DR. ENRIQUE A FLORES (NPI# 1134170517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1134170517 |
Entity Type | Individual |
Full Name | DR. ENRIQUE A FLORES |
Credential | M.D. |
Practice Address |
4140 Tate St Ne Covington GA 30014-2562 |
Practice Telephone | 7707860077 |
Practice Fax Number | 7707868750 |
Mailing Telephone | 7707860077 |
Mailing Fax Number | 7707868750 |
Enumeration Date | 2006-05-12 |
Last Update Date | 2015-12-17 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
36741 | GA | Allopathic & Osteopathic Physicians |
Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
36741 | GA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | 00539866I | 05 | |
GA | 00539866H | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063635241 | Enrique Flores | Dentist | 15431 Amar Rd, La Puente, CA 91744-2803 | 2007-04-10 |
1760097166 | Enrique Hinojosa Flores | Counselor | 6800 Park Ten Blvd, San Antonio, TX 78213-4211 | 2020-09-11 |
1871642280 | Enrique Flores | Social Worker | 630 Jackson Ave, Bronx, NY 10455-3107 | 2007-01-09 |
1538229091 | Enrique S Flores | Counselor | 160 E Virginia St, #280, San Jose, CA 95112 | 2006-12-12 |
Street Address |
4140 TATE ST NE |
City | COVINGTON |
State | GA |
Zip Code | 30014-2562 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467449926 | Georgia Heart Specialists, LLC | Specialist | 4140 Tate St Ne, Covington, GA 30014-2562 | 2005-09-30 |
1205882057 | James S Abraham | Internal Medicine | 4140 Tate St Ne, Covington, GA 30014-2562 | 2006-05-25 |
1265483663 | Mark C Hanson | Internal Medicine | 4140 Tate St Ne, Covington, GA 30014-2562 | 2006-05-12 |
1821048042 | Michael P Cecil | Internal Medicine | 4140 Tate St Ne, Covington, GA 30014-2562 | 2006-05-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801495635 | Cathy Cassandra Collins | Pharmacist | 3639 Hwy 278, Covington, GA 30014 | 2020-10-22 |
1154933877 | Atl Optical LLC | Optometrist | 3135 Highway 278 Ne, Covington, GA 30014 | 2020-08-24 |
1932737046 | Samagas House Org | Adult Companion | 1500 Mountain View Cirlcle, Conyers, GA 30014 | 2020-04-01 |
1356834360 | Covington Dental Care | Dentist | 4139 Baker Street, Suite 15, Covington, GA 30014 | 2018-06-13 |
1487190005 | New Avenues Assessment and Counseling Center LLC | Counselor | 3192 Spring Street, Covington, NEWTON 30014 | 2017-01-07 |
1275903973 | Jennifer Carol Bridges | Registered Nurse | 320 Malcom Lane, Covington, GA 30014 | 2015-10-07 |
1134598501 | Shelby Boggus King | Physician Assistant | 4181 Hospital Drive Ne, Suite 204, Covington, GA 30014 | 2015-09-16 |
1366829814 | Wendy Pazdur | Counselor | 5109 Hwy 278 East, Suite D, Covington, GA 30014 | 2015-05-05 |
1306235445 | Covington Center for Family Dentistry | Dentist | 10373 Industrial Blvd, Covington, GA 30014 | 2015-01-13 |
1992103428 | Modern Cosmetic Dental Care, LLC | Clinic/Center | 1750 Highway 11, Suite B, Covington, GA 30014 | 2014-12-16 |
Find all providers in zip 30014 |
Taxonomy Code | 207RI0011X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Interventional Cardiology |
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346287737 | Hamid Salam | Internal Medicine | 1006 S Harrison St, Covington, LA 70433-3661 | 2006-06-02 |
1083187330 | Louisiana Heart and Vascular Institute, LLC | Internal Medicine | 20 Starbrush Cir, Covington, LA 70433-7208 | 2019-01-09 |
1629360961 | Abiodun Olayinka Ishola | Internal Medicine | 1500 James Simpson Jr Way, Covington, KY 41011 | 2011-05-04 |
1588627533 | George Franco Isa | Internal Medicine | 1000 Ochsner Blvd, Covington, LA 70460 | 2006-04-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669019394 | Champ Vascular, LLC | Internal Medicine | 1825 Highway 34 E Ste 3400, Newnan, GA 30265-6423 | 2019-12-02 |
1174006159 | Kendall M Griffith Md LLC | Internal Medicine | 1497 Fair Rd Ste 311, Statesboro, GA 30458-0828 | 2018-09-14 |
1558869826 | Coordinated Health of Ga, LLC | Internal Medicine | 10 Glenlake Pkwy Ste 130c, Atlanta, GA 30328-3495 | 2018-01-31 |
1447559604 | David Brendan Casey | Internal Medicine | 1700 Tree Ln Ste 100, Snellville, GA 30078-6749 | 2011-03-26 |
1730404120 | Deepali Nivas Tukaye | Internal Medicine | 1505 Northside Blvd Ste 3400, Cumming, GA 30041-8223 | 2010-03-29 |
1659560647 | Oduwole Organization Inc | Internal Medicine | 1415 Highway 85 N Ste 310-296, Fayetteville, GA 30214-7738 | 2007-10-16 |
1053487462 | Tiftarea Cardiology | Internal Medicine | 907 E. 18th St, Ste 100, Tifton, GA 31794 | 2006-11-28 |
1255412094 | Jeetendra B Patel | Internal Medicine | 1301 Sigman Rd Ne Ste 200, Conyers, GA 30012 | 2006-10-18 |
1811082605 | Cardiac Disease Specialists, PC | Internal Medicine | 296 Merchants Sq, Dallas, GA 30132-5029 | 2006-10-04 |
1770508756 | Hunt Dandridge Anderson | Internal Medicine | 4500 Hospital Blvd, Suite 230, Roswell, GA 30076-0003 | 2006-07-12 |
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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.