ANDREW NATHAN KOBYLIVKER (NPI# 1235322934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235322934 |
| Entity Type | Individual |
| Full Name | ANDREW NATHAN KOBYLIVKER |
| Credential | M.D. |
| Practice Address |
2400 Mount Zion Parkway Kaiser Permanente Southwood Medical Center Jonesboro GA 30236 |
| Mailing Address |
3495 Piedmont Road, Ne Nine Piedmont Center Atlanta GA 30305 |
| Practice Telephone | 4043216111 |
| Mailing Telephone | 4043647070 |
| Enumeration Date | 2007-08-25 |
| Last Update Date | 2011-09-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 059861 | GA | Allopathic & Osteopathic Physicians |
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
059861 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
2400 MOUNT ZION PARKWAY KAISER PERMANENTE SOUTHWOOD MEDICAL CENTER |
| City | JONESBORO |
| State | GA |
| Zip Code | 30236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154309128 | Debora K Boyle Borkowski | Registered Nurse | 2400 Mount Zion Parkway, Department of Behavioral Health, Jonesboro, GA 30236 | 2006-01-09 |
| 1104134295 | Matthieu Laliberte | Family Medicine | 2400 Mount Zion Parkway, Kaiser Permanente Southwood Medical Center, Jonesboro, GA 30236 | 2010-09-22 |
| 1871732404 | Patricia Ann Jones | Psychiatry & Neurology | 2400 Mount Zion Parkway, Southwood Dept of Behavioral Health, Jonesboro, GA 30236 | 2009-02-04 |
| 1326298605 | Roza Elena Clempus | Internal Medicine | 2400 Mount Zion Parkway, Endocrinolgy Department, Jonesboro, GA 30236 | 2008-09-24 |
| 1750541892 | Neha Sharma | Radiology | 2400 Mount Zion Parkway, Kaiser Permanente Southwood Medical Center, Jonesboro, GA 30236 | 2008-06-12 |
| 1609054626 | Karen Reneau Stewart | Psychiatry & Neurology | 2400 Mount Zion Parkway, Behavorial Health, Jonesboro, GA 30236 | 2008-01-31 |
| 1790839660 | Joseph T Schifilliti | Obstetrics & Gynecology | 2400 Mount Zion Parkway, Department of Obstetrics & Gynecology, Jonesboro, GA 30236 | 2007-01-22 |
| 1154472314 | Cecily Cole Martin | Psychiatry & Neurology | 2400 Mount Zion Parkway, Kaiser Permanente Southwood Medical Center, Jonesboro, GA 30236 | 2007-01-15 |
| 1407924608 | Mark J Johnson | Radiology | 2400 Mount Zion Parkway, Department of Radiology, Jonesboro, GA 30236 | 2006-12-04 |
| 1245398478 | Janice C Matthewson | Family Medicine | 2400 Mount Zion Parkway, Family Practice Health Care Team A, Jonesboro, GA 30236 | 2006-12-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972123362 | Life Source Counseling & Consulting, LLC | Clinic/Center | 118 North Avenue, Suite A, Jonesboro, GA 30236 | 2020-04-25 |
| 1639609555 | New Beginnings Behavioral Counseling,llc | Social Worker | 9456 S Main St Ste E2, Jonesboro, GA 30236 | 2017-06-13 |
| 1437696762 | Clarissa Alexandra Poole | Counselor | 2106 Fair Ridge Ct, Jonesboro, GA 30236 | 2017-01-25 |
| 1588012892 | Sundance Healthcare Service Inc | In Home Supportive Care | 7861 Collinswood Court, Jonesboro, GA 30236 | 2016-05-26 |
| 1942669205 | Adrianne Smiley Gurley | Occupational Therapist | 1299 Battlecreek Rd Ste 210, Jonesboro, GA 30236 | 2016-02-15 |
| 1336505809 | Integrated Health Center | Dentist | 8600 Tara Blvd, Suite D, Jonesboro, GA 30236 | 2016-01-13 |
| 1467827402 | Surrell Porter | Nurse Practitioner | 1287 Georgia Highway 138 Spur, Suite 8, Jonesboro, GA 30236 | 2015-12-02 |
| 1740688910 | Jacqueline Carolyn Edwards | Registered Nurse | 8081 Tara Blvd, 265, Jonesboro, GA 30236 | 2014-12-19 |
| 1770991861 | Lower Extremity Diagnostics, LLC | Podiatrist | 6911 Tara Boulevard, Jonesboro, GA 30236 | 2014-08-01 |
| 1760899710 | Fresenius Medical Care Jonesboro, LLC | Clinic/Center | 8060 Summitt Business Parkway, Jonesboro, GA 30236 | 2014-07-22 |
| Find all providers in zip 30236 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588669006 | Suresh Patel | Internal Medicine | 2816 Fox Meadow Ln, Jonesboro, AR 72404-9346 | 2005-06-21 |
| 1649570425 | Cardiology Associates of Jonesboro, Inc | Internal Medicine | 201 E Oak Ave, Jonesboro, AR 72401-4163 | 2010-10-27 |
| 1437380904 | Mahesh Aradhya | Internal Medicine | 4802 E Johnson Ave, Jonesboro, AR 72401-8413 | 2009-08-01 |
| 1003066846 | Naveed Younis | Internal Medicine | 201 E Oak Ave, Jonesboro, AR 72401-4163 | 2008-09-29 |
| 1689822678 | Jaime Rene Chavez | Internal Medicine | 201 E Oak Ave, Jonesboro, AR 72401-4163 | 2008-09-03 |
| 1437376548 | Maximiliano Arroyo | Internal Medicine | 201 E Oak Ave, Jonesboro, AR 72401-4163 | 2007-04-19 |
| 1154545309 | Matthew M. Haustein | Internal Medicine | 4802 E Johnson Ave, Jonesboro, AR 72401-8413 | 2007-04-12 |
| 1982763462 | Mihaela Savu | Internal Medicine | 201 E Oak Ave, Jonesboro, AR 72401-4163 | 2006-12-08 |
| 1851324446 | Ahmad Al-hindi | Internal Medicine | 201 E Oak Ave, Jonesboro, AR 72401-4163 | 2006-07-08 |
| 1750322087 | Northeast Arkansas Health System LLC | Internal Medicine | 3024 Stadium Blvd, Jonesboro, AR 72401-7415 | 2006-06-09 |
| Find all providers in JONESBORO | ||||
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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.