CLARENCE LYN CROOMS (NPI# 1205839925) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205839925 |
| Entity Type | Individual |
| Full Name | CLARENCE LYN CROOMS |
| Credential | M.D. |
| Practice Address |
3823 Roswell Rd Suite 202 Marietta GA 30062-6278 |
| Mailing Address |
300 Tower Rd Ne Ste 200 Marietta GA 30060-9403 |
| Practice Telephone | 7705798558 |
| Practice Fax Number | 7709731934 |
| Mailing Telephone | 7704275717 |
| Mailing Fax Number | 7704296503 |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2013-12-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 011312 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
3823 ROSWELL RD SUITE 202 |
| City | MARIETTA |
| State | GA |
| Zip Code | 30062-6278 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295289478 | David Mccollum | Dentist | 3823 Roswell Rd, #205, Marietta, GA 30062-6278 | 2016-08-05 |
| 1952773947 | Integrity Orthodontics, LLC | Dentist | 3823 Roswell Rd, Suite 203, Marietta, GA 30062-6278 | 2015-10-29 |
| 1326416256 | Integrity Orthodontics | Dentist | 3823 Roswell Rd, Suite 203, Marietta, GA 30062-6278 | 2015-09-09 |
| 1609208461 | Ruximar Hernandez Linkous | Dentist | 3823 Roswell Rd, Suite 205, Marietta, GA 30062-6278 | 2013-08-04 |
| 1184986887 | Laurie Ann Cavallaro | Dentist | 3823 Roswell Rd, Suite 203, Marietta, GA 30062-6278 | 2012-06-09 |
| 1447483730 | Spelios and Associates- Summitt PC | Point of Service | 3823 Roswell Rd, Suite 205, Marietta, GA 30062-6278 | 2009-09-02 |
| 1982855094 | Richard H. Erickson | Dentist | 3823 Roswell Rd, Suite 104, Marietta, GA 30062-6278 | 2008-10-07 |
| 1922259563 | Family Wellcare Center Inc. | Family Medicine | 3823 Roswell Rd, Suite 214, Marietta, GA 30062-6278 | 2008-10-01 |
| 1154530293 | Michael L. Leingang, IIi, Dds, PC | Dentist | 3823 Roswell Rd, Suite 201, Marietta, GA 30062-6278 | 2007-05-22 |
| 1134347222 | William Robert Hansmann | Dentist | 3823 Roswell Rd, Suite 104, Marietta, GA 30062-6278 | 2007-04-23 |
| 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 | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114263878 | Joe Leonard Hughes | Orthopaedic Surgery | 4981 Lake Fjord Pass, Marietta, GA 30068-1638 | 2012-12-27 |
| 1013059823 | Pinnacle Orthopaedics & Sports Medicine Specialists LLC | Orthopaedic Surgery | 3747 Roswell Rd Ste 319, Marietta, GA 30062-6227 | 2007-02-12 |
| 1750336046 | Dominic S Carreira | Orthopaedic Surgery | 1163 Johnson Ferry Rd Ste 200, Marietta, GA 30068-2764 | 2006-05-24 |
| 1215992458 | First Settlement Orthopaedics Inc | Orthopaedic Surgery | 611 Second St, Marietta, OH 45750 | 2006-04-19 |
| 1336122746 | Douglas W Lundy | Orthopaedic Surgery | 61 Whitcher St, Suite 1100, Marietta, GA 30060 | 2005-11-21 |
| 1508853284 | Alfred O. Colquitt IIi | Orthopaedic Surgery | 211 Chicopee Dr Ne, Marietta, GA 30060-1269 | 2005-09-29 |
| 1124014568 | Richard W Cohen | Orthopaedic Surgery | 61 Whitcher St Ne, Suite 1100, Marietta, GA 30060-1176 | 2005-09-21 |
| 1578566527 | Stanley H Dysart | Orthopaedic Surgery | 300 Tower Rd Ne, Ste 200, Marietta, GA 30060-9403 | 2005-05-23 |
| 1689808214 | Stephen Kim | Orthopaedic Surgery | 61 Whitcher St Ne, Suite 1100, Marietta, GA 30060-1176 | 2009-05-11 |
| 1043456205 | Resurgens, PC | Orthopaedic Surgery | 3698 Largent Way Nw, Suite 103, Marietta, GA 30064-5923 | 2008-12-18 |
| 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.