DULUTH REGENERATIVE AND JOINT INSTITUTE LLC (NPI# 1609428325) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609428325 |
| Entity Type | Organization |
| Organization Name | DULUTH REGENERATIVE AND JOINT INSTITUTE LLC |
| Practice Address |
4181 Pleasant Hill Rd Ste 150 Duluth GA 30096-6387 |
| Mailing Address |
1171 Laurel Pointe Watkinsville GA 30677-7559 |
| Practice Telephone | 7066140828 |
| Mailing Telephone | 7066140828 |
| Enumeration Date | 2019-07-12 |
| Last Update Date | 2019-07-12 |
| Authorized Official Name | DON WRIGHT (CEO) |
| Authorized Official Telephone | 7066140828 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
Allopathic & Osteopathic Physicians |
| Street Address |
4181 PLEASANT HILL RD STE 150 |
| City | DULUTH |
| State | GA |
| Zip Code | 30096-6387 |
| 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 | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| 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 |
|---|---|---|---|---|
| 1376805333 | Robert Louis Mango | Internal Medicine | 400 E 3rd St, Duluth, MN 55805 | 2012-06-14 |
| 1215166145 | Fatima Abdallah Alnaimat | Internal Medicine | 400 E 3rd St, Essentia Health Duluth Clinic, Duluth, MN 55805-1951 | 2009-07-13 |
| 1497789903 | Robert Dana Leff | Internal Medicine | 400 E 3rd St, Duluth, MN 55805-1951 | 2006-07-10 |
| 1316979933 | Ana Margarita Fernandez-pokorny | Internal Medicine | 400 E 3rd St, Duluth, MN 55805-1951 | 2006-07-06 |
| 1699728261 | St. Luke's Hospital of Duluth | Internal Medicine | 1000 E 1st St, Suite 203, Duluth, MN 55805-2297 | 2006-05-17 |
| 1184675290 | Stephen Leigh Hadley | Internal Medicine | 1000 E 1st St, Suite N203, Duluth, MN 55805-2297 | 2006-05-13 |
| 1982655312 | Charles R Moore | Internal Medicine | 1000 E 1st St, Ste 203, Duluth, MN 55805-2297 | 2006-05-12 |
| 1104880822 | Veronica Mesquida | Internal Medicine | 1000 E 1st St, Ste. 203, Duluth, MN 55805-2297 | 2006-04-12 |
| 1932172533 | Cynthia Anderson Weaver | Internal Medicine | 1000 E 1st St, Ste. 203, Duluth, MN 55805-2297 | 2006-02-13 |
| 1720075500 | Waseem Khan | Internal Medicine | 1000 E 1st St, Suite 203, Duluth, MN 55805-2297 | 2005-10-05 |
| 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.