DR. ANTON SHAPOVAL


Address: 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342
Phone: 4048516323

DR. ANTON SHAPOVAL (NPI# 1245529536) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1245529536
Entity Type Individual
Full Name DR. ANTON SHAPOVAL
Other Name MR. ANTON MYKOLAYOVYCH SHAPOVAL
Credential M.D.
Practice Address 1000 Johnson Ferry Rd Ne
Atlanta
GA 30342
Mailing Address 5605 Glenridge Dr Ste 325
Atlanta
GA 30342-1365
Practice Telephone 4048516323
Practice Fax Number 4043033747
Mailing Telephone 6785537783
Mailing Fax Number 6785537793
Enumeration Date 2011-04-07
Last Update Date 2019-06-11
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207U00000X Nuclear Medicine 76179 GA Allopathic & Osteopathic Physicians
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
76179 GA Allopathic & Osteopathic Physicians

Office Location

Street Address 1000 JOHNSON FERRY RD NE
City ATLANTA
State GA
Zip Code 30342

Providers in the same location

NPI Name Taxonomy Address Enumeration
1003814443 Patricia Boatright Gilley Pharmacist 1000 Johnson Ferry Rd Ne, Northside Hospital Pharmacy, Atlanta, GA 30342-1606 2005-07-11
1194064485 Nicole M Daniels Nurse Anesthetist, Certified Registered 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342-1606 2013-02-06
1801135512 Brittany A Madden Nurse Anesthetist, Certified Registered 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342 2013-02-01
1528307295 Christine C Glenn Nurse Anesthetist, Certified Registered 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342-1606 2013-01-31
1083952964 Kimberly A Stearns Nurse Anesthetist, Certified Registered 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342-1606 2013-01-28
1184978041 Monica E Burrell Nurse Anesthetist, Certified Registered 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342-1606 2012-10-31
1588916845 Anne H Lee Anesthesiologist Assistant 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342-1606 2012-10-11
1083966246 Kathryn L Childress Anesthesiologist Assistant 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342-1606 2012-10-11
1285986448 Meghan Torie Kosiba Anesthesiologist Assistant 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342-1606 2012-10-11
1184975856 Jordan D Aigner Anesthesiologist Assistant 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342-1606 2012-09-21
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Providers in the same zip code

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 Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1770945016 Charlotte Chung Radiology 1364 Clifton Rd Ne Rm D125a, Atlanta, GA 30322-4509 2016-03-25
1295172351 Philip Kin-wai Wong Radiology 1364 Clifton Rd Ne Ste D125, Atlanta, GA 30322 2013-05-30
1982049292 Mohamed Yahya Al Sawaf Radiology 550 Peachtree St. N.w., Atlanta, GA 30309 2013-05-01
1699015792 Peter Ju Park Radiology 100 Woodruff Cir Ne, Suite 327, Atlanta, GA 30322-0001 2013-02-26
1851657571 Mircea Mihai Cristescu Radiology Emory University 1364 Clifton Rd, Atlanta, GA 30322 2012-04-06
1912273483 Sagar Bipin Amin Radiology 1365 Clifton Rd Ne Dept Of, Atlanta, GA 30322 2012-03-28
1417236241 Ernst Murphy Ruder Radiology 1175 W Garmon Rd Nw, Atlanta, GA 30327-4401 2011-08-10
1124311212 Colin Michael Segovis Radiology Emory University 1364 Clifton Rd Ne, Atlanta, GA 30332 2011-05-23
1518265883 Barbara Erwin Robertson Radiology 11 Riverly Pl Nw, Atlanta, GA 30327-2500 2011-03-10
1881918845 Margaret Fleming Radiology 1365 Clifton Road, Department of Radiology, Suite D-125a, Atlanta, GA 30322 2010-03-19
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City ATLANTA
Zip Code 30342

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Dataset Information

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.

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