DR. THOMAS CHACKO


Address: 1360 Upper Hembree Rd, Suite 201, Roswell, GA 30076-1146
Phone: 7704753361

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207KA0200X Allergy & Immunology
Specialization: Allergy
59383 GA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
GA GEORGIA MEDICAL LICENSE 59383 01

Other Providers THOMAS CHACKO

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

Office Location

Street Address 1360 UPPER HEMBREE RD
SUITE 201
City ROSWELL
State GA
Zip Code 30076-1146

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207KA0200X
Grouping Allopathic & Osteopathic Physicians
Classification Allergy & Immunology
Specialization Allergy

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

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
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Competitor

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City ROSWELL
Zip Code 30076

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Dataset Information

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.

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