DR. MARK B VANDEUSEN (NPI# 1225271018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225271018 |
| Entity Type | Individual |
| Full Name | DR. MARK B VANDEUSEN |
| Credential | M.D. |
| Practice Address |
3180 N Point Pkwy Ste 302 Alpharetta GA 30005-4248 |
| Mailing Address |
3195 Powers Ford Se Marietta GA 30067 |
| Practice Telephone | 6786795070 |
| Mailing Telephone | 3152690291 |
| Enumeration Date | 2009-04-09 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 70919 | GA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 80 Lacy St Nw, Marietta, GA 300601107 | 7704270368 | 6785815969 |
| 1400 Northside Forsyth Dr Ste 240, Cumming, GA 300416017 | 7702923045 |
| Street Address |
3180 N POINT PKWY STE 302 |
| City | ALPHARETTA |
| State | GA |
| Zip Code | 30005-4248 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053919225 | Mind and Body Wellness Center Inc. | Internal Medicine | 3180 N Point Pkwy Ste 302, Alpharetta, GA 30005-4381 | 2020-10-11 |
| 1467066241 | Southern Physician Practice Group PC | Clinic/Center | 3180 N Point Pkwy Ste 302, Alpharetta, GA 30005-4381 | 2020-08-31 |
| 1093336331 | North Georgia Endocrinology | Internal Medicine | 3180 N Point Pkwy Ste 302, Alpharetta, GA 30005-4381 | 2020-04-28 |
| 1861703159 | Anbar Ahmad | Internal Medicine | 3180 N Point Pkwy Ste 302, Alpharetta, GA 30005-4381 | 2010-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922615483 | Amarrah Shatia Guyton | Behavior Technician | 6505 Shiloh Point Road, Alpharetta, GA 30005 | 2020-09-29 |
| 1396351771 | Stephanie Hightower | Behavior Technician | 6505 Shiloh Pt Rd, Alpharetta, GA 30005 | 2020-09-21 |
| 1689130874 | Optima Eye Care LLC | Optometrist | 6365 Halcyon Way, Suite 935, Alpharetta, GA 30005 | 2019-02-13 |
| 1275006652 | Ariel Kaitlyn Petrakovich | Behavioral Analyst | 6505 Shiloh Road, Suite 100, Alpharetta, GA 30005 | 2019-01-08 |
| 1003306515 | Brightview Pharmacy, LLC | Pharmacy | 3333 Old Milton Pkwy Ste 130, Alpharetta, GA 30005 | 2018-05-10 |
| 1316452600 | Kara Marie Arps | Physical Therapist | 855 Yearling Chase, Alpharetta, GA 30005 | 2017-12-08 |
| 1417468307 | Paige Biringer | Physical Therapist | 6495 Shiloh Rd Ste 100, Alpharetta, GA 30005 | 2017-10-18 |
| 1528587169 | Laura Kinney Pearce | Speech-Language Pathologist | 6505 Shiloh Rd #100, Alpharetta, GA 30005 | 2017-09-14 |
| 1629526678 | Samantha Menton | Chiropractor | 11875 Jones Bridge Road, Suite A, Alpharetta, GA 30005 | 2016-09-20 |
| 1427424183 | Trek Medical, LLC | Clinic/Center | 5895 Windward Parkway, Suite 150, Alpharetta, GA 30005 | 2015-08-18 |
| Find all providers in zip 30005 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| 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 Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235516741 | Alicia Bernstein | Otolaryngology | 3400c Old Milton Pkwy Ste 365, Alpharetta, GA 30005-4438 | 2015-05-04 |
| 1154522944 | Melissa Mccarty Statham | Otolaryngology | 3400 Old Milton Pkwy Ste C465, Alpharetta, GA 30005-4429 | 2007-05-30 |
| 1578513297 | Bryan J. Tigner | Otolaryngology | 2365 Old Milton Pkwy, Suite 300, Alpharetta, GA 30009-2140 | 2006-05-11 |
| 1356390876 | Philip K Robb | Otolaryngology | 3400 C Old Milton Pkwy, Ste 575, Alpharetta, GA 30005 | 2006-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801402714 | Top Dog Solutions LLC | Otolaryngology | 4295 Interstate Dr Ste B, Macon, GA 31210-6815 | 2020-09-17 |
| 1164076600 | Oglethorpe Ear, Nose & Throat, LLC | Otolaryngology | 219 West Boggs Street, Lexington, GA 30648 | 2019-08-01 |
| 1154822971 | Coastal Ear, Nose & Throat | Otolaryngology | 200 Blue Moon Xing Ste 103, Pooler, GA 31322-9698 | 2018-02-27 |
| 1376928069 | Wiley A. Parker M.d PC | Otolaryngology | 5669 Peachtree Dunwoody Ste 295, Atlanta, GA 30342-1719 | 2015-07-23 |
| 1871970210 | North Atlanta Ear Nose & Throat PC | Otolaryngology | 4150 Deputy Bill Cantrell Memorial Dr., Suite 260, Cumming, GA 30040 | 2015-05-06 |
| 1730576638 | Mark Arnold | Otolaryngology | 550 Peachtree St Ne Ste 1135550, Atlanta, GA 30308-2247 | 2015-04-20 |
| 1851789580 | William Lawrence Nicholson | Otolaryngology | 360 W 37th St, Sea Island, GA 31561-9748 | 2015-01-05 |
| 1528473881 | Nnenna Ezeilo | Otolaryngology | 619 S 8th St Ste 304, Griffin, GA 30224 | 2014-06-25 |
| 1922413343 | Colin Wyatt Fuller | Otolaryngology | 1120 Fifteenth St, Bp-4109, Augusta, GA 30912 | 2014-06-24 |
| 1245659713 | Clarice Brown | Otolaryngology | 1008 Nimblewood Way, Stone Mountain, GA 30088-2315 | 2014-04-14 |
| Find all providers with the same taxonomy | ||||
| City | ALPHARETTA |
| Zip Code | 30005 |
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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.