CARROLLTON ORTHOPAEDIC CLINIC PC (NPI# 1356483747) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356483747 |
| Entity Type | Organization |
| Organization Name | CARROLLTON ORTHOPAEDIC CLINIC PC |
| Practice Address |
150 Clinic Ave Suite 101 Carrollton GA 30117-4401 |
| Practice Telephone | 7708340873 |
| Mailing Telephone | 7708340873 |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2013-02-12 |
| Authorized Official Name | RALPH E FLECK JR. (PHYSICIAN) |
| Authorized Official Telephone | 7708340873 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | 16340 | GA | Allopathic & Osteopathic Physicians |
| N | 208100000X | Physical Medicine & Rehabilitation | 055277 | GA | Allopathic & Osteopathic Physicians |
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
048440 | GA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912367111 | Carrollton Orthopaedic Clinic PC | Pharmacy | 812 S Park St Ste 3, Carrollton, GA 30117-4412 | 2016-03-01 |
| 1013376490 | Carrollton Orthopaedic Clinic PC | Pharmacy | 204 Allen Memorial Dr Ste 102, Bremen, GA 30110-2063 | 2016-02-15 |
| 1043670243 | Carrollton Orthopaedic Clinic PC | Pharmacy | 705 Dallas Hwy Ste 301, Villa Rica, GA 30180-1243 | 2016-03-01 |
| 1033579230 | Carrollton Orthopaedic Clinic PC | Pharmacy | 150 Clinic Ave Ste 101, Carrollton, GA 30117-4402 | 2016-03-01 |
| Street Address |
150 CLINIC AVE SUITE 101 |
| City | CARROLLTON |
| State | GA |
| Zip Code | 30117-4401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851394837 | Ki-hon Lin | Orthopaedic Surgery | 150 Clinic Ave, Ste 101, Carrollton, GA 30117-4401 | 2005-05-24 |
| 1518413475 | Nicollette Mckinnon | Nurse Practitioner | 150 Clinic Ave, Suite 201, Carrollton, GA 30117-4401 | 2016-08-31 |
| 1265812531 | Emily M James | Audiologist | 150 Clinic Ave, Suite 201, Carrollton, GA 30117 | 2015-06-02 |
| 1275929184 | Wguas, LLC | Urology | 150 Clinic Ave, Suite 202, Carrollton, GA 30117-4401 | 2015-04-08 |
| 1083011704 | Melanie Jordan | Orthopaedic Surgery | 150 Clinic Ave, Suite 101, Carrollton, GA 30117-4401 | 2014-11-24 |
| 1235477571 | Jason Allen Peal | Specialist/Technologist, Other | 150 Clinic Ave, 101, Carrollton, GA 30117-4401 | 2013-01-22 |
| 1205158383 | David Allen Scruggs | Physician Assistant | 150 Clinic Ave, Suite 101, Carrollton, GA 30117-4401 | 2010-02-17 |
| 1114185840 | Shomari Andre Ruffin | Orthopaedic Surgery | 150 Clinic Ave, Suite 101, Carrollton, GA 30117-4401 | 2008-05-29 |
| 1427216449 | Taylor Brandon Cates | Orthopaedic Surgery | 150 Clinic Ave, Suite 101, Carrollton, GA 30117-4401 | 2008-05-27 |
| 1598922106 | Felicia G Thomas | Audiologist | 150 Clinic Ave, Suite 201, Carrollton, GA 30117-4401 | 2008-05-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679199392 | Southern Rad Onc LLC | Radiology | 809 South Park Street, Carrollton, GA 30117 | 2020-06-18 |
| 1093361404 | Eyedeal Eyecare LLC | Optometrist | 1735 S Us 27, Carrollton, GA 30117 | 2019-08-12 |
| 1710412473 | Janis James | Optometrist | 1735 S, Us-27, Walmart Vision Center, Carrollton, GA 30117 | 2017-05-01 |
| 1568881951 | Omar Hajmurad | Anesthesiology | 812 S Park St Ste 5, Carrollton, GA 30117 | 2014-04-14 |
