SUMMIT SURGICAL SPECIALISTS PC (NPI# 1295880763) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1295880763 |
Entity Type | Organization |
Organization Name | SUMMIT SURGICAL SPECIALISTS PC |
Practice Address |
590 Nancy St Nw Marietta GA 30060-1334 |
Practice Telephone | 7704230395 |
Practice Fax Number | 7704990352 |
Mailing Telephone | 7704230395 |
Mailing Fax Number | 7704990352 |
Enumeration Date | 2007-01-24 |
Last Update Date | 2010-08-31 |
Authorized Official Name | MRS. CHERYL J RICHARDS (PRACTICE MANAGER) |
Authorized Official Telephone | 7704230395 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174400000X | Specialist | Other Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | 55001233A | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780980466 | Summit Surgical Specialists PC | Surgery | 360 Peak One Drive, Suite 350, Frisco, CO 80443 | 2011-01-28 |
Street Address |
590 NANCY ST NW |
City | MARIETTA |
State | GA |
Zip Code | 30060-1334 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659338416 | Sahir G Shroff | Surgery | 590 Nancy St Nw, Marietta, GA 30060-1334 | 2006-04-27 |
1851875991 | Tyler Henry Wooten | Physician Assistant | 590 Nancy St Nw, Marietta, GA 30060-1334 | 2018-09-24 |
1124451190 | Wellstar Medical Group, LLC | Surgery | 590 Nancy St Nw, Marietta, GA 30060-1334 | 2013-08-14 |
1811174170 | Sartaj Singh Sanghera | Surgery | 590 Nancy St Nw, Marietta, GA 30060-1334 | 2008-01-29 |
1255398467 | Chris S Andersen | Surgery | 590 Nancy St Nw, Marietta, GA 30060-1334 | 2006-05-01 |
1164489373 | Gary S Hathaway | Surgery | 590 Nancy St Nw, Marietta, GA 30060-1334 | 2006-05-01 |
1609833813 | Jeffrey R Schwab | Surgery | 590 Nancy St Nw, Marietta, GA 30060-1334 | 2006-05-01 |
1790742807 | Robert P Holcomb | Surgery | 590 Nancy St Nw, Marietta, GA 30060-1334 | 2006-05-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144845116 | Legacy Center for Spinal Surgery, LLC | Neurological Surgery | 1900 The Exchange, Ne, Suite 600, Marietta, GA 30060 | 2020-06-15 |
1407477193 | Michael Cynil Daniel | Counselor | 698 N Marietta, Pkwy, Marietta, GA 30060 | 2020-05-04 |
1285253401 | Cameron Thomas Kennelly | Student in an Organized Health Care Education/Training Program | 677 Church Street Ne Attn:gme, Marietta, GA 30060 | 2020-04-09 |
1922640739 | Jeremiah George Blair | Physician Assistant | 61 Whitcher St Suite 2100, Marietta, GA 30060 | 2019-10-14 |
1164064945 | Denise Alicia Mick | Registered Nurse | 677 Church St Wellstar Kennestone Hospital, Marietta, GA 30060 | 2019-10-12 |
1184283772 | Iora Health Georgia, P.C. | Internal Medicine | 280 Cobb Pkwy Se, Suite 60, Marietta, GA 30060 | 2019-06-07 |
1346703212 | Caitlin Virginia Mueller | Student in an Organized Health Care Education/Training Program | 677 Church Street Ne, Attn: Gme, Marietta, GA 30060 | 2019-04-08 |
1184187205 | Adero Francis | Student in an Organized Health Care Education/Training Program | Wellstar Kennestone Gme Internal Medicine Clinic, 833 Campbell Hill St Nw, Suite 250, Marietta, GA 30060 | 2019-04-08 |
1659832749 | Matthew Mozzo | Student in an Organized Health Care Education/Training Program | 677 Church Street / Lower Level, Gme Department / I.m., Marietta, GA 30060 | 2019-03-29 |
1245797430 | La'myia Spentz | Specialist | 109 Anderson St Ne, Suite 608, Marietta, GA 30060 | 2019-02-25 |
Find all providers in zip 30060 |
Taxonomy Code | 174400000X |
Grouping | Other Service Providers |
Classification | Specialist |
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104286707 | B Webb, Inc | Specialist | 1675 Lower Roswell Rd, Marietta, GA 30318 | 2016-02-25 |
1982077889 | Jane A Cases Md Comprehensive Lifestyle Center LLC | Specialist | 242 Pike St, Marietta, OH 45750-3322 | 2015-11-02 |
1578971180 | April Harris | Specialist | 3015 Canton Rd Ste 11, Marietta, GA 30066-3878 | 2014-07-27 |
1306259031 | Gary Studenic | Specialist | 1395 S Marietta Pkwy Se Ste 102, Marietta, GA 30067-7852 | 2014-06-10 |
1992115448 | Strategic Billing Solutions, LLC | Specialist | 1205 Wynnes Ridge Cir Se, Marietta, GA 30067-8452 | 2014-05-06 |
1912326349 | Kayla Kendall | Specialist | 219 2nd St, Suite 206, Marietta, OH 45750-8062 | 2014-04-14 |
1235569401 | Mitchell Jablow | Specialist | 3641 Clubland Dr, Marietta, GA 30068-4003 | 2013-11-25 |
1336579101 | Christine Thomas | Specialist | 406 Scammel St, Marietta, OH 45750-2009 | 2013-11-15 |
1922379304 | The Injury Wellness Surgical and Procedure Institute LLC | Specialist | 2483 Powder Springs Rd Sw, Ste C, Marietta, GA 30064-4573 | 2012-01-18 |
1235440264 | Silasmasih In-home Therapy Services,llc | Specialist | 184 Parkstone Way, Marietta, GA 30066-4977 | 2010-06-24 |
Find all providers in MARIETTA |
Please comment or provide details below to improve the information on SUMMIT SURGICAL SPECIALISTS PC.
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.