EASTSIDE MEDICINE, LLC (NPI# 1578503348) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578503348 |
| Entity Type | Organization |
| Organization Name | EASTSIDE MEDICINE, LLC |
| Practice Address |
1800 Tree Ln Suite 270 Snellville GA 30078-2016 |
| Practice Telephone | 7709829450 |
| Mailing Telephone | 7709829450 |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2007-08-29 |
| Authorized Official Name | MARK PICKETT (VP) |
| Authorized Official Telephone | 7709829450 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
1800 TREE LN SUITE 270 |
| City | SNELLVILLE |
| State | GA |
| Zip Code | 30078-2016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881689115 | Janice C Lim | Family Medicine | 1800 Tree Ln, Suite 120, Snellville, GA 30078-2016 | 2005-09-13 |
| 1518343060 | Lauren Alesch | Physical Therapist | 1800 Tree Ln, Suite 140, Snellville, GA 30078-2016 | 2015-08-07 |
| 1023493558 | Kendra Gardner | Specialist/Technologist | 1800 Tree Ln, Suite 140, Snellville, GA 30078-2016 | 2015-07-27 |
| 1598176406 | Air Evac Ems Inc. | Ambulance | 1800 Tree Ln, Snellville, GA 30078-2016 | 2014-05-13 |
| 1851717201 | Sarah Ritchie | Physical Therapist | 1800 Tree Ln, Suite 140, Snellville, GA 30078-2016 | 2014-03-10 |
| 1518399468 | Kyle E Fenton | Physical Therapist | 1800 Tree Ln, Suite 140, Snellville, GA 30078-2016 | 2013-08-02 |
| 1912258088 | Nsh Cancer Institute Professional Services G LLC | Durable Medical Equipment & Medical Supplies | 1800 Tree Ln, Eastside Physician Plaza, Snellville, GA 30078-2016 | 2012-09-28 |
| 1811298896 | Dustin M Tate | Specialist/Technologist | 1800 Tree Ln, Suite 140, Snellville, GA 30078-2016 | 2010-11-08 |
| 1134434467 | Gwinnett Orthopedics PC | Specialist | 1800 Tree Ln, Suite 140, Snellville, GA 30078-2016 | 2010-08-11 |
| 1952531626 | Andrew D Balick | Specialist/Technologist | 1800 Tree Ln, Suite 140, Snellville, GA 30078-2016 | 2009-07-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619594561 | Steven Nguyen | Optometrist | 1905 Scenic Hwy S #1130, Snellville, GA 30078 | 2020-06-26 |
| 1891320776 | Youstina Harkas | Optometrist | 1679 Scenic Hwy S 203, Snellville, GA 30078 | 2020-03-11 |
| 1578101127 | Jwwt Neuoromonitoring, LLC | Psychiatry & Neurology | 1350 Scenic Highway, Suite 266, Snelville, GA 30078 | 2019-12-13 |
| 1679119903 | Lashon Poole Wells | Social Worker | 1350 Scenic Highway Ste 266, 1350 Scenic Highway Ste 266, Snellville, GA 30078 | 2019-11-21 |
| 1427601426 | Aemad Heavenly Joy Senior Homecare & Developmental Disabilities LLC | Registered Nurse | 1350 Scenic Highway Suite #266, Sneville, GA 30078 | 2019-07-18 |
| 1063975548 | Joanne Mcdougal Patterson | Nurse Practitioner | 1350 Scenic Hwy N Ste 226, Snellville, GA 30078 | 2019-04-10 |
| 1689144263 | Israel Branford | Physical Therapist | 1575 Scenic Hwy Ste 100, Snellville, GA 30078 | 2018-11-27 |
| 1902382997 | Brittany Dupree | Dermatology | 2383 Pate Street North, Snellville, GA 30078 | 2018-07-13 |
| 1134610926 | Reid Weston Popple | Dentist | 2992 Stone Mountain Hwy, A100, Snellville, GA 30078 | 2018-05-29 |
| 1326550492 | Optimal Healthcare Services LLC | Clinic/Center | 2121 Fountain Dr Ste F, Snellville, GA 30078 | 2017-10-30 |
| Find all providers in zip 30078 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790238871 | Renew Health Medical Center | Internal Medicine | 1550 Janmar Rd Ste B, Snellville, GA 30078-5779 | 2016-07-26 |
| 1285079723 | Angel B Morales-santiago | Internal Medicine | 1600 Medical Way Ste 270, Snellville, GA 30078-2209 | 2013-05-09 |
| 1144490756 | Fine & Associates Internal Medicine Specialists, P.C. | Internal Medicine | 1561 Janmar Rd Ste E, Snellville, GA 30078-5693 | 2008-03-11 |
| 1780730796 | Gary D Vogin | Internal Medicine | 2240 Fountain Drive, Kaiser Permanente Snellville Medical Center, Snellville, GA 30078 | 2007-01-25 |
| 1730233859 | Nolan Maddox Lassiter Sr. | Internal Medicine | 2176 Oak Rd Sw, Suite B, Snellville, GA 30078 | 2007-01-23 |
| 1295806495 | Shahid Rafique | Internal Medicine | 2356 Lenora Church Rd, Snellville, GA 30078-3233 | 2006-11-11 |
| 1295835775 | Jose Luis Dominguez | Internal Medicine | 2121 Fountain Dr Ste A, Snellville, GA 30078-2900 | 2006-09-24 |
| 1013021369 | Sheryl C De La Motta-murray | Internal Medicine | 3555 Centerville Hwy, Ste 100, Snellville, GA 30039-6456 | 2006-08-17 |
| 1346288735 | Jithendranath Palacherla | Internal Medicine | 1567 Janmar Road, Suite 100, Snellville, GA 30078 | 2006-06-04 |
| 1578502902 | Ramanjaneyulu Dronavalli | Internal Medicine | 2138 Scenic Hwy N, Suite A, Snellville, GA 30078-6106 | 2006-06-04 |
| Find all providers in SNELLVILLE | ||||
| City | SNELLVILLE |
| Zip Code | 30078 |
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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.