DR. THOMAS L HALTOM (NPI# 1134143910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134143910 |
| Entity Type | Individual |
| Full Name | DR. THOMAS L HALTOM |
| Credential | M.D. |
| Practice Address |
1401 Johnson Ferry Rd Suite 390 Marietta GA 30062-6495 |
| Practice Telephone | 7709715494 |
| Practice Fax Number | 7709710467 |
| Mailing Telephone | 7709715494 |
| Mailing Fax Number | 7709710467 |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 028779 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | BLUECROSS BLUESHIELD | 52572062014 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851772479 | Thomas Haltom | Pharmacist | 6308 Lake Worth Blvd, Lake Worth, TX 76135-3602 | 2015-06-10 |
| Street Address |
1401 JOHNSON FERRY RD SUITE 390 |
| City | MARIETTA |
| State | GA |
| Zip Code | 30062-6495 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144771189 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 1401 Johnson Ferry Rd, Marietta, GA 30062-6495 | 2016-10-14 |
| 1861869604 | Ketan Pravinbhai Patel | Pharmacist | 1401 Johnson Ferry Rd, Marietta, GA 30062-6495 | 2015-08-27 |
| 1922352137 | Elizabeth Mccord | Pharmacist | 1401 Johnson Ferry Rd, Marietta, GA 30062-6495 | 2012-11-09 |
| 1104196740 | Boma Agboh-stroude | Pharmacist | 1401 Johnson Ferry Rd, Marietta, GA 30062-6495 | 2012-01-11 |
| 1649565789 | Mary Anne T Hawkins | Pharmacist | 1401 Johnson Ferry Rd, Marietta, GA 30062-6495 | 2011-06-16 |
| 1396913711 | Jose Goncalves, Od | Optometrist | 1401 Johnson Ferry Rd, Ste 148 B, Marietta, GA 30062-6495 | 2008-02-19 |
| 1952579435 | Marietta Vision Care, Inc. | Optometrist | 1401 Johnson Ferry Rd, Ste 148 B, Marietta, GA 30062-6495 | 2008-02-18 |
| 1013101195 | Georgia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1401 Johnson Ferry Rd, Marietta, GA 30062-6495 | 2007-08-30 |
| 1902937725 | Maximum Motion | Physical Therapist | 1401 Johnson Ferry Rd, Suite 380, Marietta, GA 30062-6495 | 2007-03-07 |
| 1558492280 | Rebecca A Scannaliato | Physical Therapist | 1401 Johnson Ferry Rd, Suite 380, Marietta, GA 30062-6495 | 2007-03-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578051 | Pamela D Kretzmer | Social Worker | 3855 Shallowford Road, Suite 420, Marietta, GA 30062 | 2020-11-03 |
| 1932714680 | Michelle Chambless | Physical Therapist | Team Rehabilitation Ga01, LLC, 1401 Johnson Ferry Road, Suite 340, Marietta, GA 30062 | 2020-09-10 |
| 1700408887 | Life University | Chiropractor | 1323 Roswell Road, Marietta, GA 30062 | 2020-05-12 |
| 1104451160 | Sno Healthcare Group | Clinic/Center | 2424 Roswell Rd Ste 120, Marietta, GA 30062 | 2020-03-10 |
| 1811536212 | Sandy Plains Dental Group, PC | Dentist | 3460 Sandy Plains Rd, Suite 240, Marietta, GA 30062 | 2020-01-02 |
| 1073159034 | Magdala Tulcie Jodesty-jackson | Social Worker | 4343 Shalloword Road, Building H, Suite 4 Lower Level, Marietta, GA 30062 | 2019-11-25 |
| 1598235178 | Matthew Driggers | Counselor | 4343 Shallowford Rd C2, Marietta, GA 30062 | 2018-11-27 |
| 1750895785 | Emily Grace Minday | Counselor | 4343 Shallowford Road Building C, Suite 1 Lower Level, Marietta, GA 30062 | 2017-11-29 |
| 1477072122 | Jason Lee Amos | Speech-Language Pathologist | 3660 Chestnut Ridge Court, Marietta, GA 30062 | 2017-09-13 |
| 1346761376 | Marian Pomaah Opoku-agyeman | Nurse Practitioner | 4661 Andrea Pointe, Marietta, GA 30062 | 2017-06-29 |
| Find all providers in zip 30062 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376102830 | John Edward Cooke | Emergency Medicine | 2411 Tuxedo Ln Nw, Marietta, GA 30064-1898 | 2019-06-10 |
| 1902290406 | Irina Catanescu | Emergency Medicine | 401 Matthew Street, Emergency Department, Marietta, OH 45750 | 2015-03-23 |
| 1679877286 | Lawrence James Dawson | Emergency Medicine | 3761 Lassiter Rd, Marietta, GA 30062-4121 | 2010-12-23 |
| 1447410600 | Jeremy Sebastian Nelson | Emergency Medicine | 2221 Bonniewood Dr, Marietta, GA 30064-3820 | 2008-06-11 |
| 1427233501 | Virginia Garrett Galvin | Emergency Medicine | 3772 Baccurate Way, Marietta, GA 30062-8708 | 2008-01-08 |
| 1184841082 | John Charles Meholic | Emergency Medicine | 4175 S Arbor Cir, Marietta, GA 30066-2278 | 2007-04-20 |
| 1982740643 | Albert G Lintel IIi | Emergency Medicine | 3747 Roswell Rd Ste 107, Marietta, GA 30062 | 2007-01-29 |
| 1134133747 | Gayle Galan | Emergency Medicine | 1106 Colegate Dr Emergency Dept, Marietta, OH 45750-1323 | 2006-07-28 |
| 1508894767 | Marlon Fisher | Emergency Medicine | 2913 Kings Walk Ave, Marietta, GA 30062-4503 | 2006-06-28 |
| 1720026610 | Khary O Harmon | Emergency Medicine | 2905 Arabian Pl Ne, Marietta, GA 30062-4631 | 2006-06-03 |
| Find all providers in MARIETTA | ||||
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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.