NRUP TOLAT (NPI# 1275914749) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1275914749 |
Entity Type | Individual |
Full Name | NRUP TOLAT |
Credential | DPM |
Practice Address |
100 Stoneforest Dr Ste 120 Woodstock GA 30189 |
Mailing Address |
2170 Sugar Maple Cv Nw Acworth GA 30101-8815 |
Practice Telephone | 4042454969 |
Enumeration Date | 2015-06-10 |
Last Update Date | 2020-09-23 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
POD001368 | GA | Podiatric Medicine & Surgery Service Providers |
N | 213ES0000X |
Podiatrist Specialization: Sports Medicine |
POD001368 | GA | Podiatric Medicine & Surgery Service Providers |
Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
POD001368 | GA | Podiatric Medicine & Surgery Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
10201 66th Rd, Forest Hills, NY 113752029 | 4042454969 |
Street Address |
100 STONEFOREST DR STE 120 |
City | WOODSTOCK |
State | GA |
Zip Code | 30189 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790250710 | Atlanta Total Foot and Ankle Care | Podiatrist | 100 Stoneforest Dr Ste 120, Woodstock, GA 30189-4881 | 2018-10-05 |
1689149601 | Atlanta Premier Foot and Ankle Surgery | Podiatrist | 100 Stoneforest Dr Ste 120, Woodstock, GA 30189-4881 | 2018-10-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801494356 | Susan Iruku | Pharmacist | 12050 Ga-92 #112, Woodstock, GA 30189 | 2020-10-15 |
1598267437 | Kelly Sierra | Nurse Practitioner | 100 Stoneforest Dr Ste 300, Woodstock, GA 30189 | 2018-03-07 |
1548770449 | Chandra Johnson | Nurse Practitioner | 295 Molly Lane Ste 150, Woodstock, GA 30189 | 2017-10-05 |
1083133912 | Amanda Bostock Sowisdral | Physician Assistant | 250 Parkbrooke Pl Ste 300, Woodstock, GA 30189 | 2017-09-12 |
1780101659 | Laura C Koch Woodstock LLC Dba Fountain View Dentistry | Dentist | 1816 Eagle Drive, Building 200-a, Woodstock, GA 30189 | 2017-08-23 |
1265954788 | Vicky Morton Bryan | Nurse Practitioner | 422 Sycamore Trail, Woodstock, GA 30189 | 2017-07-17 |
1063933588 | Marietta Eye Clinic, Pa | Optometrist | 2990 Eagle Dr Ste 110, Woodstock, GA 30189 | 2017-07-06 |
1558781534 | Mary Jansson Carmon | Nurse Practitioner | 1000 Towne Lake Pkwy, Woodstock, GA 30189 | 2014-04-17 |
1518388941 | Afc Physicians of Georgia, PC | General Practice | 6440 Bells Ferry Rd, Woodstock, GA 30189 | 2014-01-03 |
1659702884 | Dana Dunlap | Physician Assistant | 8814 Hwy 9, 114, Woodstock, GA 30189 | 2013-12-13 |
Find all providers in zip 30189 |
Taxonomy Code | 213ES0103X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot & Ankle Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851438188 | Robert Anthony Kuprionas | Podiatrist | 304 Little Hickory Ln, Woodstock, GA 30189-1407 | 2007-01-30 |
1063403087 | Scott Mitchell Cohen | Podiatrist | 3380 Trickum Rd, Bldg. 900-100, Woodstock, GA 30188-3680 | 2005-10-31 |
1942290705 | Michael K Bednarz | Podiatrist | 120 N Medical Pkwy, Bldg 100, Suite 102, Woodstock, GA 30189-7062 | 2005-10-24 |
1689149601 | Atlanta Premier Foot and Ankle Surgery | Podiatrist | 100 Stoneforest Dr Ste 120, Woodstock, GA 30189-4881 | 2018-10-05 |
1164635082 | Richard D. Kent, D.p.m., P.C. | Podiatrist | 118 S Main St, Woodstock, VA 22664-1489 | 2007-05-07 |
1215952551 | Richard D. Kent | Podiatrist | 118 S Main St, Woodstock, VA 22664-1489 | 2006-07-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518515980 | Da Vinci Foot and Ankle Madison LLC | Podiatrist | 1740 Lions Club Rd Ste 200, Madison, GA 30650-4762 | 2019-08-29 |
1376191106 | Ryan Goldfine Dpm LLC | Podiatrist | 3451 Ernest W Barrett Pkwy Suite 170, Mariettta, GA 30269 | 2019-08-26 |
1073076170 | Kalish Foot & Ankle Institute | Podiatrist | 6911 Tara Blvd Ste 101, Jonesboro, GA 30236-1503 | 2019-04-08 |
1427523919 | Tommy Lee Tally | Podiatrist | 8225 Mall Pkwy Ste 230, Lithonia, GA 30038-6913 | 2018-10-10 |
1881188944 | Joshua Jae Lee | Podiatrist | 3425 Buford Dr Ste 350, Buford, GA 30519-8785 | 2018-06-21 |
1437652815 | Southeast Regional Primary Care Corporation | Podiatrist | 1707 Meadows Ln Ste H, Vidalia, GA 30474-7201 | 2018-03-13 |
1447762927 | Ponders Podiatry LLC | Podiatrist | 275 Carpenter Drive Ne, Suite 106, Atlanta, GA 30328 | 2017-10-24 |
1194245894 | Yusuf Abiodun Opakunle | Podiatrist | 600 Professional Dr Ste 130, Lawrenceville, GA 30046-7638 | 2017-06-23 |
1891228540 | Vishal Patel | Podiatrist | 755 Mount Vernon Hwy Ne Ste 210, Atlanta, GA 30328-4279 | 2017-04-10 |
1497296552 | Ankle and Foot Assoc, LLC | Podiatrist | 118 Azalea Rd, Suite 1-2, Baxley, GA 31513-0672 | 2017-03-09 |
Find all providers with the same taxonomy |
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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.