CARDIAC DISEASE SPECIALISTS, PC (NPI# 1245316496) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245316496 |
| Entity Type | Organization |
| Organization Name | CARDIAC DISEASE SPECIALISTS, PC |
| Other Organization Name | CARDIAC DISEASE SPECIALISTS, PC- ROSWELL 200 |
| Practice Address |
4890 Roswell Rd Ne Ste 200 Atlanta GA 30342-2606 |
| Mailing Address |
275 Collier Rd Nw Suite 300 Atlanta GA 30309-1709 |
| Practice Telephone | 4048451200 |
| Practice Fax Number | 4048451269 |
| Mailing Telephone | 4043521611 |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2007-11-08 |
| Authorized Official Name | HARVEY N SACKS VII (PRESIDENT) |
| Authorized Official Telephone | 4043559815 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
Allopathic & Osteopathic Physicians | ||
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Cardiac Disease Specialists, PC- Roswell 200 | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811082605 | Cardiac Disease Specialists, PC | Internal Medicine | 296 Merchants Sq, Dallas, GA 30132-5029 | 2006-10-04 |
| 1306980578 | Cardiac Disease Specialists, PC | Internal Medicine | 1230 Johnson Ferry Pl, Ste A10, Marietta, GA 30068-2048 | 2007-02-19 |
| 1013092956 | Cardiac Disease Specialists, PC | Internal Medicine | 1938 Peachtree Rd Nw, Ste 412, Atlanta, GA 30309-1267 | 2006-10-26 |
| 1295817278 | Cardiac Disease Specialists, PC | Internal Medicine | 3020 Paces Mill Rd Se, Atlanta, GA 30339-3744 | 2006-10-19 |
| 1861574840 | Cardiac Disease Specialists, PC | Internal Medicine | 58 Hospital Rd, Ste 106, Newnan, GA 30263-1230 | 2006-10-19 |
| 1285729111 | Cardiac Disease Specialists, PC | Internal Medicine | 898 College St, Monticello, GA 31064-1261 | 2006-10-04 |
| 1588759336 | Cardiac Disease Specialists, PC | Internal Medicine | 220 J L White Dr, Ste 100, Jasper, GA 30143-4893 | 2006-10-04 |
| 1790870624 | Cardiac Disease Specialists, PC | Internal Medicine | 101 Lake Oconee Pkwy, Speciality Center, Eatonton, GA 31024-6054 | 2006-10-04 |
| 1689769507 | Cardiac Disease Specialists, PC | Internal Medicine | 1267 Highway 54 W, Ste 2200, Fayetteville, GA 30214-4548 | 2006-10-04 |
| 1538254487 | Cardiac Disease Specialists, PC | Internal Medicine | 101 Yorktown Dr, Ste 209, Fayetteville, GA 30214-1568 | 2006-10-04 |
| Street Address |
4890 ROSWELL RD NE STE 200 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30342-2606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316946957 | Jeffrey Ira Clark | Internal Medicine | 4890 Roswell Rd Ne, Suite 250, Atlanta, GA 30342-2606 | 2005-07-15 |
| 1750565180 | Babcock Dermatology PC | Clinic/Center | 4890 Roswell Rd Ne, Suite B-10, Atlanta, GA 30342-2606 | 2007-12-20 |
| 1457406027 | Valerie Habif | Psychologist | 4890 Roswell Rd Ne, Atlanta, GA 30342-2606 | 2007-01-24 |
| 1497840144 | Cardiac Disease Specialists, PC | Internal Medicine | 4890 Roswell Rd Ne, Ste 100, Atlanta, GA 30342-2606 | 2006-10-04 |
| 1649362401 | Jennifer Fox | Internal Medicine | 4890 Roswell Rd Ne, Atlanta, GA 30342-2606 | 2006-09-29 |
| 1144206467 | Peter Michael Randle | Plastic Surgery | 4890 Roswell Rd Ne, Atlanta, GA 30342-2606 | 2005-12-19 |
