INNOVMD LLC (NPI# 1366904674) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366904674 |
| Entity Type | Organization |
| Organization Name | INNOVMD LLC |
| Practice Address |
304 Turner Mccall Blvd Sw Rome GA 30165-5621 |
| Mailing Address |
3 Central Plz # 353 Rome GA 30161-3233 |
| Practice Telephone | 5163018155 |
| Mailing Telephone | 5163018155 |
| Mailing Fax Number | 4043935986 |
| Enumeration Date | 2019-04-04 |
| Last Update Date | 2019-09-27 |
| Authorized Official Name | DR. AMARABALAN RAJENDRAN (PRESIDENT) |
| Authorized Official Telephone | 5163018155 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | MEDICARE PTAN | 2248 | 01 |
| GA | RRMEDICARE PTAN | DZ3314 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 310 W 10th St Ne, Rome, GA 301652639 | 5163018155 |
| Street Address |
304 TURNER MCCALL BLVD SW |
| City | ROME |
| State | GA |
| Zip Code | 30165-5621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477501047 | Sonya R Collins | Pediatrics | 304 Turner Mccall Blvd Sw, Rome, GA 30165-5621 | 2006-05-05 |
| 1316546013 | Forrest Baker Simpson | Registered Nurse | 304 Turner Mccall Blvd Sw, Rome, GA 30165-5621 | 2020-10-22 |
| 1093324477 | Maggie Brewer | Occupational Therapist | 304 Turner Mccall Blvd Sw, Rome, GA 30165-5621 | 2020-07-30 |
| 1225646458 | Carril Safia Alexander | Nurse Practitioner | 304 Turner Mccall Blvd Sw, Rome, GA 30165-5621 | 2020-07-14 |
| 1164049656 | Kim Carlos Farmer | Nurse Practitioner | 304 Turner Mccall Blvd Sw, Rome, GA 30165-5621 | 2020-06-30 |
| 1497370506 | Nathan Henry | Student in an Organized Health Care Education/Training Program | 304 Turner Mccall Blvd Sw, Rome, GA 30165-5621 | 2020-06-15 |
| 1124643291 | Gokhan Emre Taskale | Student in an Organized Health Care Education/Training Program | 304 Turner Mccall Blvd Sw, Rome, GA 30165-5621 | 2020-06-14 |
| 1962027037 | Adriana Delmonico | Student in an Organized Health Care Education/Training Program | 304 Turner Mccall Blvd Sw, Rome, GA 30165-5621 | 2020-06-14 |
| 1295350494 | Edward Lawson Held | Student in an Organized Health Care Education/Training Program | 304 Turner Mccall Blvd Sw, Rome, GA 30165-5621 | 2020-06-12 |
| 1740805951 | Yassmin Shariff | Student in an Organized Health Care Education/Training Program | 304 Turner Mccall Blvd Sw, Rome, GA 30165-5621 | 2020-06-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346868775 | Heather Bowman | Physical Therapist | 600 Eagle, E Lake Dr, Rome, GA 30165 | 2020-07-13 |
| 1205451101 | Kristopher Nelson | Student in an Organized Health Care Education/Training Program | 4256, 304 Shorter Ave Nw #201, Rome, GA 30165 | 2020-06-16 |
| 1962061457 | Stuart Paul Shaklee | Occupational Therapy Assistant | 1356 Redmond Road, Rome, GA 30165 | 2019-06-10 |
| 1386001055 | Autumn Streetman | Counselor | 6 Mathis Drive, Rome, GA 30165 | 2016-01-26 |
| 1144695784 | Gabrador Milligan | Counselor | 6 Mathis Road, Rome, GA 30165 | 2015-12-08 |
| 1386041952 | Theresa Suits | Registered Nurse | 1 Woodbine Avenue, Rome, GA 30165 | 2014-11-26 |
| 1942561147 | Nicole C. Christian | Clinical Neuropsychologist | 305 Redmond Rd, Rome, GA 30165 | 2012-06-04 |
| 1679832711 | Niki Pareshkumar Bhavsar | Internal Medicine | 3041 Turner Mccall Blvd, Rome, GA 30165 | 2012-05-10 |
| 1285927491 | Amanda Fischer Reeves | Family Medicine | 304 Shorter Ave Nw Ste 102, Rome, GA 30165 | 2011-05-20 |
| 1033436647 | Northland Hearing Centers, Inc. | Hearing Instrument Specialist | 4 Coosawattee Ave, Rome, GA 30165 | 2010-04-23 |
| Find all providers in zip 30165 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| 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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518223718 | Asmitha Kathleen Sathiyakumar | Anesthesiology | 550 Redmond Rd Nw, Rome, GA 30165-1416 | 2012-04-02 |
| 1477668895 | Emmanuel G Nebab | Anesthesiology | 1500 N James St, Rome, NY 13440-2844 | 2006-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093331423 | Premier Healthcare Center Corp | Anesthesiology | 4153 Flat Shoals Pkwy Ste 102, Decatur, GA 30034-4106 | 2020-06-22 |
| 1205457710 | Urgent Pain Management, Inc | Anesthesiology | 1001 Virginia Ave, Hapeville, GA 30354-1328 | 2020-05-06 |
| 1831710854 | Md Pain Care, P.C. | Anesthesiology | 333 Alcovy St Ste 3, Monroe, GA 30655-2180 | 2020-04-30 |
| 1295356210 | Md Pain Care, P.C. | Anesthesiology | 5109 Highway 278 Ne Ste C, Covington, GA 30014-2608 | 2020-04-30 |
| 1407475296 | Georgia Injury & Pain Specialists | Anesthesiology | 7001 Hodgson Memorial Dr Ste 5, Savannah, GA 31406-2549 | 2020-04-11 |
| 1023645629 | Nexus Pain Center of Lagrange LLC | Anesthesiology | 1075 Lafayette Pkwy Ste 230, Lagrange, GA 30241-3734 | 2020-03-24 |
| 1255820502 | Georgia Pain and Spine Solutions, PC | Anesthesiology | 76 Highland Pavilion Court, #133, Hiram, GA 30141-3170 | 2018-05-02 |
| 1336527191 | Palmetto Pain Management of Ga, LLC | Anesthesiology | 5745 Clarion St, Cumming, GA 30040-0305 | 2015-05-13 |
| 1033546999 | Pain Management Specialists of Atlanta P C | Anesthesiology | 616a S 8th St, Suite A, Griffin, GA 30224-4214 | 2013-10-08 |
| 1649615584 | Nj Medical Services PC | Anesthesiology | 1016 Thompson Bridge Rd, Gainesville, GA 30501-1704 | 2013-05-06 |
| Find all providers with the same taxonomy | ||||
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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.