NORTHEAST HEALTH CENTER (NPI# 1508903667) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508903667 |
| Entity Type | Organization |
| Organization Name | NORTHEAST HEALTH CENTER |
| Practice Address |
265 Boulevard Ne 3rd Floor Atlanta GA 30312-1208 |
| Mailing Address |
99 Jesse Hill Jr. Drive Room 402 Atlanta GA 30303 |
| Practice Telephone | 4047305835 |
| Practice Fax Number | 4048855891 |
| Mailing Telephone | 4047301217 |
| Mailing Fax Number | 4047301233 |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. STEVEN R KATKOWSKY (HEALTH DIRECTOR) |
| Authorized Official Telephone | 4047301202 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251K00000X | Public Health or Welfare | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598980666 | Northeast Health Center | Chiropractor | 10014 Sandmeyer Ln, Philadelphia, PA 19116-3502 | 2007-04-16 |
| 1437531951 | Northeast Health Center | Clinic/Center | 5329 Ne Martin Luther King Jr Blvd, 2nd Floor, Portland, OR 97211-3237 | 2015-06-20 |
| Street Address |
265 BOULEVARD NE 3RD FLOOR |
| City | ATLANTA |
| State | GA |
| Zip Code | 30312-1208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316974447 | Jasmine Pugh Taylor | Psychiatry & Neurology | 265 Boulevard Ne, Atlanta, GA 30312 | 2006-06-26 |
| 1851945356 | Summer Beckett Davies | Orthopaedic Surgery | 265 Boulevard Ne, Atlanta, GA 30312-1208 | 2019-08-01 |
| 1972085769 | River Edge Behavioral Health Center | Pharmacy | 265 Boulevard Ne, Atlanta, GA 30312-1208 | 2018-08-29 |
| 1124531504 | River Edge Behavioral Health Center | Community/Behavioral Health | 265 Boulevard Ne, Atlanta, GA 30312-1208 | 2017-11-08 |
| 1831541754 | Chiazor Eziakor | Nurse Practitioner | 265 Boulevard Ne, Atlanta, GA 30312-1208 | 2016-07-02 |
| 1366810426 | Vicki Karen Karnes | Registered Nurse | 265 Boulevard Ne, 4th Floor Attn: Pat Jackson, Atlanta, GA 30312-1208 | 2015-09-07 |
| 1073786679 | Monique Anetria Brooks | Counselor | 265 Boulevard Ne, Atlanta, GA 30312-1208 | 2008-04-04 |
| 1114104478 | Cecelia Marie Mack | Counselor | 265 Boulevard Ne, Atlanta, GA 30312-1208 | 2008-01-29 |
| 1427231927 | Virginia Hicks Taylor Mack | Counselor | 265 Boulevard Ne, Atlanta, GA 30312-1208 | 2007-12-07 |
| 1932389350 | Frederick Lawson Bailey | Counselor | 265 Boulevard Ne, Atlanta, GA 30312-1208 | 2007-11-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770108516 | Bita Ranjbari | Physician Assistant | 659 Auburn Ave Se, Suite 505, Atlanta, GA 30312 | 2020-06-08 |
| 1609439629 | Adeyinka Edward Adeniyi | Student in an Organized Health Care Education/Training Program | Wellstar Atlanta Medical Center, 303 Parkway Drive Ne, 4th Floor, Internal Medicine Department, Atlanta, GA 30312 | 2019-04-16 |
| 1003378670 | James Spratt IIi | Student in an Organized Health Care Education/Training Program | 303 Parkway Drive, Ne, 4th Floor, Wellstar Atlanta Medical Center Department of Orthopaed, Atlanta, GA 30312 | 2019-04-03 |
| 1659833440 | Derrick Edward Wendler | Student in an Organized Health Care Education/Training Program | Wellstar Atlanta Medical Center Dpt of Orthopaedics, 303 Parkway Drive Ne, 4th Floor, Atlanta, GA 30312 | 2019-04-02 |
| 1336631266 | The Atlanta Small Business Training Consortium, Inc. | Local Education Agency (LEA) | 250 Georgia Ave Se Ste 207a, Atlanta, GA 30312 | 2018-06-06 |
| 1669960134 | Derek Mccranie | Student in an Organized Health Care Education/Training Program | 303 Parkway Drive, Atlanta, FL 30312 | 2018-04-30 |
| 1336646223 | Amy Ruth Williams | Nurse Practitioner | 383 Ralph Mcgill Blvd Ne Apt D, Atlanta, GA 30312 | 2018-04-09 |
| 1730689183 | Lisa Marie Margavage | Chiropractor | 720 Ralph Mcgill Blvd Ne Unit 210, Atlanta, GA 30312 | 2018-02-12 |
| 1922518836 | Rodney Aldridge | Registered Nurse | 250 Georgia Avenue, Suite 206, Atlanta, GA 30312 | 2017-10-05 |
| 1629599279 | Huda Hashim Elsamani Elsheikh | Student in an Organized Health Care Education/Training Program | 303 Parkway Dr Ne, Wellstar Atlanta Medical Center, Dept of Graduate Medical Education, Internal Medicine, Atlanta, GA 30312 | 2017-07-05 |
| Find all providers in zip 30312 | ||||
| Taxonomy Code | 251K00000X |
| Grouping | Agencies |
| Classification | Public Health or Welfare |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609158963 | Centers for Disease Control and Prevention, Us Public Health Service | Public Health or Welfare | 1600 Clifton Rd, Ms E46, Atlanta, GA 30306 | 2011-09-13 |
| 1235469875 | Hiv/aids Empowerment Resource Center for Young Women, Inc. | Public Health or Welfare | 230 Peachtree St Nw Ste 1800, Atlanta, GA 30303-1514 | 2010-01-04 |
| 1245377605 | Neighborhood Union Health Center | Public Health or Welfare | 186 Sunset Avenue Nw, Atlanta, GA 30314 | 2007-02-01 |
| 1255477485 | Dunbar Teen Center | Public Health or Welfare | 477 Windsor St Sw, Atlanta, GA 30312-2530 | 2007-01-29 |
| 1043356280 | South Fulton Health Center | Public Health or Welfare | 1225 Capitol Avenue, Se, Atlanta, GA 30315 | 2007-01-29 |
| 1922144161 | Center Hill Health Center | Public Health or Welfare | 3201 Atlanta Industrial Pkwy Nw, Atlanta, GA 30331-1045 | 2007-01-29 |
| 1639225402 | Sandy Springs Health Center | Public Health or Welfare | 330 Johnson Ferry Rd Ne, Atlanta, GA 30328-4128 | 2007-01-26 |
| 1508914995 | Lakewood Health Center | Public Health or Welfare | 1855 Jonesboro Road Se, Atlanta, GA 30315 | 2007-01-08 |
| 1528116993 | Aldredge Health Center | Public Health or Welfare | 99 Jesse Hill Jr Drive Rm 402, Atlanta, GA 30303 | 2007-01-08 |
| 1154428985 | Dekalb County Board of Health | Public Health or Welfare | 2006 Hosea Williams Dr., Atlanta, GA 30317 | 2006-09-20 |
| Find all providers in ATLANTA | ||||
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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.