DR. AMMAR DIVAN (NPI# 1588977557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588977557 |
| Entity Type | Individual |
| Full Name | DR. AMMAR DIVAN |
| Credential | MD |
| Practice Address |
3650 Steve Reynolds Blvd. Kaiser Permanente Gwinnett Medical Center Duluth GA 30096 |
| Mailing Address |
3495 Piedmont Road, Ne Nine Piedmont Center Atlanta GA 30305 |
| Practice Telephone | 7709316065 |
| Mailing Telephone | 4043647070 |
| Enumeration Date | 2010-07-20 |
| Last Update Date | 2012-11-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | 068143 | GA | Allopathic & Osteopathic Physicians |
| N | 207L00000X | Anesthesiology | D71131 | MD | Allopathic & Osteopathic Physicians |
| N | 207L00000X | Anesthesiology | 0101247908 | VA | Allopathic & Osteopathic Physicians |
| N | 207L00000X | Anesthesiology | 036123274 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
3650 STEVE REYNOLDS BLVD. KAISER PERMANENTE GWINNETT MEDICAL CENTER |
| City | DULUTH |
| State | GA |
| Zip Code | 30096 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659360568 | William Moten Craven | Orthopaedic Surgery | 3650 Steve Reynolds Blvd., Kaiser Permanente Gwinnett Medical Center, Duluth, GA 30096 | 2005-10-14 |
| 1851719710 | Theresa Welles | Psychologist | 3650 Steve Reynolds Blvd., Duluth, GA 30096 | 2014-03-28 |
| 1275805970 | Frances Ann Lanza | Social Worker | 3650 Steve Reynolds Blvd., Kaiser Permanente Gwinnett Medical Center, Duluth, GA 30096 | 2012-01-27 |
| 1750676060 | Andrea Giardina Hill | Optometrist | 3650 Steve Reynolds Blvd., Kaiser Permanente Gwinnett Medical Center, Duluth, GA 30096 | 2011-06-15 |
| 1639493224 | Nancy Huynh | Specialist | 3650 Steve Reynolds Blvd., Kaiser Permanente Gwinnett Medical Center, Duluth, GA 30096 | 2010-03-25 |
| 1730332131 | Lisa Bazemore Rivera | Psychiatry & Neurology | 3650 Steve Reynolds Blvd., Kaiser Permanente Gwinnett Medical Center, Duluth, GA 30096 | 2008-10-29 |
| 1891957528 | Ana Silvia Grosso | Pediatrics | 3650 Steve Reynolds Blvd., Kaiser Permanente Gwinnett Medical Center, Duluth, GA 30096 | 2008-06-25 |
| 1316107253 | Hernan Dario Urrego | Surgery | 3650 Steve Reynolds Blvd., Kaiser Permanente Gwinnett Medical Center, Duluth, GA 30096 | 2008-06-13 |
| 1417134545 | Jada R. Olderman | Pediatrics | 3650 Steve Reynolds Blvd., Kaiser Permanente Gwinnett Medical Center, Duluth, GA 30096 | 2008-01-31 |
| 1508042268 | Carolyn Bray Hebson | Specialist | 3650 Steve Reynolds Blvd., Kaiser Permanente Gwinnett Medical Center, Duluth, GA 30096 | 2008-01-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922615897 | Georgia Eye Optical, LLC | Ophthalmology | 3800 Pleasant Hill Rd Ste 3, Duluth, GA 30096 | 2020-09-25 |
| 1568090868 | Positive Behavior Services, Inc | Behavior Technician | 3765 Crestwood Pkwy Nw, Duluth, GA 30096 | 2020-03-31 |
| 1861031940 | Elizabeth Ashley Edouard | Counselor | 3464 Duluth Hwy 120, Duluth, GA 30096 | 2020-01-06 |
| 1245701044 | Kathryn Irene Vaughn | Social Worker | 3968 Mainsail Court, Duluth, GA 30096 | 2018-12-06 |
| 1083184626 | Aica Orthopedics, P.C. | Orthopaedic Surgery | 3775 Venture Drive Bldg F, Duluth, GA 30096 | 2018-11-27 |
| 1245709799 | Positive Impact Health Centers, Inc. | Pharmacy | 3350 Breckinridge Blvd, Suite 200a, Duluth, GA 30096 | 2018-11-14 |
| 1235611724 | Katherine Winstead Knott | Counselor | 3460 Summit Ridge Parkway, Suite 503, Duluth, GA 30096 | 2018-08-31 |
| 1710467857 | Envision Optics LLC | Optometrist | 1943 Pleasant Hill Rd, Duluth, GA 30096 | 2018-08-17 |
| 1104314202 | Erin Mckernan Scupham | Chiropractor | 3820 Pleasant Hill Rd. Ne, Suite 4, Duluth, GA 30096 | 2018-04-25 |
| 1053839456 | Rogers Bridge Pediatric Therapy, LLC | Clinic/Center | 2845 Summercrest Ln, Duluth, GA 30096 | 2017-09-06 |
| Find all providers in zip 30096 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| 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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922124106 | Alvis Tederrall Perry | Anesthesiology | 3840 Peachtree Industrial Blvd, Suite 220, Duluth, GA 30096-5031 | 2007-03-21 |
| 1386692879 | Diane M. Mccaffrey | Anesthesiology | 915 E 1st St, Duluth, MN 55805 | 2006-05-05 |
| 1376502567 | Arnold Edward Sutton II | Anesthesiology | 3079 Peachtree Industrial Blvd, Duluth, GA 30097-2215 | 2006-03-17 |
| 1295701027 | Andrea L Benson | Anesthesiology | 915 East Superior St, Duluth, MN 55085-0001 | 2006-02-23 |
| 1205217759 | Stuart Anthony Lehn | Anesthesiology | 6325 Hospital Pkwy, Duluth, GA 30097-5775 | 2015-06-10 |
| 1891107397 | Lee Stokes | Anesthesiology | 400 East Third Street, Duluth, MN 55805-1951 | 2014-06-02 |
| 1104169390 | Dane Mcgee Ingebrigtson | Anesthesiology | 400 E 3rd St, Duluth, MN 55805-1951 | 2013-04-05 |
| 1114260296 | Erin Mccutchen Maddy | Anesthesiology | 407 East Third Street, Duluth, MN 55805-1950 | 2013-03-27 |
| 1114265758 | Ahpm of Georgia Inc | Anesthesiology | 3079 Peachtree Industrial Blvd, Duluth, GA 30097-2215 | 2013-01-16 |
| 1083971576 | Justin David Heser | Anesthesiology | 915 E 1st St, Duluth, MN 55805-2193 | 2012-04-20 |
| Find all providers in DULUTH | ||||
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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.