ATHENS ORTHOPEDIC CLINIC, PA (NPI# 1295256741) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295256741 |
| Entity Type | Organization |
| Organization Name | ATHENS ORTHOPEDIC CLINIC, PA |
| Practice Address |
340 Exchange Blvd Bethlehem GA 30620-1759 |
| Mailing Address |
1765 Old West Broad St Bldg 2, Ste 200 Athens GA 30606-2853 |
| Practice Telephone | 7065491663 |
| Practice Fax Number | 7065468792 |
| Mailing Telephone | 7065491663 |
| Mailing Fax Number | 7065468792 |
| Enumeration Date | 2017-07-05 |
| Last Update Date | 2017-07-05 |
| Authorized Official Name | KARL ELLIOTT (CEO) |
| Authorized Official Telephone | 7065491663 |
| Is Organization Subpart | Y |
| Parent Organization Name | ATHENS ORTHOPEDIC CLINIC, PA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396306197 | Athens Orthopedic Clinic, Pa | Orthopaedic Surgery | 1000 Cowles Clinic Way Ste A-400, Greensboro, GA 30642-5289 | 2019-06-24 |
| 1326523572 | Athens Orthopedic Clinic, Pa | Orthopaedic Surgery | 2108 Teron Trce Ste 100, Dacula, GA 30019-1666 | 2018-10-03 |
| 1770976037 | Athens Orthopedic Clinic, Pa | Orthopaedic Surgery | 209 Mercer Pl, Commerce, GA 30529-1564 | 2015-03-11 |
| 1154714475 | Athens Orthopedic Clinic, Pa | Orthopaedic Surgery | 2151 W Spring St Ste 140, Monroe, GA 30655-3115 | 2015-03-11 |
| 1376018408 | Athens Orthopedic Clinic, Pa | Orthopaedic Surgery | 33 Chestnut St, Elberton, GA 30635-1833 | 2018-10-04 |
| 1689152365 | Athens Orthopedic Clinic, Pa | Orthopaedic Surgery | 120 Gordon St, Washington, GA 30673-1602 | 2018-08-03 |
| 1457872830 | Athens Orthopedic Clinic, Pa | Orthopaedic Surgery | 1774 Old West Broad St, Athens, GA 30606-2865 | 2017-07-06 |
| 1366963811 | Athens Orthopedic Clinic, Pa | Orthopaedic Surgery | 528 Panther Dr, Jefferson, GA 30549-5400 | 2017-07-05 |
| 1306239181 | Athens Orthopedic Clinic, Pa | Orthopaedic Surgery | 855 King Ave, Athens, GA 30606-2837 | 2015-03-18 |
| 1215320098 | Athens Orthopedic Clinic, Pa | Orthopaedic Surgery | 125 King Ave, Athens, GA 30606-6734 | 2015-03-18 |
| Street Address |
340 EXCHANGE BLVD |
| City | BETHLEHEM |
| State | GA |
| Zip Code | 30620-1759 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386626059 | Oscar T. Cassity | Emergency Medicine | 340 Exchange Blvd, Bethlehem, GA 30620-1759 | 2005-11-17 |
| 1003261579 | Athens Bone and Joint | Orthopaedic Surgery | 340 Exchange Blvd, Bethlehem, GA 30620-1759 | 2016-05-03 |
| 1689043010 | Lauren Taylor Osborne I | Nurse Practitioner | 340 Exchange Blvd, Bethlehem, GA 30620-1759 | 2015-09-16 |
| 1295148740 | Christina Danielle Copeland | Nurse Practitioner | 340 Exchange Blvd, Bethlehem, GA 30620-1759 | 2014-06-03 |
| 1427302215 | Uzoma Ndukwe | Family Medicine | 340 Exchange Blvd, Bethlehem, GA 30620-1759 | 2012-11-01 |
| 1225324551 | Jung Ik Kim | Family Medicine | 340 Exchange Blvd, Bethlehem, GA 30620-1759 | 2011-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730747528 | Georgia Dental Professionals, PC | Dentist | 920 Loganville Hwy Ste 100, Bethlehem, GA 30620 | 2019-06-05 |
| 1518445683 | Bethlehem Dentistry, LLC | Dentist | 255 Gateway Drive, Suite 200, Bethlehem, GA 30620 | 2018-08-01 |
| 1881621233 | Manan I Shah | Ophthalmology | 14 Vision Street, Suite 100, Bethlehem, GA 30620 | 2006-06-28 |
| 1871088997 | Stephanie Grace Bair | Occupational Therapist | 916 Loganville Hwy Ste 1130, Bethlehem, GA 30620 | 2018-06-30 |
| 1588159958 | John David Williams | Physical Therapist | 916 Loganville Hwy Ste 1130, Bethlehem, GA 30620 | 2018-06-27 |
| 1023460938 | Virginia Persons Labella | Nurse Practitioner | 340 Exchange Blvd Ste 130, Bethlehem, GA 30620 | 2016-07-05 |
| 1649656356 | Kimberly Christine Thomas | Physical Therapist | 916 Loganville Hwy Ste 1130, Bethlehem, GA 30620 | 2015-08-04 |
| 1336468131 | Manan I Shah Md PC | Ophthalmology | 14 Vision Street, Suite 100, Bethlehem, GA 30620 | 2010-05-19 |
| 1265998454 | Dawn Crook | Community/Behavioral Health | 509 Harry Mccarty Rd, Bethlehem, GA 30620-1707 | 2019-02-13 |
| 1447667233 | Susan Hardy Leighty | Nurse Practitioner | 340 Exchange Blvd Ste 130, Bethlehem, GA 30620-1759 | 2014-07-14 |
| Find all providers in zip 30620 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568023737 | Nathan William White | Orthopaedic Surgery | 801 Ostrum Street Priscilla Payne Hurd Bldg, Bethlehem, PA 18015 | 2019-06-27 |
| 1770024911 | Juan D Tio-pagan | Orthopaedic Surgery | 801 Ostrum St Priscilla Payne Hurd Bldg 2nd Floor, Bethlehem, PA 18015-1000 | 2017-03-20 |
| 1659438737 | Wayne C. Stuart, Md, PC | Orthopaedic Surgery | 2053 Majestic Overlook Dr, Bethlehem, PA 18015-5506 | 2007-01-02 |
| 1902809288 | Steven T. Puccio | Orthopaedic Surgery | 801 Ostrum St, Pphp2, Bethlehem, PA 18015-1000 | 2005-05-31 |
| 1437774536 | Timothy Renzi | Orthopaedic Surgery | 801 Ostrum St, Bethlehem, PA 18015-1000 | 2020-06-15 |
| 1649895178 | Brendan Charles Smith | Orthopaedic Surgery | 801 Ostrum St, Bethlehem, PA 18015-1000 | 2020-06-10 |
| 1164916318 | Chad Anthony Amato | Orthopaedic Surgery | 801 Ostrum St, Bethlehem, PA 18015-1000 | 2018-06-20 |
| 1366936890 | Andrew Jordan Kantzos | Orthopaedic Surgery | 801 Ostrum St, Bethlehem, PA 18015-1000 | 2018-06-18 |
| 1538694138 | Ajith Malige | Orthopaedic Surgery | 801 Ostrum St, Bethlehem, PA 18015-1000 | 2017-04-21 |
| 1346692175 | Jake Schroeder | Orthopaedic Surgery | 801 Ostrum St, Bethlehem, PA 18015-1000 | 2016-07-05 |
| Find all providers in BETHLEHEM | ||||
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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.