DR. PETER KEITH RE (NPI# 1124111208) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124111208 |
| Entity Type | Individual |
| Full Name | DR. PETER KEITH RE |
| Credential | M.D. |
| Practice Address |
780 Canton Road Ne Suite 400 Marietta GA 30060-7241 |
| Practice Telephone | 7704223602 |
| Practice Fax Number | 7704216115 |
| Mailing Telephone | 7704223602 |
| Mailing Fax Number | 7704216115 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2010-10-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204D00000X | Neuromusculoskeletal Medicine & OMM | 011454 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
780 CANTON ROAD NE SUITE 400 |
| City | MARIETTA |
| State | GA |
| Zip Code | 30060-7241 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154371805 | Marietta Diagnostic Center, LLC | Clinic/Center | 780 Canton Road Ne, Suite 230, Marietta, GA 30060-8928 | 2006-05-12 |
| 1497848444 | Joseph T Hormes | Neuromusculoskeletal Medicine & OMM | 780 Canton Road Ne, Suite 400, Marietta, GA 30060-7241 | 2006-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144845116 | Legacy Center for Spinal Surgery, LLC | Neurological Surgery | 1900 The Exchange, Ne, Suite 600, Marietta, GA 30060 | 2020-06-15 |
| 1407477193 | Michael Cynil Daniel | Counselor | 698 N Marietta, Pkwy, Marietta, GA 30060 | 2020-05-04 |
| 1285253401 | Cameron Thomas Kennelly | Student in an Organized Health Care Education/Training Program | 677 Church Street Ne Attn:gme, Marietta, GA 30060 | 2020-04-09 |
| 1922640739 | Jeremiah George Blair | Physician Assistant | 61 Whitcher St Suite 2100, Marietta, GA 30060 | 2019-10-14 |
| 1164064945 | Denise Alicia Mick | Registered Nurse | 677 Church St Wellstar Kennestone Hospital, Marietta, GA 30060 | 2019-10-12 |
| 1184283772 | Iora Health Georgia, P.C. | Internal Medicine | 280 Cobb Pkwy Se, Suite 60, Marietta, GA 30060 | 2019-06-07 |
| 1346703212 | Caitlin Virginia Mueller | Student in an Organized Health Care Education/Training Program | 677 Church Street Ne, Attn: Gme, Marietta, GA 30060 | 2019-04-08 |
| 1184187205 | Adero Francis | Student in an Organized Health Care Education/Training Program | Wellstar Kennestone Gme Internal Medicine Clinic, 833 Campbell Hill St Nw, Suite 250, Marietta, GA 30060 | 2019-04-08 |
| 1659832749 | Matthew Mozzo | Student in an Organized Health Care Education/Training Program | 677 Church Street / Lower Level, Gme Department / I.m., Marietta, GA 30060 | 2019-03-29 |
| 1245797430 | La'myia Spentz | Specialist | 109 Anderson St Ne, Suite 608, Marietta, GA 30060 | 2019-02-25 |
| Find all providers in zip 30060 | ||||
| Taxonomy Code | 204D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neuromusculoskeletal Medicine & OMM |
| The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients. |
| Notes: Source: American Osteopathic Association, 2017 [7/1/2017: added definition] - Additional Resources: American Osteopathic Board of Neuromusculoskeletal Medicine, 2017, http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891756326 | Luckana Chaya | Neuromusculoskeletal Medicine & OMM | 3625 Sope Creek Farm Se, Marietta, GA 30067-5175 | 2006-04-02 |
| 1073598488 | Marietta Neurology and Headache Center, PC | Neuromusculoskeletal Medicine & OMM | 780 Canton Rd, Ste 400, Marietta, GA 30060-7298 | 2005-12-08 |
| 1518056522 | Noel Holtz | Neuromusculoskeletal Medicine & OMM | 780 Canton Rd Ne, Suite 400, Marietta, GA 30060-7241 | 2006-10-11 |
| 1326131467 | Thomas M. Holmes | Neuromusculoskeletal Medicine & OMM | 780 Canton Rd Ne, Suite 400, Marietta, GA 30060-7241 | 2006-10-02 |
| 1497848444 | Joseph T Hormes | Neuromusculoskeletal Medicine & OMM | 780 Canton Road Ne, Suite 400, Marietta, GA 30060-7241 | 2006-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811544158 | Neurological Institute for Concussion and Headache | Neuromusculoskeletal Medicine & OMM | 11650 Alpharetta Hwy Ste 100, Roswell, GA 30076-3805 | 2019-08-21 |
| 1720359433 | Francois Lecoin | Neuromusculoskeletal Medicine & OMM | 502 Dragonfly Ct, Cumming, GA 30040-7719 | 2012-01-26 |
| 1841567922 | Elizabeth Harrill Willets | Neuromusculoskeletal Medicine & OMM | 2370 Bexford Vw, Cumming, GA 30041-7294 | 2011-11-17 |
| 1639349764 | Sandi Jacquelyn Stephens | Neuromusculoskeletal Medicine & OMM | 431 W Ponce De Leon Ave, Suite 7, Decatur, GA 30030-2458 | 2008-03-05 |
| 1144498882 | Suzanne C Easley | Neuromusculoskeletal Medicine & OMM | 327 Dahlonega St Ste A902, Cumming, GA 30040-2492 | 2008-02-15 |
| 1659575900 | Shawne Elaine Murray | Neuromusculoskeletal Medicine & OMM | 5150 Roswell Rd Ne, Atlanta, GA 30342-2208 | 2007-06-12 |
| 1306997861 | Murray R Berkowitz | Neuromusculoskeletal Medicine & OMM | 625 Old Peachtree Rd, Nw, Suite 104, Suwanee, GA 30024-2937 | 2007-01-12 |
| 1003980848 | Richard Hendry Armond IIi | Neuromusculoskeletal Medicine & OMM | 354 Arcado Rd Nw, Ste 3, Lilburn, GA 30047-2815 | 2006-11-20 |
| 1689658585 | Cornelius Edward Freeman | Neuromusculoskeletal Medicine & OMM | 8513 Heatherwood Dr, Savannah, GA 31406-6238 | 2005-12-04 |
| 1831188929 | Michael Robert Yochelson | Neuromusculoskeletal Medicine & OMM | 2020 Peachtree Rd Nw, Atlanta, GA 30309-1426 | 2005-10-20 |
| Find all providers with the same taxonomy | ||||
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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.