DR. JOHN STITES IV (NPI# 1114356599) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114356599 |
| Entity Type | Individual |
| Full Name | DR. JOHN STITES IV |
| Credential | MD |
| Practice Address |
1700 Tree Ln Ste 420 Snellville GA 30078 |
| Mailing Address |
1930 Brannan Rd Mcdonough GA 30253-4310 |
| Practice Telephone | 7709799427 |
| Enumeration Date | 2013-11-05 |
| Last Update Date | 2018-08-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 081057 | GA | Allopathic & Osteopathic Physicians |
| N | 208800000X | Urology | 25MA10013800 | NJ | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770509796 | John Stites | Dentist | 112 East First Street, Crossville, TN 38555 | 2006-07-14 |
| 1962941906 | John Stites | Pharmacist | 10501 Florida Ave S, Bloomington, MN 55438-2553 | 2017-02-22 |
| 1265491096 | John S. Stites | Chiropractor | 2001 52nd Ave, Suite 1, Moline, IL 61265-6368 | 2006-03-21 |
| Street Address |
1700 TREE LN STE 420 |
| City | SNELLVILLE |
| State | GA |
| Zip Code | 30078 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487758017 | Ronald E Anglade | Urology | 1700 Tree Ln Ste 420, Snellville, GA 30078-6745 | 2006-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619594561 | Steven Nguyen | Optometrist | 1905 Scenic Hwy S #1130, Snellville, GA 30078 | 2020-06-26 |
| 1891320776 | Youstina Harkas | Optometrist | 1679 Scenic Hwy S 203, Snellville, GA 30078 | 2020-03-11 |
| 1578101127 | Jwwt Neuoromonitoring, LLC | Psychiatry & Neurology | 1350 Scenic Highway, Suite 266, Snelville, GA 30078 | 2019-12-13 |
| 1679119903 | Lashon Poole Wells | Social Worker | 1350 Scenic Highway Ste 266, 1350 Scenic Highway Ste 266, Snellville, GA 30078 | 2019-11-21 |
| 1427601426 | Aemad Heavenly Joy Senior Homecare & Developmental Disabilities LLC | Registered Nurse | 1350 Scenic Highway Suite #266, Sneville, GA 30078 | 2019-07-18 |
| 1063975548 | Joanne Mcdougal Patterson | Nurse Practitioner | 1350 Scenic Hwy N Ste 226, Snellville, GA 30078 | 2019-04-10 |
| 1689144263 | Israel Branford | Physical Therapist | 1575 Scenic Hwy Ste 100, Snellville, GA 30078 | 2018-11-27 |
| 1902382997 | Brittany Dupree | Dermatology | 2383 Pate Street North, Snellville, GA 30078 | 2018-07-13 |
| 1134610926 | Reid Weston Popple | Dentist | 2992 Stone Mountain Hwy, A100, Snellville, GA 30078 | 2018-05-29 |
| 1326550492 | Optimal Healthcare Services LLC | Clinic/Center | 2121 Fountain Dr Ste F, Snellville, GA 30078 | 2017-10-30 |
| Find all providers in zip 30078 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265640486 | Jitesh Vinod Patel | Urology | 1555 Janmar Rd, Snellville, GA 30078 | 2007-05-20 |
| 1487758017 | Ronald E Anglade | Urology | 1700 Tree Ln Ste 420, Snellville, GA 30078-6745 | 2006-09-12 |
| 1295148732 | Atlanta Center for Urinary Control, LLC | Urology | 1555 Janmar Rd, Snellville, GA 30078-5606 | 2014-06-03 |
| 1376982124 | Michael Nordsiek | Urology | 1557 Janmar Rd, Snellville, GA 30078 | 2013-06-14 |
| 1205273091 | Chirag Niranjan Dave | Urology | 1557 Janmar Rd, Snellville, GA 30078 | 2013-06-03 |
| 1417290974 | Moshe Shapiro | Urology | 1557 Janmar Rd, Snellville, GA 30078-5686 | 2013-04-03 |
| 1265774863 | Bhavik Shah | Urology | 1557 Janmar Rd, Snellville, GA 30078-5686 | 2013-03-21 |
| 1073896510 | Advanced Urology Institute of Georgia | Urology | 1557 Janmar Rd, Snellville, GA 30078-5686 | 2011-09-21 |
| 1093006090 | Naveen Kumar Arora | Urology | 1557 Janmar Rd, Snellville, GA 30078 | 2011-04-25 |
| 1063723401 | Neal Patel | Urology | 1557 Janmar Rd, Snellville, GA 30078-5686 | 2010-06-30 |
| Find all providers in SNELLVILLE | ||||
| City | SNELLVILLE |
| Zip Code | 30078 |
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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.