Number | 6784939875 |
| Mailing Telephone | 7707207733 |
| Mailing Fax Number | 6784939875 |
| Enumeration Date | 2013-04-30 |
| Last Update Date | 2013-04-30 |
| Authorized Official Name | DR. MICHAEL LITREL (M.D.) |
| Authorized Official Telephone | 7707207733 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 069079 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
216 RIVERSTONE DR |
| City | CANTON |
| State | GA |
| Zip Code | 30114-5256 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619516093 | Wickshire Canton Opco LLC | Assisted Living Facility | 125 Riverstone Terrace, Canton, GA 30114 | 2020-01-02 |
| 1154803583 | Alixandra Nicole Flournoy | Physical Therapist | 131 Holly Street, Canton, GA 30114 | 2018-09-01 |
| 1588157341 | Provident Group - Canton Cove Properties LLC | Alzheimer Center (Dementia Center) | 1100 Reinhardt College Parkway, Canton, GA 30114 | 2018-06-07 |
| 1003233107 | Heartland Dental Care of Georgia | Dentist | 3237 Sixes Rd, Canton, GA 30114 | 2014-03-26 |
| 1730510959 | Joseph Optical | Eyewear Supplier (Equipment, not the service) | 1455 Riverstone Pkwy Suite 110, Canton, GA 30114 | 2013-12-13 |
| 1629313036 | Ramona Morton Rasmussen | Occupational Therapist | 200 Riverstone Drive, Suite B, Canton, GA 30114 | 2012-12-11 |
| 1902154875 | Yong Qiao Luo | Acupuncturist | 200 Oakside Lane, Suite D, Canton, GA 30114 | 2012-08-26 |
| 1215294350 | Christina Lynn Hernandez | Pediatrics | 1558 Riverstone Pkwy Ste 100, Canton, GA 30114 | 2012-04-13 |
| 1558638981 | Stephen E Byrd | Counselor | 191 Lamar Haley Pkwy., Canton, GA 30114 | 2011-11-30 |
| 1073807855 | Sheri Sullins Buckley | Nurse Practitioner | 120 Oakside Ct Ste H, Canton, GA 30114 | 2011-06-08 |
| Find all providers in zip 30114 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| 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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902250996 | Alyssa Liguori | Obstetrics & Gynecology | 470 Northside Cherokee Blvd Ste 290, Canton, GA 30115-8029 | 2016-04-16 |
| 1548600042 | Simrat Singh | Obstetrics & Gynecology | 46856 Eastbourne Rd, Canton, MI 48188-3021 | 2013-06-28 |
| 1063704526 | Alice May Chi | Obstetrics & Gynecology | 1051 N Canton Center Drive, Canton, MI 48187-5097 | 2011-05-03 |
| 1922236652 | Kathryn Rose Kloss | Obstetrics & Gynecology | 1600 S Canton Center Rd Ste 350, Canton, MI 48188-6277 | 2009-07-01 |
| 1184882524 | Michelle A Glasgow | Obstetrics & Gynecology | 460 Northside Cherokee Blvd Ste 400, Canton, GA 30115-8023 | 2008-05-31 |
| 1881894004 | Luna Alkhafaji | Obstetrics & Gynecology | 7300 N Canton Center Rd Ste 210, Canton, MI 48187-1579 | 2007-07-25 |
| 1730300427 | Maria Moman Moman | Obstetrics & Gynecology | 1668 W Peace Street, Canton, MS 39046 | 2007-05-01 |
| 1437242658 | Tina D Groat | Obstetrics & Gynecology | 1561 Glengarry Blvd, Canton, MI 48188-3236 | 2006-10-02 |
| 1144332800 | Jyothi R. Nichanametla | Obstetrics & Gynecology | 42287 Cherry Hill Rd, Suite D, Canton, MI 48188-2040 | 2006-08-31 |
| 1922017607 | Joann Krivetzky | Obstetrics & Gynecology | 4256 Fulton Dr Nw, Ste B, Canton, OH 44718-2879 | 2006-08-05 |
| Find all providers in CANTON | ||||
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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.