| 1134550353 | Goodbodys Minor Med Express Care | Nurse Practitioner | 1670 South Park St., Carrollton, GA 30117 | 2013-12-13 |
| 1306187570 | Myriam C Vela-ortiz | Internal Medicine | 157 Clinic Ave Ste 203, Carrollton, GA 30117 | 2013-03-12 |
| 1891030201 | Air Evac Ems, Inc. | Ambulance | 827 Old Bremen Rd, Carrollton, GA 30117 | 2012-12-11 |
| 1952682486 | Angelic Wings Transport, Inc. | Non-emergency Medical Transport (VAN) | 362 B Columbia Drive, Carrollton, GA 30117 | 2011-08-29 |
| 1073819256 | Atlanta Prosthetics & Orthotics, Inc. | Durable Medical Equipment & Medical Supplies | 812 South Park Street, Suite 2, Carrollton, GA 30117 | 2011-02-04 |
| 1255640348 | Amy Gilbert | Counselor | 515 Tanner St, Carrollton, GA 30117 | 2010-10-06 |
| Find all providers in zip 30117 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831366038 | Anita Mathew | Internal Medicine | 2008 E Hebron Pkwy Ste 100, Carrollton, TX 75007 | 2008-05-15 |
| 1982653127 | Mohan Penmetcha, M.d., P.a. | Internal Medicine | 2008 E Hebron Pkwy, Suite 100, Carrollton, TX 75007-1602 | 2006-05-07 |
| 1356903595 | Dallas Rheumatology Pllc | Internal Medicine | 2008 E Hebron Pkwy Ste 100, Carrollton, TX 75007-1601 | 2019-07-08 |
| 1437344603 | Angela Oanh Pham | Internal Medicine | 905 Dixie St, Carrollton, GA 30117-4417 | 2007-09-11 |
| 1477505980 | John M Joseph | Internal Medicine | 2008 E Hebron Pkwy, Suite 100, Carrollton, TX 75007-1602 | 2006-05-16 |
| 1578514667 | Mohan Penmetcha | Internal Medicine | 2008 E Hebron Pkwy, Suite 100, Carrollton, TX 75007-1602 | 2006-05-13 |
| 1609825843 | John M. Joseph, M.d., P.a. | Internal Medicine | 2008 E Hebron Pkwy, Suite 100, Carrollton, TX 75007-1602 | 2006-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154954758 | James Clark | Internal Medicine | 1409 Satilla Blvd, Waycross, GA 31501-4322 | 2020-02-21 |
| 1609428325 | Duluth Regenerative and Joint Institute LLC | Internal Medicine | 4181 Pleasant Hill Rd Ste 150, Duluth, GA 30096-6387 | 2019-07-12 |
| 1629464805 | Articularis Healthcare Group Inc. | Internal Medicine | 961 Smoky Mountain Springs Ln Ne Ste A, Gainesville, GA 30501-2418 | 2015-04-14 |
| 1013312040 | Heart of Georgia Rheumatology LLC | Internal Medicine | 1508 Hardeman Ave Ste A, Macon, GA 31201-1471 | 2014-11-04 |
| 1770922072 | Suzana Alex John | Internal Medicine | 247 Whitehead Biomedical Research Bldg 615 Michael St, Atlanta, GA 30322 | 2013-06-19 |
| 1083960447 | Taik Kim | Internal Medicine | 11685 Alpharetta Hwy Ste 120, Roswell, GA 30076-4910 | 2012-08-02 |
| 1851655518 | Romy Nicolas Abou Mrad | Internal Medicine | 1659 Briarcliff Rd Ne, Appartment # 1302, Atlanta, GA 30306-2119 | 2012-06-27 |
| 1881960383 | Manmohan Gupta M.d., P.C. | Internal Medicine | 770 Pine St., Suite 440, Macon, GA 31201-7599 | 2012-03-29 |
| 1669744769 | Padmanaidu Karnam | Internal Medicine | 1622 Mars Hill Rd Ste C, Watkinsville, GA 30677-4893 | 2012-02-03 |
| 1043517683 | Jatin Patel | Internal Medicine | 11685 Alpharetta Highway, Suite 120, Roswell, GA 30076 | 2011-02-17 |
| Find all providers with the same taxonomy | ||||
| City | CARROLLTON |
| Zip Code | 30117 |
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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.