MARIETTA OB GYN AFFILIATES, P.A. (NPI# 1508882663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508882663 |
| Entity Type | Organization |
| Organization Name | MARIETTA OB GYN AFFILIATES, P.A. |
| Practice Address |
3475 Dallas Hwy Sw Ste 410 Marietta GA 30064-6409 |
| Mailing Address |
699 Church St Ne Suite 220 Marietta GA 30060-1116 |
| Practice Telephone | 7704228505 |
| Practice Fax Number | 7706359974 |
| Mailing Telephone | 7704228505 |
| Mailing Fax Number | 7706359974 |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2016-08-25 |
| Authorized Official Name | MS. MARILYN B SMOLINSKI (ADMINISTRATOR) |
| Authorized Official Telephone | 7704228505 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 300020849B | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891710679 | Marietta Ob Gyn Affiliates, P.a. | Obstetrics & Gynecology | 699 Church St Ne, Ste 220, Marietta, GA 30060-1116 | 2006-07-13 |
| Street Address |
3475 DALLAS HWY SW STE 410 |
| City | MARIETTA |
| State | GA |
| Zip Code | 30064-6409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043833304 | Chelsey Lewis | Pharmacist | 660 Whitlock Ave Sw, Marietta, GA 30064 | 2020-05-21 |
| 1316428527 | Candice Murray | Nurse Practitioner | 2727 Wynford Ave Sw, Marietta, GA 30064 | 2018-08-25 |
| 1427539741 | Emily Dorsey Drew | Nurse Practitioner | 3911 Mary Eliza Trce Nw Ste 200, Marietta, GA 30064 | 2018-08-24 |
| 1649765017 | Julie K Berger | Counselor | 336 Powder Springs St Suite 206, Marietta, GA 30064 | 2018-06-27 |
| 1689175291 | Anthony Bammer | Clinical Exercise Physiologist | 1001 Whitlock Avenue Nw, Marietta, GA 30064 | 2018-02-28 |
| 1831600725 | Dyniecia Barnes | Specialist | 2575 White Haven Dr Sw, Ste 100 / Salon 121, Marietta, GA 30064 | 2017-10-18 |
| 1588173298 | Michelle Ann Stich | Assistant Behavior Analyst | 376 Powder Springs St Ste 130, Marietta, GA 30064 | 2017-09-26 |
| 1194241976 | Namasine Lolice Dalrymple | Counselor | 1708 Peachtree St, Suite 300, Atlanta, GA 30064 | 2017-08-14 |
| 1245760859 | Michael H Mulkey, Dmd PC | Dentist | 3951 Mary Eliza Trace Nw, Suite 200, Marietta, GA 30064 | 2017-06-15 |
| 1700310893 | West Cobb Dentist Office, PC | Dentist | 3805 Dallas Hwy Sw, Suite 804, Marietta, GA 30064 | 2017-04-14 |
| Find all providers in zip 30064 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| 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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609253574 | Hien Thi Doan | Obstetrics & Gynecology | Marietta Ob-gyn Affiliates, 699 Church Street, Suite 220, Marietta, GA 30060 | 2015-04-29 |
| 1487910501 | Sara Beth Kashuk Morris | Obstetrics & Gynecology | 4800 Olde Towne Pkwy Ste 350, Marietta, GA 30068-4396 | 2012-04-03 |
| 1265735393 | Jerald Jacob Sherman | Obstetrics & Gynecology | 1520 Johnson Ferry Rd, Suite145, Marietta, GA 30062 | 2010-12-12 |
| 1366610297 | Natalie Needham | Obstetrics & Gynecology | 699 Church St Ne Ste 300, Marietta, GA 30060-1122 | 2008-02-13 |
| 1073737680 | Deborah A. Taylor | Obstetrics & Gynecology | 699 Church Street, Suite 500, Marietta, GA 30060 | 2007-04-13 |
| 1801948658 | Atlanta Women's Health Group, P.C. | Obstetrics & Gynecology | 1519 Johnson Ferry Rd, Suite 175, Marietta, GA 30062 | 2007-01-18 |
| 1366517500 | Gary Laurence Smith | Obstetrics & Gynecology | 1230 Johnson Ferry Rd, Suite H-30, Marietta, GA 60068 | 2006-11-22 |
| 1376637314 | Romero Nicholson | Obstetrics & Gynecology | 1355 Church Street Ext Ne, Suite F, Marietta, GA 30060-1099 | 2006-10-03 |
| 1164436788 | Samuel Taylor | Obstetrics & Gynecology | 677 Church St Ne # 125, Marietta, GA 30060 | 2006-07-28 |
| 1972524700 | Michelle Ray Martin | Obstetrics & Gynecology | 2550 Windy Hill Rd Se Ste 106, Marietta, GA 30067-8607 | 2006-07-21 |
| Find all providers in MARIETTA | ||||
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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.