MARIA LISSETTE PACHECO (NPI# 1336481589) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336481589 |
| Entity Type | Individual |
| Full Name | MARIA LISSETTE PACHECO |
| Credential | DPM |
| Practice Address |
1432 Broadrick Dr Dalton GA 30720 |
| Mailing Address |
900 Circle 75 Pkwy Se Suite 900 Atlanta GA 30339-3035 |
| Practice Telephone | 7062596882 |
| Practice Fax Number | 7062593786 |
| Mailing Telephone | 6784262171 |
| Mailing Fax Number | 4044461957 |
| Enumeration Date | 2013-03-25 |
| Last Update Date | 2018-05-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | POD001310 | GA | Podiatric Medicine & Surgery Service Providers |
| N | 213E00000X | Podiatrist | 789 | TN | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | Q022877 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871110718 | Maria Angelica Pacheco Sr. | Behavior Technician | 2190 W 60th St Apt 2102, Hialeah, FL 33016-7707 | 2020-06-26 |
| 1104179100 | Maria Asuncion Pacheco | Specialist/Technologist | 3920 Walnut Ave, Lynwood, CA 90262 | 2012-10-16 |
| 1306974506 | Maria Del Carmen Pacheco | Case Manager/Care Coordinator | 500 Crown Point Cir Ste 100, Grass Valley, CA 95945-9561 | 2007-03-01 |
| 1912461039 | Maria Pacheco | Behavior Technician | 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5326 | 2019-01-23 |
| 1235501271 | Maria Pacheco | Community Health Worker | 125 Chaparrel Blvd Nw, Deming, NM 88030-8629 | 2015-10-29 |
| 1558768804 | Maria Pacheco | Registered Nurse | 195 Aviation Way, Watsonville, CA 95076-2053 | 2014-12-02 |
| 1730424292 | Maria Pacheco | Counselor | 13136 Western Ave, Metropolitan Family Services Southwest, Blue Island, IL 60406-2423 | 2012-12-10 |
| 1891920377 | Maria V Pacheco | Nurse Practitioner | 751 Lombardi Ct # B, Santa Rosa, CA 95407-6793 | 2009-05-27 |
| 1366606261 | Maria Pacheco | Counselor | 542 N Main St, Fall River, MA 02720-3515 | 2008-07-10 |
| 1376743625 | Maria Cristina Pacheco | Pathology | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2007-07-24 |
| Street Address |
1432 BROADRICK DR |
| City | DALTON |
| State | GA |
| Zip Code | 30720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164585964 | Advanced Foot Care LLP | Podiatrist | 1432 Broadrick Dr, Dalton, GA 30720-3009 | 2006-12-19 |
| 1023538279 | Sarbjit Singh Masson | Internal Medicine | 1432 Broadrick Dr, Dalton, GA 30720-3009 | 2017-06-20 |
| 1982922498 | Daniel Aubrey Grace | Internal Medicine | 1432 Broadrick Dr, Dalton, GA 30720-3009 | 2010-05-07 |
| 1538309992 | Spencer C. Misner,dpm,pc | Podiatrist | 1432 Broadrick Dr, Dalton, GA 30720-3009 | 2009-02-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528688421 | Nighat Purnima Kabir | Student in an Organized Health Care Education/Training Program | Hamilton Medical Center, Attn: Residency Program, 1200 Memorial Drive, Dalton, GA 30720 | 2020-04-21 |
| 1720620727 | Elizabeth Nicole Gregory | Behavioral Analyst | 1201 Burleyson Rd., Dalton, GA 30720 | 2019-10-10 |
| 1972161768 | Andrea Nicole Henry | Speech-Language Pathologist | 1201 Burleyson Road, Dalton, Ga. 30720, Dalton, GA 30720 | 2019-06-05 |
