MARY M FELDMAN (NPI# 1396767893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396767893 |
| Entity Type | Individual |
| Full Name | MARY M FELDMAN |
| Credential | MD |
| Practice Address |
100 Professional Pl Suite 110 Carrollton GA 30117-3874 |
| Mailing Address |
3707 Randall Mill Rd Nw Atlanta GA 30327-2713 |
| Practice Telephone | 7708340818 |
| Mailing Telephone | 5042315544 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2017-04-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | 2003004218 | MO | Allopathic & Osteopathic Physicians |
| Y | 207ND0900X |
Dermatology Specialization: Dermatopathology |
69403 | GA | Allopathic & Osteopathic Physicians |
| N | 207ZD0900X |
Pathology Specialization: Dermatopathology |
2003004218 | MO | Allopathic & Osteopathic Physicians |
| N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
2003004218 | MO | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346440286 | Mary Fisher Feldman | Physician Assistant | N-839 Doan Hall 410 West 10th Ave., Osu Thoracic Surgery, Columbus, OH 43210-1240 | 2007-07-19 |
| 1902021165 | Mary E Feldman | Marriage & Family Therapist | 800 Rockmead Dr Ste 163, Kingwood, TX 77339-2194 | 2007-04-14 |
| 1003074691 | Mary S Feldman | Psychiatry & Neurology | 30 E Apple St Ste 5254a, Dayton, OH 45409 | 2008-05-30 |
| Street Address |
100 PROFESSIONAL PL SUITE 110 |
| City | CARROLLTON |
| State | GA |
| Zip Code | 30117-3874 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356341614 | Guy Harris Langlo | Podiatrist | 100 Professional Pl, Suite 101, Carrollton, GA 30117-3874 | 2005-07-28 |
| 1699215541 | Mary M Feldman Md LLC | Clinic/Center | 100 Professional Pl, Ste 110, Carrollton, GA 30117-3874 | 2017-02-26 |
| 1447798822 | Cristal Rush | Nurse Practitioner | 100 Professional Pl, Ste 204, Carrollton, GA 30117-3874 | 2017-02-06 |
| 1952854572 | Hannah Pollard | Nurse Practitioner | 100 Professional Pl, #202, Carrollton, GA 30117-3874 | 2016-07-31 |
| 1003082363 | Sheila Reece Walls | Nurse Practitioner | 100 Professional Pl, Suite 104, Carrollton, GA 30117-3874 | 2008-05-06 |
| 1316111412 | Stephen Christopher Dudley | Psychiatry & Neurology | 100 Professional Pl, 303, Carrollton, GA 30117-3874 | 2008-04-18 |
| 1972774412 | Alexander Meski Md PC | Psychiatry & Neurology | 100 Professional Pl, Suite 301, Carrollton, GA 30117-3874 | 2008-03-12 |
| 1538369335 | Thomas H. Lamb, Md, PC | Dermatology | 100 Professional Pl, Suite 110, Carrollton, GA 30117-3874 | 2007-07-19 |
| 1023225596 | Crng,llc | Internal Medicine | 100 Professional Pl, Suite 303, Carrollton, GA 30117-3874 | 2007-05-16 |
| 1548488216 | Charles Michael Morley | Nurse Practitioner | 100 Professional Pl, Suite 207, Carrollton, GA 30117-3874 | 2007-04-20 |
| 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 | 207ND0900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | Dermatopathology |
| A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes. |
| 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 Dermatology, 2007. http://www.abderm.org/; American Osteopathic Board of Dermatology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Dermatology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285613307 | Robert W Wetherington | Dermatology | 2000 Lake Park Dr Se, Smyrna, GA 30080-7611 | 2006-01-17 |
| 1467431940 | Narayan S Naik | Dermatology | 1200 Lake Hearn Dr Ne, Suite300, Atlanta, GA 30319-1415 | 2006-01-12 |
| 1518967918 | Marian C. Finan | Dermatology | 1200 Lake Hearn Drive, Suite 300, Atlanta, GA 30319 | 2005-07-28 |
| 1396243630 | Bakotic Pathology Associates, LLC | Dermatology | 6240 Shiloh Rd, Alpharetta, GA 30005-8347 | 2018-01-31 |
| 1366862203 | Parisa Mansoori | Dermatology | 1901 Phoenix Blvd Ste 210, Atlanta, GA 30349 | 2014-04-18 |
| 1841632783 | Dermpath and Derm Consultants | Dermatology | 1428 Scott Blvd, Decatur, GA 30030-1424 | 2013-07-19 |
| 1689019184 | Abha Soni | Dermatology | 2000 Lake Park Dr Se, Smyrna, GA 30080-7611 | 2013-05-09 |
| 1053565580 | Johns Creek Dermatology and Family Medicine, P.C. | Dermatology | 6300 Hospital Pkwy, Ste 100, Johns Creek, GA 30097 | 2008-11-11 |
| 1679751978 | Zlatan Oruc | Dermatology | 1777 Montreal Cir, Tucker, GA 30084-6802 | 2008-02-08 |
| 1780803098 | Jill Buckthal-mccuin | Dermatology | 1000 Cowles Clinc Way, Aspen Cottages, Greensboro, GA 30642-5285 | 2007-04-25 |
| Find all providers with the same taxonomy | ||||
| City | CARROLLTON |
| Zip Code | 30117 |
Please comment or provide details below to improve the information on MARY M FELDMAN.
| 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.