CARDIOTHORACIC PROVIDERS AT CHILDRENS (NPI# 1558727289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558727289 |
| Entity Type | Organization |
| Organization Name | CARDIOTHORACIC PROVIDERS AT CHILDRENS |
| Practice Address |
1575 Northeast Expy Ne Brookhaven GA 30329-2401 |
| Practice Telephone | 4047855437 |
| Enumeration Date | 2016-01-11 |
| Last Update Date | 2020-10-23 |
| Authorized Official Name | HAYDEN MATHIESON (VICE PRESIDENT, MANAGED CARE) |
| Authorized Official Telephone | 4047850589 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2086S0120X |
Surgery Specialization: Pediatric Surgery |
Allopathic & Osteopathic Physicians | ||
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Allopathic & Osteopathic Physicians |
| Street Address |
1575 NORTHEAST EXPY NE |
| City | BROOKHAVEN |
| State | GA |
| Zip Code | 30329-2401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346606076 | Specialty Providers At Children's | Dentist | 1575 Northeast Expy Ne, Brookhaven, GA 30329-2401 | 2016-01-11 |
| 1770949497 | Med-surg Providers At Children's LLC | Psychiatry & Neurology | 1575 Northeast Expy Ne, Brookhaven, GA 30329-2401 | 2016-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871084111 | Inner Peace Counseling Services,llc | Counselor | 2801 Bufford Highway, Suite T-10, Atlanta, GA 30329 | 2018-05-22 |
| 1912409392 | Joie De Vivre Counseling and Therapy | Counselor | 2801 Buford Highway, Ne, Atlanta, GA 30329 | 2018-03-01 |
| 1902329105 | Barbara Dunbar | Psychologist | 1777 Northeast Expressway, #175, Atlanta, GA 30329 | 2017-07-19 |
| 1114449048 | Cricket Cheyenne Gullickson | Student in an Organized Health Care Education/Training Program | 1371 Briarvista Way Ne, Atlanta, GA 30329 | 2017-07-12 |
| 1902357866 | Carla Zimmerly | Nurse Practitioner | 1711 Tullie Circle, Atlanta, GA 30329 | 2016-10-17 |
| 1316490808 | Shahzad Ghori | Student in an Organized Health Care Education/Training Program | 1727 Druid Oaks Ne, Atlanta, GA 30329 | 2016-08-01 |
| 1023467768 | Ashley Elliott | Physician Assistant | 59 Executive Park, Atlanta, GA 30329 | 2016-06-03 |
| 1285096115 | Kimberley Fox | Internal Medicine | 1600 Clifton Rd Ne, Ms A-04, Cdc, Atlanta, GA 30329 | 2016-03-21 |
| 1275991648 | Mary Patricia Joyce | Internal Medicine | 1600 Clifton Road, E-47, Centers for Disease Control and Prevention, Atlanta, GA 30329 | 2016-02-01 |
| 1346656618 | Amelia Muniz Hernandez | Pediatrics | 1841 Clifton Rd Ne # 508, Atlanta, GA 30329 | 2014-07-08 |
| Find all providers in zip 30329 | ||||
| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437514239 | Tai Iwamura | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4410 Charleston Pl, Dunwoody, GA 30338-6463 | 2015-12-21 |
| 1821330663 | Michael Dory Horowitz | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3465 Harlan Dr Se, Smyrna, GA 30080-4617 | 2013-03-19 |
| 1295075703 | Holland Victor Moore | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 747 Aumond Rd, Augusta, GA 30909-3258 | 2013-02-20 |
| 1376894683 | Agewell Men's Institute | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3596 Old Milton Pkwy, Alpharetta, GA 30005-4465 | 2012-09-26 |
| 1376894709 | Chris Malone, Md | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 740 Prince Ave Ste 13, Athens, GA 30606-5906 | 2012-09-25 |
| 1356602056 | Andrew H Maloney | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 95 Collier Rd Nw Ste 2055, Atlanta, GA 30309-1721 | 2012-05-30 |
| 1134407075 | Robert A Hall Md LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 10 Longfield Ct, Savannah, GA 31410-3513 | 2011-07-26 |
| 1912205964 | Umesh Nareppa | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1365 Clifton Rd Ne Ste A2228, Atlanta, GA 30322-1013 | 2011-02-28 |
| 1174754246 | Adil Sadiq | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1036 Carlyle Lk, Decatur, GA 30033-4632 | 2009-08-06 |
| 1760629216 | Jonathan Gerard Mcguiness | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1365a Clifton Road, Ne, Suite A2223 Cardiothoracic Surgery, Atlanta, GA 30322 | 2009-01-20 |
| Find all providers with the same taxonomy | ||||
| City | BROOKHAVEN |
| Zip Code | 30329 |
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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.