DR. MARY JOHN NINAN (NPI# 1356533145) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356533145 |
| Entity Type | Individual |
| Full Name | DR. MARY JOHN NINAN |
| Credential | M.D |
| Practice Address |
6300 Hospital Pkwy Ste 300 Johns Creek GA 30097-1982 |
| Mailing Address |
1835 Savoy Dr Ste 300 Atlanta GA 30341-1071 |
| Practice Telephone | 7706238965 |
| Practice Fax Number | 7706234018 |
| Mailing Telephone | 6785666995 |
| Mailing Fax Number | 6785660346 |
| Enumeration Date | 2007-08-15 |
| Last Update Date | 2020-08-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
058551 | GA | Allopathic & Osteopathic Physicians |
| N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
N7955 | TX | Allopathic & Osteopathic Physicians |
| N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
43128 | TX | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 003158193C | 05 | |
| GA | 003158193D | 05 | |
| GA | MEDICARE PTAN | G10127A | 01 |
| Street Address |
6300 HOSPITAL PKWY STE 300 |
| City | JOHNS CREEK |
| State | GA |
| Zip Code | 30097-1982 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154443091 | Karthi Subbannan | Internal Medicine | 6300 Hospital Pkwy Ste 300, Johns Creek, GA 30097-1982 | 2007-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659986057 | Herman Medical Solutions, LLC | Internal Medicine | 10700 Medlock Bridge Road, Suite 207, Duluth, GA 30097 | 2020-09-11 |
| 1649808619 | Kirsty Amber Ramirez | Behavior Technician | 218 Premiere Pkwy #500, Duluth, GA 30097 | 2020-03-27 |
| 1386277820 | Cristina Madalina Niculas | Pharmacist | Kroger Pharmacy 476, 6555 Sugarloaf Parkway, Duluth, GA 30097 | 2020-02-12 |
| 1619514924 | Opesdei Health Solutions | Home Health Aide | 6615 Abbotts Bridge Road, 6615 Abbotts Bridge Road Unit 1111, Johns Creek, GA 30097 | 2019-12-05 |
| 1700422979 | Ria Alexander | Nurse Practitioner | 6300 Hospital Parkway Ste 300, Johns Creek, GA 30097 | 2019-11-22 |
| 1043867765 | Mosesal Zakia White | Nurse Practitioner | 10680 Medlock Bridge Rd #102, Johns Creek, GA 30097 | 2019-08-19 |
| 1982187068 | Lighthouse Clinical Counseling, LLC | Counselor | 3883 Rogers Bridge Road, Suite 601, Duluth, GA 30097 | 2018-09-13 |
| 1376025643 | Faithe Beanne Kimsey | Counselor | 3883 Rogers Bridge Road Nw, Suite 601, Duluth, GA 30097 | 2018-09-04 |
| 1306330303 | Denise Jackson | Prosthetist | 11720 Medlock Bridge Rd Ste 155, Johns Creek, GA 30097 | 2018-06-21 |
| 1407363328 | Berkeley Van Dyke | Physical Therapist | 6335 Hospital Pkwy Ste 316, Johns Creek, GA 30097 | 2017-12-30 |
| Find all providers in zip 30097 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154443091 | Karthi Subbannan | Internal Medicine | 6300 Hospital Pkwy Ste 300, Johns Creek, GA 30097-1982 | 2007-04-04 |
| 1588625099 | Mohan K Krishnamachary | Internal Medicine | 6300 Hospital Pkwy, Suite 300, Johns Creek, GA 30097-1828 | 2006-04-01 |
| 1780662361 | Stephen M Szabo | Internal Medicine | 6300 Hospital Pkwy, Suite 300, Johns Creek, GA 30097-1828 | 2006-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881212553 | Tennessee Oncology, Pllc | Internal Medicine | 4645 Battlefield Pkwy, Ringgold, GA 30736-8011 | 2020-07-09 |
| 1265077234 | Hannah Alexis Tunks | Internal Medicine | 1504 N Thornton Ave Ste 102, Dalton, GA 30720-8394 | 2019-11-13 |
| 1538669296 | Nizar Jacques J Bahlis | Internal Medicine | Winship Cancer Institute 1365 Clifton Rd Building C, Atlanta, GA 30322-0001 | 2018-02-19 |
| 1831519891 | Arelis Salas Robinson | Internal Medicine | 1700 Tree Ln Ste 490, Snellville, GA 30078-6756 | 2014-04-17 |
| 1386063964 | Harpaul Gill | Internal Medicine | 3400c Old Milton Pkwy Ste 400, Alpharetta, GA 30005-4438 | 2014-04-10 |
| 1144664251 | Cancer Center of Middle Georgia, LLC | Internal Medicine | 2400 Bellevue Road, Suite 26 Erin Office Park, Dublin, GA 31021-2989 | 2013-04-19 |
| 1942588918 | Gustavo Figueiredo Marcondes Westin | Internal Medicine | 3320 Old Jefferson Road, Bldg 700, Athens, GA 30607 | 2011-07-25 |
| 1598085193 | Mehmet Asim Bilen | Internal Medicine | Winship Cancer Institute of Emory University, 1365c Clifton Road, Atlanta, GA 30322-0001 | 2010-06-04 |
| 1336477934 | Satilla Cancer Treatment Centers, LLC | Internal Medicine | 2406 Bellevue Avenue, #7, Dublin, GA 31021-0000 | 2009-11-20 |
| 1770722431 | Satilla Regional Cancer Treatment Center | Internal Medicine | 101 Seymour Ave, Douglas, GA 31533-1917 | 2009-02-19 |
| Find all providers with the same taxonomy | ||||
| City | JOHNS CREEK |
| Zip Code | 30097 |
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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.