ENT OF ATLANTA LLC


Address: 4380 Georgetown Sq, Ste 1002, Atlanta, GA 30338-6254
Phone: 7702208400

ENT OF ATLANTA LLC (NPI# 1407017437) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1407017437
Entity Type Organization
Organization Name ENT OF ATLANTA LLC
Practice Address 4380 Georgetown Sq
Ste 1002
Atlanta
GA 30338-6254
Practice Telephone 7702208400
Practice Fax Number 7702349979
Mailing Telephone 7702208400
Mailing Fax Number 7702349979
Enumeration Date 2008-06-23
Last Update Date 2008-06-23
Authorized Official Name JOSE PABLO STOLOVITZKY (PHYSICIAN/CEO)
Authorized Official Telephone 7702208400
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Y00000X Otolaryngology Allopathic & Osteopathic Physicians

Office Location

Street Address 4380 GEORGETOWN SQ
STE 1002
City ATLANTA
State GA
Zip Code 30338-6254

Providers in the same location

NPI Name Taxonomy Address Enumeration
1215108824 Karl E. Doyle Audiologist 4380 Georgetown Sq, Ste 1002, Atlanta, GA 30338-6254 2008-03-23
1801224506 Georgia Surgical Professional Services, LLC Otolaryngology 4380 Georgetown Sq, Suite 1002, Atlanta, GA 30338-6254 2013-10-16

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1629606264 Jasmine Donesha Shackelford Student in an Organized Health Care Education/Training Program Emory Family Medicine, 4500 North Shallowford Road, Atlanta, GA 30338 2020-03-30
1558907774 Brianna Harding Pharmacist 4608 Devonshire Road, Dunwoody, GA 30338 2019-11-22
1194382135 Kadan Corporation In Home Supportive Care 1848 Independence Square, Suite A, Dunwoody, GA 30338 2019-05-24
1144789553 Carla Fabiola Nunez Dentist 5200 Roberts Dr, Atlanta, GA 30338 2019-03-15
1861978793 Uhs of Peachford Lp Pharmacy 2150 Peachford Rd Ste D, Atlanta, GA 30338 2018-07-13
1275047474 Mary Rose Ziemba Physical Therapist 4516 Chamblee Dunwoody Rd # 22, Dunwoody, GA 30338 2017-11-27
1992223531 Joel Moorhead Physical Medicine & Rehabilitation 1521 Eidson Hall Drive, Dunwoody, GA 30338 2017-09-05
1336667997 Absolute Holistic Medicine Clinic/Center 1868 Independence Sq, Suite A, Atlanta, GA 30338 2017-09-05
1164947115 Modern Dermatology Atlanta Dermatology 5696 Whitehall Walk, Dunwoody, GA 30338 2017-08-11
1366972150 A Caring Approach To Home Health Services Inc. In Home Supportive Care 200 Ashford Center North, Suite 370, Atlanta, GA 30338 2017-06-14
Find all providers in zip 30338

Taxonomy Information

Taxonomy Code 207Y00000X
Grouping Allopathic & Osteopathic Physicians
Classification Otolaryngology

Taxonomy Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1376928069 Wiley A. Parker M.d PC Otolaryngology 5669 Peachtree Dunwoody Ste 295, Atlanta, GA 30342-1719 2015-07-23
1730576638 Mark Arnold Otolaryngology 550 Peachtree St Ne Ste 1135550, Atlanta, GA 30308-2247 2015-04-20
1750709770 Paul Pedram Daraei Otolaryngology 6085 Barfield Rd Ste 100, Atlanta, GA 30328-4403 2014-04-07
1588906739 Zhong Zheng Otolaryngology 2061 Peachtree Rd Nw Suite 300, Atlanta, GA 30363 2013-03-25
1932447208 David Max Cohen Otolaryngology 3431 W Paces Ferry Ct Nw, Atlanta, GA 30327-2228 2013-01-22
1669739793 Lori Michele Guillot Otolaryngology 5461 Meridian Mark Rd Ste 130, Atlanta, GA 30342 2012-04-13
1801186192 Lauren Luk Otolaryngology 550 Peachtree St Ne, Suite 1135, Emory University Hospital Midtown, Dept of Otolarngol., Atlanta, GA 30308 2011-04-08
1063567469 Khuong V Nguyen Otolaryngology 4337 Buford Hwy, Ste 200, Atlanta, GA 30341-5044 2007-01-24
1730116161 Daniel G Carothers Otolaryngology 2140 Peachtree Rd Nw Ste 360, Atlanta, GA 30309-1316 2006-06-28
1053348060 Sarah K Wise Otolaryngology Emory Department of Otolaryngology, 1365a Clifton Road Ne, Suite A2300, Atlanta, GA 30322-0001 2006-06-26
Find all providers in ATLANTA

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City ATLANTA
Zip Code 30338

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Dataset Information

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.

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