EMORY UNIVERSITY SCHOOL OF MEDICINE (NPI# 1457543175) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457543175 |
| Entity Type | Organization |
| Organization Name | EMORY UNIVERSITY SCHOOL OF MEDICINE |
| Practice Address |
1365b Clifton Rd Ne Suite B6100, Department of Neurosurgery Atlanta GA 30322-1013 |
| Practice Telephone | 4047272354 |
| Practice Fax Number | 4047128576 |
| Mailing Telephone | 4047272354 |
| Mailing Fax Number | 4047128576 |
| Enumeration Date | 2007-08-16 |
| Last Update Date | 2007-08-16 |
| Authorized Official Name | DR. NICHOLAS MATTHEW BOULIS (NEUROSURGEON) |
| Authorized Official Telephone | 4047272354 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
OH | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669659801 | Emory University School of Medicine | General Acute Care Hospital | 2015 Upper Gate Dr Ne, Atlanta, GA 30322-1014 | 2008-01-30 |
| 1649457029 | Emory University School of Medicine | General Acute Care Hospital | 69 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3033 | 2008-01-28 |
| Street Address |
1365B CLIFTON RD NE SUITE B6100, DEPARTMENT OF NEUROSURGERY |
| City | ATLANTA |
| State | GA |
| Zip Code | 30322-1013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235114547 | Beau Benjamin Bruce | Psychiatry & Neurology | 1365b Clifton Rd Ne, Suite B-3600, Atlanta, GA 30322-1013 | 2005-12-08 |
| 1235652918 | Jonathan Micieli | Ophthalmology | 1365b Clifton Rd Ne, Atlanta, GA 30322-1013 | 2017-07-25 |
| 1669902094 | Drake Robert Devos | Optometrist | 1365b Clifton Rd Ne, Atlanta, GA 30322 | 2017-06-18 |
| 1891227286 | Christian Mustroph | Student in an Organized Health Care Education/Training Program | 1365b Clifton Rd Ne, Room B6169c, Atlanta, GA 30322-3400 | 2017-04-03 |
| 1295189165 | Hosniya Zarabi | General Practice | 1365b Clifton Rd Ne, Room B6169c, Atlanta, GA 30322-1013 | 2016-04-18 |
| 1568825735 | Kc Biebighauser Bens | Student in an Organized Health Care Education/Training Program | 1365b Clifton Rd Ne, Suite 1400, Atlanta, GA 30322-1013 | 2016-04-04 |
| 1508229832 | Jean Park | Ophthalmology | 1365b Clifton Rd Ne, Atlanta, GA 30322-1013 | 2016-04-04 |
| 1649667866 | Andrew Erwood | Student in an Organized Health Care Education/Training Program | 1365b Clifton Rd Ne, Room B6169c, Atlanta, GA 30322-1013 | 2015-04-26 |
| 1346669827 | Jason Michael Frerich | Neurological Surgery | 1365b Clifton Rd Ne, Suite 6200, Atlanta, GA 30322-1013 | 2014-04-10 |
| 1144664673 | Charles Adam Lorentz | Urology | 1365b Clifton Rd Ne, Atlanta, GA 30322 | 2013-04-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700445830 | Justin Gill | Student in an Organized Health Care Education/Training Program | 1365 Clifton Rd Ne, Clinic B - Suite B6100, Atlanta, GA 30322 | 2019-06-12 |
| 1891354510 | Gwendolyn Gisiner Gunn | Genetic Counselor, MS | Emory Genetics Clinic, 1365 Clifton Road Ne, Atlanta, GA 30322 | 2019-06-06 |
| 1144710567 | Lisa Cathy-ann Akosa | Registered Nurse | 1365 Cifton Road Ne, Atlanta, GA 30322 | 2018-05-10 |
| 1083118004 | Jessica Milian Keilson | Student in an Organized Health Care Education/Training Program | 1364 Clifton Road Ne, Suite H100, Emory University Hospital Office of Surgical Education, Atlanta, GA 30322 | 2018-03-23 |
| 1568982684 | Jennifer Bilko | Dietitian, Registered | 1365 Clifton Rd., Bldg A, 1st Floor, Suite 1450, Atlanta, GA 30322 | 2017-06-20 |
