DR. CARMEN MANUELA KLASS (NPI# 1598871410) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598871410 |
| Entity Type | Individual |
| Full Name | DR. CARMEN MANUELA KLASS |
| Credential | MD, PHD |
| Practice Address |
340 Kennestone Hospital Blvd Ste 100 Marietta GA 30060-1158 |
| Mailing Address |
531 Roselane St Nw Ste 710 Marietta GA 30060-6975 |
| Practice Telephone | 7702815100 |
| Practice Fax Number | 6785817100 |
| Mailing Telephone | 6783313297 |
| Mailing Fax Number | 6785817187 |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2019-06-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
053774 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 725272375A | 05 | |
| GA | 725272375C | 05 | |
| GA | 725272375D | 05 | |
| GA | NPI NUMBER | 1598871410 | 01 |
| GA | 725272375B | 05 |
| Street Address |
340 KENNESTONE HOSPITAL BLVD STE 100 |
| City | MARIETTA |
| State | GA |
| Zip Code | 30060-1158 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245234608 | Michael B Andrews | Internal Medicine | 340 Kennestone Hospital Blvd Ste 100, Marietta, GA 30060-1158 | 2005-06-13 |
| 1013567452 | Megan Nichole Dalton | Physician Assistant | 340 Kennestone Hospital Blvd Ste 100, Marietta, GA 30060-1158 | 2019-09-18 |
| 1356900757 | Megan Marie Johnson | Physician Assistant | 340 Kennestone Hospital Blvd Ste 100, Marietta, GA 30060-1158 | 2019-06-10 |
| 1386127868 | Alanna Marie Thomas | Physician Assistant | 340 Kennestone Hospital Blvd Ste 100, Marietta, GA 30060-1158 | 2018-09-11 |
| 1487189072 | Amy Lynn Mccloskey | Nurse Practitioner | 340 Kennestone Hospital Blvd Ste 100, Marietta, GA 30060-1158 | 2017-04-21 |
| 1871965582 | Hayley S. Hecht | Nurse Practitioner | 340 Kennestone Hospital Blvd Ste 100, Marietta, GA 30060-1158 | 2015-10-21 |
| 1083049050 | Rosemary Elaine Taormina | Nurse Practitioner | 340 Kennestone Hospital Blvd Ste 100, Marietta, GA 30060-1158 | 2013-09-10 |
| 1780026013 | Cynthia Elizabeth Duprey | Nurse Practitioner | 340 Kennestone Hospital Blvd Ste 100, Marietta, GA 30060-1158 | 2013-07-29 |
| 1316287790 | Michelle Ann Armstrong | Physician Assistant | 340 Kennestone Hospital Blvd Ste 100, Marietta, GA 30060-1158 | 2013-02-22 |
| 1124310149 | Lauren K Rickoff | Physician Assistant | 340 Kennestone Hospital Blvd Ste 100, Marietta, GA 30060-1158 | 2011-05-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144845116 | Legacy Center for Spinal Surgery, LLC | Neurological Surgery | 1900 The Exchange, Ne, Suite 600, Marietta, GA 30060 | 2020-06-15 |
| 1407477193 | Michael Cynil Daniel | Counselor | 698 N Marietta, Pkwy, Marietta, GA 30060 | 2020-05-04 |
| 1285253401 | Cameron Thomas Kennelly | Student in an Organized Health Care Education/Training Program | 677 Church Street Ne Attn:gme, Marietta, GA 30060 | 2020-04-09 |
| 1922640739 | Jeremiah George Blair | Physician Assistant | 61 Whitcher St Suite 2100, Marietta, GA 30060 | 2019-10-14 |
| 1164064945 | Denise Alicia Mick | Registered Nurse | 677 Church St Wellstar Kennestone Hospital, Marietta, GA 30060 | 2019-10-12 |
| 1184283772 | Iora Health Georgia, P.C. | Internal Medicine | 280 Cobb Pkwy Se, Suite 60, Marietta, GA 30060 | 2019-06-07 |
| 1346703212 | Caitlin Virginia Mueller | Student in an Organized Health Care Education/Training Program | 677 Church Street Ne, Attn: Gme, Marietta, GA 30060 | 2019-04-08 |
| 1184187205 | Adero Francis | Student in an Organized Health Care Education/Training Program | Wellstar Kennestone Gme Internal Medicine Clinic, 833 Campbell Hill St Nw, Suite 250, Marietta, GA 30060 | 2019-04-08 |
| 1659832749 | Matthew Mozzo | Student in an Organized Health Care Education/Training Program | 677 Church Street / Lower Level, Gme Department / I.m., Marietta, GA 30060 | 2019-03-29 |
| 1245797430 | La'myia Spentz | Specialist | 109 Anderson St Ne, Suite 608, Marietta, GA 30060 | 2019-02-25 |
| Find all providers in zip 30060 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245234608 | Michael B Andrews | Internal Medicine | 340 Kennestone Hospital Blvd Ste 100, Marietta, GA 30060-1158 | 2005-06-13 |
| 1427321124 | Shuang Yin Zhang | Internal Medicine | 340 Kennestone Hospital Blvd, Suite 200, Marietta, GA 30060-1173 | 2012-02-12 |
| 1689990061 | John Thomas French | Internal Medicine | 340 Kennestone Hospital Blvd Ste 100, Marietta, GA 30060-1158 | 2010-04-11 |
| 1962601344 | Pooja Bardhan | Internal Medicine | 790 Church St Ne, Suite 335, Marietta, GA 30060-7282 | 2007-07-16 |
| 1982823290 | Devaki Siva | Internal Medicine | 400 Matthew St, Strecker Cancer Center, Marietta, OH 45750-1644 | 2007-04-25 |
| 1609941335 | Louis C Garrot | Internal Medicine | 790 Church St Ne, Suite 335, Marietta, GA 30060-7282 | 2006-11-21 |
| 1023113727 | Kelli A Cawley | Internal Medicine | 400 Matthew St, Strecker Cancer Center, Marietta, OH 45750 | 2006-09-14 |
| 1194829721 | Mukund K Shah | Internal Medicine | 400 Matthew St, Strecker Cancer Center, Marietta, OH 45750-1644 | 2006-09-12 |
| 1902811623 | Georgia Cancer Specialists I PC | Internal Medicine | 340 Kennestone Hospital Blvd, Suite 100, Marietta, GA 30060-1152 | 2006-07-30 |
| 1497711931 | Madhurima Uppalapati | Internal Medicine | 340 Kennestone Hospital Blvd Ste 100, Marietta, GA 30060-1158 | 2006-04-25 |
| Find all providers in MARIETTA | ||||
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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.