DR. JOHN MICHAEL FENNESSY (NPI# 1568635324) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568635324 |
| Entity Type | Individual |
| Full Name | DR. JOHN MICHAEL FENNESSY |
| Credential | M.D. |
| Practice Address |
303 Parkway Drive, Ne Atlanta GA 30312 |
| Mailing Address |
714 Medlock Road Decatur GA 30033 |
| Practice Telephone | 4042651579 |
| Mailing Telephone | 4043219497 |
| Enumeration Date | 2008-04-11 |
| Last Update Date | 2008-04-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 058957 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
303 PARKWAY DRIVE, NE |
| City | ATLANTA |
| State | GA |
| Zip Code | 30312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881631984 | Leopold L Jackson | Anesthesiology | 303 Parkway Drive, Ne, Pmb 404, Atlanta, GA 30312-1212 | 2006-05-31 |
| 1992298103 | Sarah Omar Modawi Hamad | Student in an Organized Health Care Education/Training Program | 303 Parkway Drive, Ne, Gme Dept., Atlanta, GA 30312 | 2018-06-12 |
| 1669886511 | Ayesha N. Lovick | Surgery | 303 Parkway Drive, Ne, Surgery Department, Box 423, Atlanta, GA 30312 | 2014-06-19 |
| 1487726501 | Leslie M Petosa | Anesthesiologist Assistant | 303 Parkway Drive, Ne, Box 404, Atlanta, GA 30312-1212 | 2006-11-14 |
| 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 | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| 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 Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386258 | Thrive Orthopaedics LLC | Orthopaedic Surgery | 5775 Peachtree Dunwoody Rd Ne Ste C150a, Atlanta, GA 30342-1501 | 2020-11-02 |
| 1588273122 | Mallory Mary Garretson | Orthopaedic Surgery | 3240 N E Expy Ne Ste 100, Atlanta, GA 30341-4003 | 2020-07-29 |
| 1831670322 | Performance Orthopaedics & Sports Medicine | Orthopaedic Surgery | 755 Mount Vernon Hwy Ne Ste 305, Atlanta, GA 30328-4274 | 2018-08-23 |
| 1477039741 | Atlanta Knee and Shoulder Clinic PC | Orthopaedic Surgery | 3200 Downwood Cir Nw Ste 410, Atlanta, GA 30327 | 2018-07-19 |
| 1114422250 | Atlanta Breast Reconstruction | Orthopaedic Surgery | 2795 Peachtree Rd Ne Unit 309, Atlanta, GA 30305-3672 | 2018-03-29 |
| 1093129678 | Roy M Rubin | Orthopaedic Surgery | 3806 Ashford Knls Ne, Atlanta, GA 30319-1868 | 2014-06-11 |
| 1053755207 | Thomas Windrow Marks | Orthopaedic Surgery | 1011 West Paces Ferry Rd.n.w., Atlanta, GA 30327 | 2013-04-18 |
| 1144583261 | Amy L Ravindra | Orthopaedic Surgery | 1839 Buford Hwy Ne, Ste 100, Atlanta, GA 30309 | 2012-06-22 |
| 1316213788 | Oren Goltzer | Orthopaedic Surgery | 57 Executive Park S Ste 160-3, Atlanta, GA 30329-2288 | 2012-03-29 |
| 1457624215 | Allan Neil Levine | Orthopaedic Surgery | 1060 Riverside Trce Nw, Atlanta, GA 30328-3655 | 2012-02-09 |
| 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.