| 1275056905 | Cynthia L Wood | Speech-Language Pathologist | 1011 Professional Blvd., Dalton, GA 30720 | 2017-07-25 |
| 1073069225 | Alyssa Sellers Garner | Nurse Practitioner | 1436 Chattanooga Avenue, Dalton, GA 30720 | 2016-08-28 |
| 1588039077 | Katie Walker | Social Worker | 900 Shugart Road, Dalton, GA 30720 | 2015-12-09 |
| 1215310800 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 98 West Walnut Ave, Dalton, GA 30720 | 2015-07-01 |
| 1275969081 | Stacy Kay Whitehead | Nurse Practitioner | 1411 Chattanooga Avenue, Suite 101, Dalton, GA 30720 | 2013-09-25 |
| 1821439985 | Chantal Aneka Raheeda Lewis | Internal Medicine | 1109 Burleyson Rd Ste 103, Dalton, GA 30720 | 2013-07-17 |
| 1174960678 | Homestead Hospice of Northwest Georgia, LLC | Hospice Care, Community Based | 1601 Hickory Street, Dalton, GA 30720 | 2013-05-24 |
| Find all providers in zip 30720 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164576112 | Spencer Carlton Misner | Podiatrist | 1432 Broadrick Drive, Dalton Foot and Ankle Surgery Center, Dalton, GA 30720 | 2007-01-23 |
| 1265952923 | Village Podiatry Group, LLC | Podiatrist | 1505 Professional Ct, Dalton, GA 30720-2500 | 2017-06-23 |
| 1336523166 | Jalpa R Patel | Podiatrist | 1716 Cleveland Hwy, Suite 104, Dalton, GA 30721-2314 | 2015-07-10 |
| 1154702827 | Shelley Brand | Podiatrist | 1505 Professional Ct, Dalton, GA 30720-2500 | 2015-06-17 |
| 1538309992 | Spencer C. Misner,dpm,pc | Podiatrist | 1432 Broadrick Dr, Dalton, GA 30720-3009 | 2009-02-25 |
| 1356500573 | John J Land Iv PC | Podiatrist | 1107 Broadrick Dr, Dalton, GA 30720-2592 | 2008-06-03 |
| 1407901275 | George M Kemper, Jr Dpm Inc | Podiatrist | 129 Wenger Rd N, Suite A, Dalton, OH 44618-9056 | 2007-01-24 |
| 1568548220 | John Joseph Land Iv | Podiatrist | 1107 Broadrick Dr, Dalton, GA 30720-2592 | 2006-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427696392 | Trent Lott | Podiatrist | 3045 Brook Dr, Decatur, GA 30033-3937 | 2019-12-11 |
| 1700440401 | Pamela Onderko Dpm LLC | Podiatrist | 5223 Riverside Dr Ste 104, Macon, GA 31210-0889 | 2019-04-28 |
| 1073070579 | Foot and Ankle Reconstruction of North Georgia P.c | Podiatrist | 970 Woodstock Pkwy Ste 200, Woodstock, GA 30188-4869 | 2019-02-21 |
| 1801352190 | Zachary Adam Rohr | Podiatrist | 2314 Emerald Springs Dr, Decatur, GA 30035-2632 | 2019-02-12 |
| 1649741604 | Neville A Alexander Dpm PC | Podiatrist | 535 Aston Hall Way, Alpharetta, GA 30022-6634 | 2018-12-16 |
| 1902371073 | Atlanta Sports Podiatry | Podiatrist | 9700 Medlock Bridge Rd Ste 126, Johns Creek, GA 30097-4408 | 2018-10-04 |
| 1275012254 | Christopher Anthony Martin | Podiatrist | 1075 Lafayette Pkwy Ste 200, Lagrange, GA 30241-3733 | 2018-08-09 |
| 1306323738 | Stride Foot & Ankle Center, LLC | Podiatrist | 4950 Gladstone Pkwy, Suwanee, GA 30024-6945 | 2018-07-28 |
| 1235642026 | Thomas Foot and Ankle Clinic LLC | Podiatrist | 410 Connell Rd Ste E, Valdosta, GA 31602-1898 | 2017-11-15 |
| 1013420413 | Erika Allison | Podiatrist | 3636 Highlands Pkwy Se, Smyrna, GA 30082-5184 | 2017-11-08 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MARIA LISSETTE PACHECO.
| 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.