CLINICA FAMILIAR Y PRENATAL (NPI# 1336651702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336651702 |
| Entity Type | Organization |
| Organization Name | CLINICA FAMILIAR Y PRENATAL |
| Practice Address |
155 Medical Way Ste B Riverdale GA 30274-4940 |
| Practice Telephone | 6787555334 |
| Practice Fax Number | 4045294430 |
| Mailing Telephone | 6787555334 |
| Mailing Fax Number | 4045294430 |
| Enumeration Date | 2017-10-25 |
| Last Update Date | 2017-10-25 |
| Authorized Official Name | BRIDGETTE HANNIGAN (ADMINISTRATOR) |
| Authorized Official Telephone | 6787555334 |
| Authorized Official Credential | RCS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | RN120872 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
155 MEDICAL WAY STE B |
| City | RIVERDALE |
| State | GA |
| Zip Code | 30274-4940 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245862507 | Todd L. Reed | Chiropractor | 83 Upper Riverdale Rd, Riverdale, GA 30274 | 2020-02-05 |
| 1487135992 | Freddie L Sallette IIi | Technician, Pathology | 385 Brookview Dr, Riverdale, GA 30274 | 2018-08-22 |
| 1366933210 | Dawn A. Paul | Nurse Practitioner | 238 Professional Ct Ste A, Riverdale, GA 30274 | 2018-05-27 |
| 1851894588 | Absolute Health Family & Urgent Care Clinic | Clinic/Center | 7574 Ga 85, Riverdale, GA 30274 | 2018-03-08 |
| 1366972127 | Jamillah Ingram | Physical Therapy Assistant | 315 Upper Riverdale Rd., Riverdale, GA 30274 | 2017-06-14 |
| 1114456514 | Grace L Kelson | Licensed Practical Nurse | 9142 Clubhouse Dr, Riverdale, GA 30274 | 2017-06-08 |
| 1790167799 | Cristian Carbuccia | Internal Medicine | 33 Upper Riverdale Rd Sw Ste 10, Riverdale, GA 30274 | 2015-06-25 |
| 1265857692 | Right Choice Enterprises LLC | Technician | 638 Sterling Ct, Riverdale, GA 30274 | 2014-02-21 |
| 1942571625 | Lowes Guardian Angel LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7056 Eunice Dr., Riverdale, GA 30274 | 2012-01-26 |
| 1508134156 | Education System Management, Inc | Social Worker | 125 Highway 138, Riverdale, GA 30274 | 2011-12-12 |
| Find all providers in zip 30274 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861868168 | Clinica Union, Inc | Family Medicine | 86 Upper Riverdale Rd Se, Suite 201, Riverdale, GA 30274-2620 | 2015-08-20 |
| 1538427570 | United Physicians of Georgia, LLC | Family Medicine | 7335 Old National Hwy, Riverdale, GA 30296-1607 | 2012-04-27 |
| 1912288457 | South Atlanta Medical Care | Family Medicine | 6525 Professional Pl Ste B, Riverdale, GA 30274-2519 | 2011-08-29 |
| 1790077790 | Get Well House Calls | Family Medicine | 7319 Coventry Ct, Riverdale, NJ 07457-1637 | 2011-05-09 |
| 1639319254 | Clinica Medica Dr Rene Delgado, Inc | Family Medicine | 189 Medical Way, Suite B, Riverdale, GA 30274-4905 | 2009-02-22 |
| 1861694978 | Vasantha Udugampola | Family Medicine | 6502 Kenilworth Ave Ste 100, Riverdale, MD 20737-1372 | 2007-06-01 |
| 1194945832 | Atlanta Ropheka Medical Center, PC | Family Medicine | 217 Medical Way, Riverdale, GA 30274-2522 | 2007-04-26 |
| 1841415858 | Ashli Phillips Alexander | Family Medicine | 11 Upper Riverdale Sw Rd, Riverdale, GA 30274 | 2007-04-16 |
| 1457485880 | Daniel E Nibo | Family Medicine | 6223 Church St, Riverdale, GA 30274-1614 | 2007-03-15 |
| 1538210786 | Walter H Smith | Family Medicine | 6330 Church St, Riverdale, GA 30274-1617 | 2007-01-15 |
| Find all providers in RIVERDALE | ||||
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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.