DR. SUHAS JOE SAMUEL (NPI# 1356632962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1356632962 |
Entity Type | Individual |
Full Name | DR. SUHAS JOE SAMUEL |
Credential | M.D. |
Practice Address |
101 Yorktown Dr Suite 110 Fayetteville GA 30214-1578 |
Practice Telephone | 6783645400 |
Mailing Telephone | 6783645400 |
Enumeration Date | 2011-04-29 |
Last Update Date | 2017-03-17 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
072465 | GA | Allopathic & Osteopathic Physicians |
Street Address |
101 YORKTOWN DR SUITE 110 |
City | FAYETTEVILLE |
State | GA |
Zip Code | 30214-1578 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902856115 | Dawn Leilani Paletta | Physician Assistant | 101 Yorktown Dr, Fayetteville, GA 30214-1568 | 2006-05-10 |
1710385513 | Privia Pediatric Medical Group of Georgia LLC | Pediatrics | 101 Yorktown Dr, Fayetteville, GA 30214-1578 | 2014-12-10 |
1013313857 | Privia Medical Group of Georgia LLC | Internal Medicine | 101 Yorktown Dr, Fayetteville, GA 30214-1578 | 2014-11-05 |
1730580010 | Wendy E Swayne | Nurse Practitioner | 101 Yorktown Dr, Suite 100, Fayetteville, GA 30214-1578 | 2014-09-05 |
1275965634 | Megan Michelle Hanse | Nurse Practitioner | 101 Yorktown Dr, Suite 110, Fayetteville, GA 30214-1578 | 2013-08-07 |
1316298870 | Michael Allen Mccullough | Nurse Practitioner | 101 Yorktown Dr, Fayetteville, GA 30214-1578 | 2012-09-25 |
1407143852 | Alaina D'amato Burran | Physician Assistant | 101 Yorktown Dr, Suite 207, Fayetteville, GA 30214-1578 | 2011-07-06 |
1932416617 | Gina D Wise | Technician/Technologist | 101 Yorktown Dr, Suite 225, Fayetteville, GA 30214-1568 | 2010-09-02 |
1184948549 | Mukti Bhatia Kanji | Family Medicine | 101 Yorktown Dr, Suite 100, Fayetteville, GA 30214-1568 | 2010-03-15 |
1306010152 | Georgia Rehabilitation Center Inc | Clinic/Center | 101 Yorktown Dr, Suite 211, Fayetteville, GA 30214-1568 | 2008-04-14 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548872468 | Phyllis Kelly Wood | Nurse Practitioner | 217 Banks Rd, Suite 31, Fayetteville, GA 30214 | 2020-08-21 |
1073139317 | Tyisha Salter Scott | Counselor | 110 Habersham Drive, Suite 142, Fayetteville, GA 30214 | 2020-06-23 |
1194341412 | Camille Franncine Bolton | Physical Therapist | 500 Floy Farr Parkway, Suite 303, Fayetteville, GA 30214 | 2020-06-23 |
1205465895 | Gillian Vaughan Heard | Physician Assistant | 1275 Ga-54 #201, Fayetteville, GA 30214 | 2020-04-06 |
1881234557 | Peach Fits,inc | Mastectomy Fitter | 285 Glynn Street South, Suites 102 and 104, Fayetteville, GA 30214 | 2020-01-10 |
1255981072 | Delta Healthcare Providers | Clinic/Center | 1275 W Lanier Ave, #200, Fayetteville, GA 30214 | 2019-09-13 |
1861965592 | Hierarchy for Wellness | Specialist | 805 S Glynn St Bldg 127 142, Fayetteville, GA 30214 | 2019-01-04 |
1356810634 | Fayette Dental Group PC | Clinic/Center | 720 W Lanier Ave, Fayetteville, GA 30214 | 2018-11-16 |
1891263299 | Mattie Mae Farmer Clark | Specialist/Technologist, Other | Piedmont Fayette Hospital, 1255 Highway 54 West, Fayetteville, GA 30214 | 2018-11-05 |
1093293607 | Allyson Holland | Pharmacist | 880 Highway 85 South, Fayetteville, GA 30214 | 2018-08-06 |
Find all providers in zip 30214 |
Taxonomy Code | 207QS0010X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Specialization | Sports Medicine |
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
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 Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508283995 | Larry Balle II | Family Medicine | 3900 N Parkview Dr, Fayetteville, AR 72703-6398 | 2014-03-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306108279 | Casey Wagner | Family Medicine | 7813 Spivey Station Blvd Ste 220, Jonesboro, GA 30236 | 2012-06-15 |
1831422682 | Koji Nishimura | Family Medicine | Commander, Usameddac and Martin Army Community Hospital, 7950 Martin Loop, Fort Benning, GA 31905 | 2009-09-11 |
1073787305 | Mark James Sakr | Family Medicine | 3400 Old Milton Pkwy Ste C190, Alpharetta, GA 30005-4481 | 2008-04-17 |
1104009059 | Northeast Georgia Physicians Group, Inc. | Family Medicine | 115 Towne Center Pkwy, Suite 113, Hoschton, GA 30548-2213 | 2007-12-14 |
1366549073 | Michael Joseph Huey | Family Medicine | Emory University Student Health Services, 1525 Clifton Road, Atlanta, GA 30322-0001 | 2006-09-17 |
1942234281 | Charles Edward Garten II | Family Medicine | 3200 Downwood Cir Nw Ste 340, Atlanta, GA 30327-1605 | 2006-07-11 |
1477597979 | John M. Henderson Sr. | Family Medicine | 1900 10th Ave Suite 320, Columbus, GA 31901 | 2006-06-15 |
1609843481 | Tracy R Ray | Family Medicine | 1305 Jennings Mill Rd Ste 110, Watkinsville, GA 30677-7241 | 2006-03-01 |
1982679684 | John Michael Buchanan | Family Medicine | 3575 Braselton Hwy, Dacula, GA 30019-1155 | 2006-02-17 |
1770562852 | Neeru Jayanthi | Family Medicine | 6335 Hospital Pkwy Ste 302, Emory Orthopaedics, Sports, Spine, Johns Creek, GA 30097-5712 | 2006-01-17 |
Find all providers with the same taxonomy |
City | FAYETTEVILLE |
Zip Code | 30214 |
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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.