DUNWOODY PHYSICIAN PRACTICE NETWORK INC (NPI# 1285623850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285623850 |
| Entity Type | Organization |
| Organization Name | DUNWOODY PHYSICIAN PRACTICE NETWORK INC |
| Other Organization Name | DBA DOMINION ORTHOPAEDICS |
| Practice Address |
4500 N Shallowford Rd Suite 500 Atlanta GA 30338-6476 |
| Practice Telephone | 7704554009 |
| Mailing Telephone | 7704554009 |
| Enumeration Date | 2005-10-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. PATRICK BIRMINGHAM (DIRECTOR) |
| Authorized Official Telephone | 6153737625 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| dba Dominion Orthopaedics | Doing Business As Name - Organization |
| Street Address |
4500 N SHALLOWFORD RD SUITE 500 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30338-6476 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033766076 | Anagha Cupples | Registered Nurse | 4500 N Shallowford Rd, Atlanta, GA 30338-6476 | 2019-08-23 |
| 1205399169 | David Tyler Shields Neuberger | Family Medicine | 4500 N Shallowford Rd, Atlanta, GA 30338-6476 | 2019-04-08 |
| 1053873612 | Lonnie Nicholas Russell | Student in an Organized Health Care Education/Training Program | 4500 N Shallowford Rd, Atlanta, GA 30338-6476 | 2019-04-03 |
| 1801358494 | Ify Nneka Nzenwa | Student in an Organized Health Care Education/Training Program | 4500 N Shallowford Rd, Atlanta, GA 30338-6476 | 2019-04-02 |
| 1508363763 | Heba Gill Chaudhry | Student in an Organized Health Care Education/Training Program | 4500 N Shallowford Rd, Atlanta, GA 30338 | 2018-04-12 |
| 1710483938 | Ruth W Wei | Family Medicine | 4500 N Shallowford Rd, Atlanta, GA 30338 | 2018-04-05 |
| 1801321104 | Kevin Roy Pharris | Student in an Organized Health Care Education/Training Program | 4500 N Shallowford Rd, Suite B, Atlanta, GA 30338-6476 | 2017-04-24 |
| 1821522855 | Juan-manuel Duran | Student in an Organized Health Care Education/Training Program | 4500 N Shallowford Rd, Suite B, Atlanta, GA 30338-6476 | 2017-04-17 |
| 1639533581 | Aparna Mark | Family Medicine | 4500 N Shallowford Rd, Suite B, Atlanta, GA 30338-6476 | 2016-04-07 |
| 1396120127 | Gayle Wong | Family Medicine | 4500 N Shallowford Rd, Atlanta, GA 30338-6476 | 2015-07-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629606264 | Jasmine Donesha Shackelford | Student in an Organized Health Care Education/Training Program | Emory Family Medicine, 4500 North Shallowford Road, Atlanta, GA 30338 | 2020-03-30 |
| 1558907774 | Brianna Harding | Pharmacist | 4608 Devonshire Road, Dunwoody, GA 30338 | 2019-11-22 |
| 1194382135 | Kadan Corporation | In Home Supportive Care | 1848 Independence Square, Suite A, Dunwoody, GA 30338 | 2019-05-24 |
| 1144789553 | Carla Fabiola Nunez | Dentist | 5200 Roberts Dr, Atlanta, GA 30338 | 2019-03-15 |
| 1861978793 | Uhs of Peachford Lp | Pharmacy | 2150 Peachford Rd Ste D, Atlanta, GA 30338 | 2018-07-13 |
| 1275047474 | Mary Rose Ziemba | Physical Therapist | 4516 Chamblee Dunwoody Rd # 22, Dunwoody, GA 30338 | 2017-11-27 |
| 1992223531 | Joel Moorhead | Physical Medicine & Rehabilitation | 1521 Eidson Hall Drive, Dunwoody, GA 30338 | 2017-09-05 |
| 1336667997 | Absolute Holistic Medicine | Clinic/Center | 1868 Independence Sq, Suite A, Atlanta, GA 30338 | 2017-09-05 |
| 1164947115 | Modern Dermatology Atlanta | Dermatology | 5696 Whitehall Walk, Dunwoody, GA 30338 | 2017-08-11 |
| 1366972150 | A Caring Approach To Home Health Services Inc. | In Home Supportive Care | 200 Ashford Center North, Suite 370, Atlanta, GA 30338 | 2017-06-14 |
| Find all providers in zip 30338 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275094310 | Mariolino Da Graca Fernandes | Orthopaedic Surgery | 3240 Northeast Expy Ne, Atlanta, GA 30341-4003 | 2019-03-29 |
| 1578985180 | Brandon Dobo | Orthopaedic Surgery | 410 Brookhaven Way Ne, Atlanta, GA 30319-3177 | 2014-01-16 |
| 1104832906 | Spero G Karas | Orthopaedic Surgery | 59 Executive Park Drive South, Suite 1000, Atlanta, GA 30329 | 2006-08-01 |
| 1811912611 | Peachtree Orthopaedic Clinic Pa | Orthopaedic Surgery | 2001 Peachtree Rd, Suite 705, Atlanta, GA 30309 | 2006-07-13 |
| 1780617365 | Alonzo T Sexton II | Orthopaedic Surgery | 1110 W Peachtree St Nw Ste 950, Atlanta, GA 30309-3609 | 2006-07-08 |
| 1780215038 | Barbour Orthopaedics & Sports Medicine PC | Orthopaedic Surgery | 5505 Roswell Rd Ste 100, Atlanta, GA 30342-1983 | 2020-01-27 |
| 1073153409 | Aica Orthopedics, P. C. | Orthopaedic Surgery | 755 Mount Vernon Hwy Ne Ste 305, Atlanta, GA 30328-4290 | 2020-01-14 |
| 1366787723 | Lindsey Helen Taylor | Orthopaedic Surgery | 5505 Roswell Rd, Suite 100, Atlanta, GA 30342-1985 | 2012-12-11 |
| 1609025790 | Daniel Alan Nicholson | Orthopaedic Surgery | 5673 Peachtree Dunwoody Rd Ne, Suite 825, Atlanta, GA 30342-1731 | 2008-09-12 |
| 1518143676 | James Saylor Kercher | Orthopaedic Surgery | 2001 Peachtree Rd Ne, Suite 705, Atlanta, GA 30309-1476 | 2008-01-18 |
| 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.