| 1134652258 | Kassahun Bilcha | Student in an Organized Health Care Education/Training Program | 1525 Clifton Rd Ne Ste 100, Atlanta, GA 30322 | 2017-04-05 |
| 1356872246 | Tova Rogers | Dermatology | 1525 Clifton Road Suite 105, Atlanta, GA 30322 | 2017-03-23 |
| 1194271445 | Dina Amin | Dentist | 1365 Clifton,building B, Oral and Maxillofacial Surgery, Suite 2300, Atlanta, GA 30322 | 2016-08-28 |
| 1427404904 | Rita Kaur Kuwahara | Student in an Organized Health Care Education/Training Program | 100 Woodruff Circle, Suite 327, Atlanta, GA 30322 | 2016-05-13 |
| 1891176251 | Octav Cristea | Transplant Surgery | 1365 Clifton Road Northeast, Building B, 6th Floor, Atlanta, GA 30322 | 2015-06-11 |
| Find all providers in zip 30322 | ||||
| Taxonomy Code | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174800114 | Emory University Hospital | General Acute Care Hospital | 1355 Clifton Rd Ne, Atlanta, GA 30322-1013 | 2011-11-04 |
| 1972896397 | Morehouse School of Medicine | General Acute Care Hospital | 720 Westview Dr Sw, Atlanta, GA 30310-1458 | 2011-05-18 |
| 1659674992 | Emory Healthcare | General Acute Care Hospital | 1362 Clifton Rd Ne, Atlanta, GA 30322-1059 | 2010-12-08 |
| 1275846628 | The Emory Clinic, Inc | General Acute Care Hospital | 550 Peachtree St Ne, Atlanta, GA 30308-2208 | 2010-07-14 |
| 1114256427 | Emory Children's Center | General Acute Care Hospital | 2015 Uppergate Dr, Suite 208, Atlanta, GA 30322-0001 | 2009-12-15 |
| 1740454255 | Morehouse School of Medicine | General Acute Care Hospital | 720 Westview Dr Sw, Atlanta, GA 30310-1458 | 2008-04-15 |
| 1578740882 | Emory University Emergency Medicine | General Acute Care Hospital | 49 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3049 | 2008-01-29 |
| 1316158793 | St. Joseph's Hospital | General Acute Care Hospital | 5665 Peachtree Dunwoody Rd Ne, Atlanta, GA 30342-1701 | 2007-05-25 |
| 1053537415 | Emory Clinic, Inc. | General Acute Care Hospital | 1365 Clifton Rd Ne, Rm A 4309, Atlanta, GA 30322-1013 | 2007-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780046425 | Rasheeda Brown | General Acute Care Hospital | 362 E.g. Miles Parkway, Hinesville, GA 31310-0919 | 2016-03-22 |
| 1073927117 | Polk Medical Center, Inc | General Acute Care Hospital | 2360 Rockmart Hwy, Cedartown, GA 30125-6029 | 2014-06-17 |
| 1013211564 | Grady Health System | General Acute Care Hospital | 180 Victoria Dr, Fayetteville, GA 30214-1163 | 2010-12-26 |
| 1417264292 | Angela Marie Barco | General Acute Care Hospital | 3486 Peach Orchard Rd Ste 200, Augusta, GA 30906 | 2010-09-01 |
| 1780880583 | Wheeler County Hospital | General Acute Care Hospital | 111 North 3rd Street, Glenwood, GA 30428 | 2007-06-27 |
| 1609078047 | Medical College of Georgia | General Acute Care Hospital | 1120 15th St # Baa-5407, Augusta, GA 30912-0004 | 2007-06-05 |
| 1982821971 | Carl Vison Va Medical Center | General Acute Care Hospital | 48 Blueberry Farm Road, Adrian, GA 31002 | 2007-04-19 |
| 1326191180 | Professional Resources Management of Rabun, LLC | General Acute Care Hospital | 162 Legacy Pt, Clayton, GA 30525-5354 | 2007-01-18 |
| 1184771586 | Lower Oconee Community Hospital Inc | General Acute Care Hospital | 111 N 3rd Street, P O Bx 398, Glenwood, GA 30428 | 2007-01-05 |
| 1558423202 | Preferred Anesthesia Consultants | General Acute Care Hospital | 306 E 2nd Ave, Rome, GA 30161-3222 | 2006-12-15 |
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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.