DAVID M KOTZBAUER (NPI# 1396843470) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396843470 |
| Entity Type | Individual |
| Full Name | DAVID M KOTZBAUER |
| Credential | MD |
| Practice Address |
601a Professional Dr Ste 370 Lawrenceville GA 30045 |
| Practice Telephone | 7709950823 |
| Practice Fax Number | 7709957018 |
| Mailing Telephone | 7709950823 |
| Mailing Fax Number | 7709957018 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 047787 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
601A PROFESSIONAL DR STE 370 |
| City | LAWRENCEVILLE |
| State | GA |
| Zip Code | 30045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093295594 | Matthew Hodgens | Physical Therapist | 601a Professional Dr, Suite #120, Lawrenceville, GA 30045 | 2018-08-15 |
| 1649434952 | North Metro Womens's Healthcare P.C. | Obstetrics & Gynecology | 601a Professional Dr, Suite 290, Lawrenceville, GA 30045-3004 | 2008-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285104315 | Shalanda Monique Booker | Counselor | 2940 Emerald Springs Drive, Lawrenceville, GA 30045 | 2018-12-02 |
| 1669957320 | Chantelle S Fuller | Behavioral Analyst | 805 Donington Cir, Lawrenceville, GA 30045 | 2018-09-28 |
| 1356836035 | Gad Health Care LLC | Home Health | 1140 Great Oaks Dr, Lawrenceville, GA 30045 | 2018-06-26 |
| 1346668662 | Eca Optical, LLC | Eyewear Supplier (Equipment, not the service) | 601-a Professional Drive, Ste 170, Lawrenceville, GA 30045 | 2014-04-03 |
| 1598102733 | Selena Fuller | Nurse Practitioner | 181 South Clayton Street, Lawrenceville, GA 30045 | 2013-05-29 |
| 1942555982 | Vida Michele James-bryant | Community Health Worker | 1309 Avington Glen Dr, Lawrenceville, GA 30045 | 2012-07-16 |
| 1770840639 | Rebecca Vinson D'angelo | Occupational Therapist | 1518 Great Shoals Cir, Lawrenceville, GA 30045 | 2012-04-17 |
| 1427346774 | Amanda Michelel Woods | Psychologist | 285 South Perry Street, Lawrenceville, GA 30045 | 2011-07-20 |
| 1790070563 | M & G Pharmacy Inc | Pharmacy | 100 Hurricane Shoals Rd Suite F, Lawrenceville, GA 30045 | 2011-06-09 |
| 1306146154 | Thanh Dau | Optometrist | 1250 Scenic Highway, Ste 1268, Lawrenceville, GA 30045 | 2010-10-27 |
| Find all providers in zip 30045 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164066791 | Holly Savino | Pediatrics | 603 Old Norcross Rd Ste A, Lawrenceville, GA 30046-4315 | 2019-11-06 |
| 1972985356 | John Wesley Johnson | Pediatrics | 595 Hurricane Shoald Rd Nw, Suite 300, Lawrenceville, GA 30046 | 2015-06-23 |
| 1669887196 | Prathyusha Mididoddi | Pediatrics | 3685 Lawrenceville Hwy Ste 100, Lawrenceville, GA 30044-4152 | 2014-06-23 |
| 1306266176 | Megan Marie Kazi | Pediatrics | 595 Hurricane Shoals Rd Nw Ste 300, Lawrenceville, GA 30046-8762 | 2014-04-21 |
| 1144508862 | Kids Time Pediatrics of Gwinnett LLC | Pediatrics | 2695 Sugarloaf Pkwy, Suite 200, Lawrenceville, GA 30045-9456 | 2011-07-29 |
| 1801185533 | Dale Grant Knutson | Pediatrics | 1600 N Brown Rd, Lawrenceville, GA 30043-8141 | 2011-04-04 |
| 1912230590 | Irfan Kayaalp | Pediatrics | 65 Wiltshire Dr, Lawrenceville, NJ 08648-2584 | 2009-09-14 |
| 1558515395 | Jill Barbara Simone | Pediatrics | 44 Cold Soil Road, Lawrenceville, NJ 08648-5538 | 2008-11-06 |
| 1568664563 | Jill Overcash LLC | Pediatrics | 945 River Centre Place, Suite 200, Lawrenceville, GA 30043 | 2007-06-01 |
| 1568508539 | Lloyd M Hofer | Pediatrics | 2570 Riverside Dr., Lawrenceville, GA 30046-0897 | 2007-01-29 |
| Find all providers in LAWRENCEVILLE | ||||
| City | LAWRENCEVILLE |
| Zip Code | 30045 |
Please comment or provide details below to improve the information on DAVID M KOTZBAUER.
| 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.