DR. JOHN Z. CHRABUSZCZ (NPI# 1104897081) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104897081 |
| Entity Type | Individual |
| Full Name | DR. JOHN Z. CHRABUSZCZ |
| Credential | M.D. |
| Practice Address |
3708 Northside Dr Macon GA 31210-2404 |
| Practice Telephone | 4787454206 |
| Practice Fax Number | 4782545463 |
| Mailing Telephone | 4787454206 |
| Mailing Fax Number | 4782545463 |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2012-12-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0004X |
Orthopaedic Surgery Specialization: Foot and Ankle Surgery |
065094 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | GA LICENSE 065094 | 065094 | 01 |
| GA | 377240234A | 05 |
| Street Address |
3708 NORTHSIDE DR |
| City | MACON |
| State | GA |
| Zip Code | 31210-2404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245236744 | Edward Keith Grant | Physician Assistant | 3708 Northside Dr, Macon, GA 31210-2404 | 2005-06-21 |
| 1295333680 | Daniel Braschler | Physical Therapist | 3708 Northside Dr, Macon, GA 31210-2404 | 2020-10-16 |
| 1881203958 | Bobby Holcumb IIi | Physical Therapy Assistant | 3708 Northside Dr, Macon, GA 31210-2404 | 2020-07-24 |
| 1184240426 | Jenna Walton | Nurse Practitioner | 3708 Northside Dr, Macon, GA 31210-2404 | 2020-06-23 |
| 1710525886 | April Hancock | Physical Therapist | 3708 Northside Dr, Macon, GA 31210-2404 | 2019-12-19 |
| 1942856620 | Natalia Busuttil | Physical Therapist | 3708 Northside Dr, Macon, GA 31210-2404 | 2019-08-17 |
| 1689228918 | Cameron Tidwell | Nurse Practitioner | 3708 Northside Dr, Macon, GA 31210-2404 | 2019-07-25 |
| 1255892600 | Joshua Beagle | Physical Therapist | 3708 Northside Dr, Macon, GA 31210-2404 | 2019-03-28 |
| 1629536776 | Mayur Vishnubhai Patel | Physical Therapist | 3708 Northside Dr, Macon, GA 31210-2404 | 2019-03-07 |
| 1043776891 | Lauren Clark | Nurse Practitioner | 3708 Northside Dr, Macon, GA 31210-2404 | 2019-02-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033743455 | Dana Elizabeth Toth | Nurse Practitioner | 5300 Bowman Rd, Macon, GA 31210 | 2020-02-25 |
| 1871124735 | Jessica Bello | Nurse Practitioner | 5300 Bowman Road, Macon, GA 31210 | 2020-01-30 |
| 1225505787 | Rebekah Hollinshead | Occupational Therapist | Therapy Specialists of Georgia, 4116 Arkwright Road, Macon, GA 31210 | 2018-11-01 |
| 1346744943 | Ace Medical Transport LLC. | Ambulance | 728 Gay Dr, Macon, GA 31210 | 2018-03-20 |
| 1972965226 | Omar Faruk Ahmad | Family Medicine | 3400 Riverside Drvie, Macon, GA 31210 | 2016-03-25 |
| 1083074868 | Macon Dentist Office, PC | Dentist | 206 Tom Hill Sr Blvd, Suite 106, Macon, GA 31210 | 2016-03-07 |
| 1992176952 | Kerisia Wasztyl | Marriage & Family Therapist | 4691 Pine Valley Dr, Macon, GA 31210 | 2015-10-15 |
| 1073905444 | Eunice Malave De Leon | Social Worker | 174 Spring St, Macon, GA 31210 | 2015-02-23 |
| 1396141545 | Axis Surgery Center LLC | Clinic/Center | 230 Sheraton Blvd, Ste B, Macon, GA 31210 | 2014-11-17 |
| 1073914115 | Monique Rechelle Delay Moore | Community/Behavioral Health | 646 Millrun Court, Macon, GA 31210 | 2014-09-09 |
| Find all providers in zip 31210 | ||||
| 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.