DR. THOMAS CHACKO (NPI# 1356443089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1356443089 |
Entity Type | Individual |
Full Name | DR. THOMAS CHACKO |
Credential | MD |
Practice Address |
1360 Upper Hembree Rd Suite 201 Roswell GA 30076-1146 |
Mailing Address |
3333 Old Milton Pkwy Ste 520 Alpharetta GA 30005-4626 |
Practice Telephone | 7704753361 |
Practice Fax Number | 7706644431 |
Mailing Telephone | 2672263181 |
Mailing Fax Number | 8888231934 |
Enumeration Date | 2006-09-02 |
Last Update Date | 2020-07-13 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207KA0200X |
Allergy & Immunology Specialization: Allergy |
59383 | GA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | GEORGIA MEDICAL LICENSE | 59383 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033757216 | Thomas Geevarghese Chacko | Physical Therapist | 785 Mamaroneck Ave, White Plains, NY 10605-2523 | 2019-12-18 |
1023224888 | Thomas Kaysee Chacko | Radiology | 736 Irving Ave, Syracuse, NY 13210-1687 | 2007-05-15 |
Street Address |
1360 UPPER HEMBREE RD SUITE 201 |
City | ROSWELL |
State | GA |
Zip Code | 30076-1146 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215928239 | Jennifer L. Tirino | Otolaryngology | 1360 Upper Hembree Rd, Suite 101, Roswell, GA 30076-1171 | 2005-10-31 |
1447698964 | Georgia Northside Ear, Nose and Throat, LLC | Otolaryngology | 1360 Upper Hembree Rd, Suite 201, Roswell, GA 30076-1171 | 2013-06-06 |
1164664595 | Alpharetta Head and Neck Surgical Center, LLC | Clinic/Center | 1360 Upper Hembree Rd, Suite 202, Roswell, GA 30076-1171 | 2009-03-31 |
1699945311 | Thomas A. Johnson, Dds | Dentist | 1360 Upper Hembree Rd, Suite 201, Roswell, GA 30076-1146 | 2008-03-10 |
1932312154 | Judy Spears | Audiologist | 1360 Upper Hembree Rd, 201, Roswell, GA 30076-1146 | 2007-05-07 |
1326251588 | Lesa Kagan | Audiologist | 1360 Upper Hembree Rd, Suite 201, Roswell, GA 30076-1146 | 2007-05-07 |
1437290004 | Kshitij Vipin Majmundar | Specialist | 1360 Upper Hembree Rd, Suite 201, Roswell, GA 30076-1146 | 2007-02-08 |
1821144221 | Alpharetta Women's Specialists | Obstetrics & Gynecology | 1360 Upper Hembree Rd, Suite # 101, Roswell, GA 30076-1146 | 2007-01-26 |
1013071273 | Northside Ear, Nose & Throat, PC | Allergy & Immunology | 1360 Upper Hembree Rd, 201, Roswell, GA 30076-1171 | 2006-12-21 |
1316032881 | Samuel Lorenzo | Emergency Medicine | 1360 Upper Hembree Rd, Suite 100, Roswell, GA 30076-1171 | 2006-10-03 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689275505 | Apex Spine and Neurosurgery LLC | Neurological Surgery | 1295 Hembree Rd Ste 200 Bldg B, Roswell, GA 30076 | 2020-11-06 |
1841776689 | Scott Gunter Brunson | Hearing Instrument Specialist | 777 Old Roswell Pl # E100, Roswell, GA 30076 | 2018-07-16 |
1861998197 | Daniel B Charek | Clinical Neuropsychologist | 11685 Alpharetta Hwy Ste 170, Roswell, GA 30076 | 2018-04-04 |
1427575554 | A One Home Care, Inc. | In Home Supportive Care | 1875 Old Alabama Road, Suite 420, Roswell, GA 30076 | 2017-08-29 |
1053836023 | Madelon Morgan | Counselor | 555 Sun Valley Dr Bldg F, Roswell, GA 30076 | 2017-08-10 |
1245769637 | Family Behavioral Health, LLC | Clinic/Center | 9275 Martin Rd, Roswell, GA 30076 | 2017-06-08 |
1093163750 | Ryann Soutar | Counselor | 702 Macy Dr, Roswell, GA 30076 | 2016-06-02 |
1447618707 | Concierge Medical Mgmt Group | Contractor | 760 Old Roswell Rd Ste 117, Roswell, GA 30076 | 2016-02-02 |
1063877710 | Augustine Young | Community/Behavioral Health | 427 Royal Creek Dr, Roswell, GA 30076 | 2015-12-23 |
1710360441 | Currents Massage LLC | Massage Therapist | 760 Old Roswell Road, Suite 230, Roswell, GA 30076 | 2015-06-30 |
Find all providers in zip 30076 |
Taxonomy Code | 207KA0200X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Allergy & Immunology |
Specialization | Allergy |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134749211 | Northeast Georgia Physicians Group, Inc. | Allergy & Immunology | 1515 River Pl Ste 380, Braselton, GA 30517-5605 | 2020-04-20 |
1215597828 | The Coble Group, LLC | Allergy & Immunology | 3875 Roland Hayes Pkwy Sw, Calhoun, GA 30701-7501 | 2019-06-17 |
1932683083 | Quick Care Diagnostics LLC | Allergy & Immunology | 4760 Austell Rd Ste 7, Austell, GA 30106-2007 | 2018-09-24 |
1679075873 | Atlanta Wide Mobile Testing, LLC | Allergy & Immunology | 2215 Cheshire Bridge Rd Ne Ste C, Atlanta, GA 30324-4234 | 2018-03-02 |
1669986709 | Thomas Chacko M.d. P.c | Allergy & Immunology | 330 Newcastle Dr, Alpharetta, GA 30009-7162 | 2017-11-28 |
1053868083 | Savannah Respiratory and Allergy Associates, P.C. | Allergy & Immunology | 1 Mulberry Bluff Dr, Savannah, GA 31406-3270 | 2016-09-07 |
1356616338 | Eleven 11 Medical Management, LLC | Allergy & Immunology | 438 Henry Ford II Ave, Hapeville, GA 30354-1622 | 2012-03-09 |
1972871960 | Haeja K. Jung | Allergy & Immunology | 9175 Etching Overlook, Johns Creek, GA 30097 | 2011-12-06 |
1295012631 | Southeast Asthma and Allergy Center, PC | Allergy & Immunology | 511 Gordon Ave, Thomasville, GA 31792-6645 | 2011-11-14 |
1225340540 | Adesh D. Patel | Allergy & Immunology | 3300 Old Milton Pkwy Ste 125, Alpharetta, GA 30005-2426 | 2010-07-02 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on DR. THOMAS CHACKO.
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.