| 1396731162 | Carolyn Jean Felton | Internal Medicine | 4890 Roswell Rd Ne, Suite 200, Atlanta, GA 30342-2606 | 2005-09-27 |
| 1144229592 | Frank Benedict Marxer | Internal Medicine | 4890 Roswell Rd Ne, Suite 250, Atlanta, GA 30342-2606 | 2005-07-19 |
| 1952300691 | Allan C Bleich | Internal Medicine | 4890 Roswell Rd Ne, Suite 100, Atlanta, GA 30342-2606 | 2005-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820614 | Nia Charnice Griffin | Nurse Practitioner | 5670 Peachtree Dunwoodyroad, Suite 900, Atlanta, GA 30342 | 2020-10-26 |
| 1255945184 | Jennifer Lynne Cole | Behavior Technician | 5555 Glenridge Con Suite 200, Atlanta, GA 30342 | 2020-09-08 |
| 1093336232 | Van Tran | Respiratory Therapist, Registered | 1000 Johnson Ferry Rd Ne, Atlanta, Ga 30342, Atlanta, GA 30342 | 2020-04-28 |
| 1356978340 | Twyla Douglas Jackson I | Clinical Nutrition, 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342 | 2020-03-27 | |
| 1760013411 | Emily Hamm | Dietitian, Registered | 933 D Johnson Ferry Road, Suite 250, Atlanta, GA 30342 | 2020-01-31 |
| 1043855984 | Mackenzie Tucker Wayda | Registered Nurse | 1001 Johnson Ferry Rd. Ne, Atlanta, GA 30342 | 2019-11-14 |
| 1386288454 | Tiauna Lashun Cochman | Psychologist | 1307 Glenridge Dr, Sandy Springs, GA 30342 | 2019-11-01 |
| 1164074399 | Stephen J. White | Hearing Instrument Specialist | 5775 Peachtree Dunwoody Rd Suite 600 Fl. 6, Uhc Hearing, Atl., GA 30342 | 2019-07-09 |
| 1144788142 | Jaytyn LLC | Internal Medicine | 4600 Broswell Road, Atlanta, GA 30342 | 2019-03-08 |
| 1760954705 | Mishele Walker LLC | Counselor | 555 Glenridge Connector, Suite 200, Sandy Springs, GA 30342 | 2018-12-31 |
| Find all providers in zip 30342 | ||||
| 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 |
|---|---|---|---|---|
| 1013571033 | Norihiko Kamioka | Internal Medicine | 1364 Clifton Rd Ne Ste D422, Atlanta, GA 30322-1059 | 2019-04-24 |
| 1265798763 | Sulay Pankaj Patel | Internal Medicine | 101 Woodruff Circle Wmb 1013, Atlanta, GA 30322 | 2012-04-09 |
| 1073879573 | Ozlem Bilen | Internal Medicine | Emory University Cardiovascular, 101 Woodruff Circle, Wmb 3004, Atlanta, GA 30322-0001 | 2012-04-09 |
| 1881983963 | Roshin C Mathew | Internal Medicine | 6115 Peachtree Dunwoody Rd Ste 300, Atlanta, GA 30328-5695 | 2011-03-29 |
| 1174844971 | Vibhav Shyam Rangarajan | Internal Medicine | 95 Collier Rd Nw Ste 2065, Atlanta, GA 30309 | 2010-06-15 |
| 1356668081 | Benjamin David Demoss | Internal Medicine | 95 Collier Rd Nw Ste 3000, Atlanta, GA 30309-1721 | 2010-04-20 |
| 1437329810 | Heather Bagwell Westmoreland | Internal Medicine | 1110 W Peachtree St Nw Ste 900, Atlanta, GA 30309-3609 | 2008-03-03 |
| 1003093600 | Matthew J. Wilson | Internal Medicine | 755 Mt Vernon Hwy, Suite 530, Atlanta, GA 30328 | 2008-01-25 |
| 1154505238 | Danny John Eapen | Internal Medicine | 5671 Peachtree Dunwoody Road, Suite 300b, Atlanta, GA 30342-5000 | 2007-12-24 |
| 1740494087 | Sarah J. Rinehart | Internal Medicine | 275 Collier Rd, Nw, Suite 500, Atlanta, GA 30309-1740 | 2007-05-09 |
| Find all providers in ATLANTA | ||||
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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.