DR. ERIKA SANDRA VAN PUTTEN (NPI# 1538240353) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538240353 |
| Entity Type | Individual |
| Full Name | DR. ERIKA SANDRA VAN PUTTEN |
| Credential | MD |
| Practice Address |
3405 Dallas Hwy Sw Ste 300 Marietta GA 30064-6426 |
| Practice Telephone | 7704255331 |
| Practice Fax Number | 7704250799 |
| Mailing Telephone | 7704255331 |
| Mailing Fax Number | 7704250799 |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2014-03-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
055497 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 197955033B | 05 | |
| GA | 197955033D | 05 | |
| GA | 197955033C | 05 |
| Street Address |
3405 DALLAS HWY SW STE 300 |
| City | MARIETTA |
| State | GA |
| Zip Code | 30064-6426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679523443 | Craig L Lebish | Pediatrics | 3405 Dallas Hwy Sw Ste 300, Marietta, GA 30064-6426 | 2006-05-11 |
| 1982820551 | Deanna Renz | Registered Nurse | 3405 Dallas Hwy Sw Ste 300, Marietta, GA 30064-6426 | 2007-04-18 |
| 1962550467 | Dara Hosch | Pediatrics | 3405 Dallas Hwy Sw Ste 300, Marietta, GA 30064-6426 | 2007-01-08 |
| 1255489985 | Angela Denise Swain | Nurse Practitioner | 3405 Dallas Hwy Sw Ste 300, Marietta, GA 30064-6426 | 2007-01-08 |
| 1245279009 | Robert A Forbes Jr. | Pediatrics | 3405 Dallas Hwy Sw Ste 300, Marietta, GA 30064-6426 | 2006-06-06 |
| 1861431629 | Nikki T Roberts | Pediatrics | 3405 Dallas Hwy Sw Ste 300, Marietta, GA 30064-6426 | 2006-06-06 |
| 1497709992 | Julia T. Gaines | Pediatrics | 3405 Dallas Hwy Sw Ste 300, Marietta, GA 30064-6426 | 2006-05-20 |
| 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 | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679523443 | Craig L Lebish | Pediatrics | 3405 Dallas Hwy Sw Ste 300, Marietta, GA 30064-6426 | 2006-05-11 |
| 1346242229 | Susan Gail Staviss | Pediatrics | 3939 Roswell Rd, Suite 300, Marietta, GA 30062-6251 | 2005-08-11 |
| 1386078152 | Cobb Pediatrics | Pediatrics | 3405 Dallas Hwy Sw, Suite 300, Marietta, GA 30064-6425 | 2013-08-28 |
| 1154687721 | Tina Kim Vothang | Pediatrics | 3747 Roswell Rd, Suite 201, Marietta, GA 30062-6215 | 2012-04-08 |
| 1265759229 | Anna Chandler Schulenborg | Pediatrics | 2155 Post Oak Tritt Rd, Suite 100, Marietta, GA 30062-8620 | 2010-04-29 |
| 1922268838 | Pediatric and Adolescent Healthcare,pc | Pediatrics | 1163 Johnson Ferry Rd, Suite 170, Marietta, GA 30068-2764 | 2008-06-13 |
| 1407045495 | Kaleidoscope Pediatrics PC | Pediatrics | 1523 Johnson Ferry Rd, Suite 150, Marietta, GA 30062-6438 | 2007-10-16 |
| 1841337896 | East Cobb Pediatrics and Adolescent Medicine, PC | Pediatrics | 1121 Johnson Ferry Rd, Suite 220, Marietta, GA 30068-5425 | 2007-01-31 |
| 1962550467 | Dara Hosch | Pediatrics | 3405 Dallas Hwy Sw Ste 300, Marietta, GA 30064-6426 | 2007-01-08 |
| 1558428193 | Tamara Nix | Pediatrics | 2155 Post Oak Tritt Rd, Suite 100, Marietta, GA 30062-8620 | 2007-01-02 |
| Find all providers in MARIETTA | ||||
Please comment or provide details below to improve the information on DR. ERIKA SANDRA VAN PUTTEN.
| 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.