SHOMARI ANDRE RUFFIN (NPI# 1114185840) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114185840 |
Entity Type | Individual |
Full Name | SHOMARI ANDRE RUFFIN |
Credential | M.D. |
Practice Address |
150 Clinic Ave Suite 101 Carrollton GA 30117-4401 |
Practice Telephone | 7708340873 |
Practice Fax Number | 7708346118 |
Mailing Telephone | 7708340873 |
Mailing Fax Number | 7708346118 |
Enumeration Date | 2008-05-29 |
Last Update Date | 2014-10-30 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
72107 | GA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | REF000630555 | 05 |
Street Address |
150 CLINIC AVE SUITE 101 |
City | CARROLLTON |
State | GA |
Zip Code | 30117-4401 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851394837 | Ki-hon Lin | Orthopaedic Surgery | 150 Clinic Ave, Ste 101, Carrollton, GA 30117-4401 | 2005-05-24 |
1518413475 | Nicollette Mckinnon | Nurse Practitioner | 150 Clinic Ave, Suite 201, Carrollton, GA 30117-4401 | 2016-08-31 |
1265812531 | Emily M James | Audiologist | 150 Clinic Ave, Suite 201, Carrollton, GA 30117 | 2015-06-02 |
1275929184 | Wguas, LLC | Urology | 150 Clinic Ave, Suite 202, Carrollton, GA 30117-4401 | 2015-04-08 |
1083011704 | Melanie Jordan | Orthopaedic Surgery | 150 Clinic Ave, Suite 101, Carrollton, GA 30117-4401 | 2014-11-24 |
1235477571 | Jason Allen Peal | Specialist/Technologist, Other | 150 Clinic Ave, 101, Carrollton, GA 30117-4401 | 2013-01-22 |
1205158383 | David Allen Scruggs | Physician Assistant | 150 Clinic Ave, Suite 101, Carrollton, GA 30117-4401 | 2010-02-17 |
1427216449 | Taylor Brandon Cates | Orthopaedic Surgery | 150 Clinic Ave, Suite 101, Carrollton, GA 30117-4401 | 2008-05-27 |
1598922106 | Felicia G Thomas | Audiologist | 150 Clinic Ave, Suite 201, Carrollton, GA 30117-4401 | 2008-05-21 |
1760649370 | Jill S Jarrell | Audiologist | 150 Clinic Ave, Suite 201, Carrollton, GA 30117-4401 | 2008-05-21 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679199392 | Southern Rad Onc LLC | Radiology | 809 South Park Street, Carrollton, GA 30117 | 2020-06-18 |
1093361404 | Eyedeal Eyecare LLC | Optometrist | 1735 S Us 27, Carrollton, GA 30117 | 2019-08-12 |
1710412473 | Janis James | Optometrist | 1735 S, Us-27, Walmart Vision Center, Carrollton, GA 30117 | 2017-05-01 |
1568881951 | Omar Hajmurad | Anesthesiology | 812 S Park St Ste 5, Carrollton, GA 30117 | 2014-04-14 |
1134550353 | Goodbodys Minor Med Express Care | Nurse Practitioner | 1670 South Park St., Carrollton, GA 30117 | 2013-12-13 |
1306187570 | Myriam C Vela-ortiz | Internal Medicine | 157 Clinic Ave Ste 203, Carrollton, GA 30117 | 2013-03-12 |
1891030201 | Air Evac Ems, Inc. | Ambulance | 827 Old Bremen Rd, Carrollton, GA 30117 | 2012-12-11 |
1952682486 | Angelic Wings Transport, Inc. | Non-emergency Medical Transport (VAN) | 362 B Columbia Drive, Carrollton, GA 30117 | 2011-08-29 |
1073819256 | Atlanta Prosthetics & Orthotics, Inc. | Durable Medical Equipment & Medical Supplies | 812 South Park Street, Suite 2, Carrollton, GA 30117 | 2011-02-04 |
1255640348 | Amy Gilbert | Counselor | 515 Tanner St, Carrollton, GA 30117 | 2010-10-06 |
Find all providers in zip 30117 |
Taxonomy Code | 207XX0005X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
Specialization | Sports Medicine |
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699898437 | Kevin Michael Charron | Orthopaedic Surgery | 150 Clinic Ave, Ste 101, Carrollton, GA 30117-4401 | 2007-04-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326679671 | Barbour Orthopaedics & Sports Medicine PC | Orthopaedic Surgery | 965 Oakland Rd Ste C, Lawrenceville, GA 30044-3758 | 2020-01-27 |
1932730298 | Barbour Orthopaedics & Sports Medicine PC | Orthopaedic Surgery | 1100 Northside Forsyth Dr Ste 360, Cumming, GA 30041-6022 | 2020-01-27 |
1275094310 | Mariolino Da Graca Fernandes | Orthopaedic Surgery | 3240 Northeast Expy Ne, Atlanta, GA 30341-4003 | 2019-03-29 |
1437601598 | Optim Orthopedics LLC | Orthopaedic Surgery | 460 Mall Blvd Ste B, Savannah, GA 31406-4801 | 2016-10-25 |
1750753182 | Zachary Russell | Orthopaedic Surgery | 1305 Jennings Mill Road, Building 300, Suite 110, Watkinsville, GA 30677 | 2015-10-26 |
1396121315 | 2 Bare Bones Medical LLC | Orthopaedic Surgery | 11102 Abercorn St, Savannah, GA 31419-1822 | 2015-07-31 |
1578985180 | Brandon Dobo | Orthopaedic Surgery | 410 Brookhaven Way Ne, Atlanta, GA 30319-3177 | 2014-01-16 |
1306102785 | Elan J Golan | Orthopaedic Surgery | 1800 Tree Ln Ste 140, Snellville, GA 30078-6799 | 2012-04-10 |
1235405747 | Pinnacle Orthopaedics & Sports Medicine Specia | Orthopaedic Surgery | 1000 Chastain Road, Building II, Kennesaw, GA 30144-0000 | 2012-03-29 |
1346413648 | Mathew William Pombo | Orthopaedic Surgery | 3855 Pleasant Hill Rd Ste 470, Duluth, GA 30096-1417 | 2008-04-08 |
Find all providers with the same taxonomy |
City | CARROLLTON |
Zip Code | 30117 |
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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.