MC ORTHOPEDICS, CORPORATION (NPI# 1346335031) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346335031 |
| Entity Type | Organization |
| Organization Name | MC ORTHOPEDICS, CORPORATION |
| Practice Address |
2801 N Decatur Rd Suite 200 Decatur GA 30033-5949 |
| Practice Telephone | 4042965005 |
| Practice Fax Number | 4042965058 |
| Mailing Telephone | 4042965005 |
| Mailing Fax Number | 4042965058 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2008-02-29 |
| Authorized Official Name | MATT CROOK (OWNER) |
| Authorized Official Telephone | 4042965005 |
| Authorized Official Credential | PA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | MEDICARE GROUP PIN | GRP4488 | 01 |
| Street Address |
2801 N DECATUR RD SUITE 200 |
| City | DECATUR |
| State | GA |
| Zip Code | 30033-5949 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669471728 | Atlanta Center for Medicine II PC | Clinic/Center | 2801 N Decatur Rd, Suite 300, Decatur, GA 30033-5949 | 2005-07-20 |
| 1104339324 | Oms, LLC | Physician Assistant | 2801 N Decatur Rd, Decatur, GA 30033-5949 | 2017-11-09 |
| 1972021962 | Omid Midanaky | Physician Assistant | 2801 N Decatur Rd, Decatur, GA 30033-5949 | 2017-08-30 |
| 1780130120 | Margaret Claire Layman | Physical Therapist | 2801 N Decatur Rd, Suite 230, Decatur, GA 30033-5949 | 2016-08-26 |
| 1386020188 | Katherine Moise | Physical Therapist | 2801 N Decatur Rd, Suite 230, Decatur, GA 30033-5949 | 2015-08-04 |
| 1487039673 | Alig Orthopedics LLC | Physician Assistant | 2801 N Decatur Rd, Decatur, GA 30033-5949 | 2015-07-29 |
| 1558741207 | Patricio Morchio | Physical Therapist | 2801 N Decatur Rd, Suite 230, Decatur, GA 30033-5949 | 2015-06-08 |
| 1164816104 | Christine Chang | Family Medicine | 2801 N Decatur Rd, Decatur, GA 30033 | 2015-03-27 |
| 1982093480 | Southeastern Orthopedic Surgical Pa, LLC | Physician Assistant | 2801 N Decatur Rd, Suite 200, Decatur, GA 30033-5949 | 2015-01-21 |
| 1538586995 | Dekalb Gpo LLC | Family Medicine | 2801 N Decatur Rd, Suite 200, Decatur, GA 30033-5949 | 2014-03-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922613785 | Healing Minds, Helping Hearts, LLC | Social Worker | 2532 N Decatur Rd, Apt 1304, Decatur, GA 30033 | 2020-09-09 |
| 1700412517 | Delana Finney | Orthotist | Vamc - Atlanta, 1670 Clairmont Rd, Decatur, GA 30033 | 2020-03-13 |
| 1194389353 | Katherine Serafen | Physician Assistant | 2701 N Decatur Road, Ground Floor Suite 520, Decatur, GA 30033 | 2019-04-23 |
| 1194290973 | Suzanne Johnson | Psychologist | Atlanta Va Health Care System, 1670 Clairmont Rd, Decatur, GA 30033 | 2018-10-09 |
| 1245705334 | Mcleod Counseling Services, LLC | Clinic/Center | 2801 N. Decatur Rd, Suite 185, Decatur, GA 30033 | 2018-10-04 |
| 1225514797 | Erkin Mirkhatovich Turganov | Pharmacist | 2951 Cedar Brook Dr, Decatur, GA 30033 | 2018-07-17 |
| 1356834972 | Sharlencia Lord | Nurse Practitioner | 2738 N Decatur Rd # 292-3173, Decatur, GA 30033 | 2018-06-08 |
| 1194213140 | Zacarias Yanis Jr. | Clinical Neuropsychologist | 1276 Mcconnell Drive Ste C., Decatur, GA 30033 | 2018-04-25 |
| 1780181370 | Ryan Patton | Orthopaedic Surgery | 2723 Hollywood Dr, Decatur, GA 30033 | 2018-04-10 |
| 1437669751 | Sholanda D Hooper | Nurse Practitioner | 1601 Clairmont Rd, Decatur, GA 30033 | 2017-10-02 |
| Find all providers in zip 30033 | ||||
| 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 |
|---|---|---|---|---|
| 1780181370 | Ryan Patton | Orthopaedic Surgery | 2723 Hollywood Dr, Decatur, GA 30033 | 2018-04-10 |
| 1689964280 | Saif U Zaman | Orthopaedic Surgery | 505 Irvin Ct Ste 200, Decatur, GA 30030-1780 | 2011-04-15 |
| 1740485317 | Georgia Knee & Sports Medicine | Orthopaedic Surgery | 2801 N Decatur Road, Decatur, GA 30033-5949 | 2007-06-15 |
| 1063553741 | Sportsmed Orthopaedic Specialists, P.C. | Orthopaedic Surgery | 2506 Danville Rd Sw Ste 202, Decatur, AL 35603-4232 | 2007-02-08 |
| 1336109867 | Orthopaedics Northeast, PC | Orthopaedic Surgery | 805 High St, Decatur, IN 46733-2324 | 2006-03-27 |
| 1245205020 | Julio Petilon | Orthopaedic Surgery | 2801 N Decatur Rd Ste 200, Decatur, GA 30033 | 2006-02-23 |
| 1437130986 | Fitzgerald Orthopaedics, P.C. | Orthopaedic Surgery | 203 N 12th St, Decatur, IN 46733-1554 | 2005-11-10 |
| 1891782918 | Lawrence A. Bircoll | Orthopaedic Surgery | 487 Winn Way, Suite 100, Decatur, GA 30030-1735 | 2005-10-04 |
| 1073500401 | James B. Madeley | Orthopaedic Surgery | 2680 Lawrenceville Hwy, Suite 100, Decatur, GA 30033-2526 | 2005-09-30 |
| 1811993405 | John C. Kefalas, M.d.,s.c. | Orthopaedic Surgery | 2905 N Main St, Suite G, Decatur, IL 62526-4276 | 2005-06-28 |
| Find all providers in DECATUR | ||||
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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.