MICHAEL SAMOTOWKA (NPI# 1437124021) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437124021 |
| Entity Type | Individual |
| Full Name | MICHAEL SAMOTOWKA |
| Credential | MD |
| Practice Address |
1000 Johnson Ferry Rd Atlanta GA 30342-1606 |
| Mailing Address |
Po Box 1038 Columbus GA 31902-1038 |
| Practice Telephone | 4048518000 |
| Practice Fax Number | 4043033759 |
| Mailing Telephone | (706) 649-6600 |
| Mailing Fax Number | 7066496614 |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2017-06-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
074898 | GA | Allopathic & Osteopathic Physicians |
| N | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
00021026 | AL | Allopathic & Osteopathic Physicians |
| N | 2086S0127X |
Surgery Specialization: Trauma Surgery |
00021026 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | ALABAMA MEDICAID | 000038806 | 01 |
| AL | BCBS | 051038806 | 01 |
| GA | MEDICAL LICENSE | 074898 | 01 |
| TN | TENNCARE | 3092225 | 01 |
| TN | TENNESSEE MEDICAID | 4045899 | 01 |
| LA | MEDICAID OF LOUISIANA | 1479764 | 01 |
| Street Address |
1000 JOHNSON FERRY RD |
| City | ATLANTA |
| State | GA |
| Zip Code | 30342-1606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770180184 | Simrin Robinson | Nurse Anesthetist, Certified Registered | 1000 Johnson Ferry Rd, Atlanta, GA 30342-1606 | 2020-10-08 |
| 1679189617 | Mikayla Laughlin | Anesthesiologist Assistant | 1000 Johnson Ferry Rd, Atlanta, GA 30342-1606 | 2020-09-16 |
| 1356955538 | Tracey Willis | Student in an Organized Health Care Education/Training Program | 1000 Johnson Ferry Rd, Atlanta, GA 30342-1606 | 2020-09-03 |
| 1356959969 | Advanced Neurosurgery Associates LLC | Neurological Surgery | 1000 Johnson Ferry Rd, Atlanta, GA 30342-1606 | 2020-07-20 |
| 1467077545 | Nancy Pavuk | Nurse Practitioner | 1000 Johnson Ferry Rd, Atlanta, GA 30342-1606 | 2020-06-14 |
| 1053936468 | Kara Ashley De Souza | Nurse Practitioner | 1000 Johnson Ferry Rd, Atlanta, GA 30342-1611 | 2020-06-11 |
| 1518588326 | Jessica Cisneros | Radiology | 1000 Johnson Ferry Rd, Atlanta, GA 30342-1611 | 2020-05-03 |
| 1154952356 | Hanieh Shirgir Rotell | Registered Nurse | 1000 Johnson Ferry Rd, Atlanta, GA 30342-1606 | 2020-01-28 |
| 1427694140 | Brooke Hubbard | Anesthesiologist Assistant | 1000 Johnson Ferry Rd, Atlanta, GA 30342-1606 | 2019-11-19 |
| 1346883824 | Kacie Williams Kluball | Nurse Practitioner | 1000 Johnson Ferry Rd, Atlanta, GA 30342-1606 | 2019-10-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820614 | Nia Charnice Griffin | Nurse Practitioner | 5670 Peachtree Dunwoodyroad, Suite 900, Atlanta, GA 30342 | 2020-10-26 |
| 1255945184 | Jennifer Lynne Cole | Behavior Technician | 5555 Glenridge Con Suite 200, Atlanta, GA 30342 | 2020-09-08 |
| 1093336232 | Van Tran | Respiratory Therapist, Registered | 1000 Johnson Ferry Rd Ne, Atlanta, Ga 30342, Atlanta, GA 30342 | 2020-04-28 |
| 1356978340 | Twyla Douglas Jackson I | Clinical Nutrition, 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342 | 2020-03-27 | |
| 1760013411 | Emily Hamm | Dietitian, Registered | 933 D Johnson Ferry Road, Suite 250, Atlanta, GA 30342 | 2020-01-31 |
| 1043855984 | Mackenzie Tucker Wayda | Registered Nurse | 1001 Johnson Ferry Rd. Ne, Atlanta, GA 30342 | 2019-11-14 |
| 1386288454 | Tiauna Lashun Cochman | Psychologist | 1307 Glenridge Dr, Sandy Springs, GA 30342 | 2019-11-01 |
| 1164074399 | Stephen J. White | Hearing Instrument Specialist | 5775 Peachtree Dunwoody Rd Suite 600 Fl. 6, Uhc Hearing, Atl., GA 30342 | 2019-07-09 |
| 1144788142 | Jaytyn LLC | Internal Medicine | 4600 Broswell Road, Atlanta, GA 30342 | 2019-03-08 |
| 1760954705 | Mishele Walker LLC | Counselor | 555 Glenridge Connector, Suite 200, Sandy Springs, GA 30342 | 2018-12-31 |
| Find all providers in zip 30342 | ||||
| Taxonomy Code | 2086S0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgical Critical Care |
| A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942437363 | Keneeshia Nicole Williams | Surgery | 69 Jesse Hill Jr Dr Se Fl 3, Atlanta, GA 30303-3033 | 2009-06-11 |
| 1548527450 | Deepika Koganti | Surgery | 69 Jesse Hill Jr. Drive, Sw, Glenn Memorial Bldg 3rd Fl, Atlanta, GA 30303 | 2012-04-16 |
| 1093004616 | Craig Rodney Mccready | Surgery | 201 Dowman Dr Ne, Atlanta, GA 30322-1007 | 2011-04-05 |
| 1104060144 | Caroline Butler | Surgery | 80 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3050 | 2009-04-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457866261 | Emily Gilchrist | Surgery | 1505 Northside Blvd Ste 2400, Cumming, GA 30041-7662 | 2017-12-04 |
| 1528571320 | Savannah Multispecialty Associates, LLC | Surgery | 4700 Waters Ave Ste 400, Savannah, GA 31404-6220 | 2017-11-15 |
| 1447698220 | Kyle Matthew Thomas | Surgery | 55 Whitcher St Ne Ste 130, Marietta, GA 30060-1156 | 2013-06-13 |
| 1174966337 | Timothy John Stevens | Surgery | 1211 Sherwood Park Dr Ne Ste A, Gainesville, GA 30501-3444 | 2013-04-08 |
| 1881748234 | James Dominic Frizzi | Surgery | 3647 J Dewey Gray Cir Ste 200, Augusta, GA 30909-2205 | 2007-01-23 |
| 1235199407 | Terence Sidney Okeeffe | Surgery | 1120 15th St, Augusta, GA 30912-7208 | 2006-03-23 |
| 1942277645 | Robert Fred Mullins | Surgery | 3675 J Dewey Gray Cir, Ste 300, Augusta, GA 30909-1868 | 2006-03-02 |
| 1023084068 | James Cunningham | Surgery | 710 Center St, Columbus, GA 31901-1527 | 2006-02-28 |
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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.