DR. DERRICK ASHONG (NPI# 1619396405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619396405 |
| Entity Type | Individual |
| Full Name | DR. DERRICK ASHONG |
| Credential | M.D. |
| Practice Address |
5665 New Northside Dr Ste 320 Atlanta GA 30328-5834 |
| Mailing Address |
1830 E Monument St Ste 6-100 Baltimore MD 21287-0020 |
| Practice Telephone | 4049612745 |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2018-09-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | P080100 | GA | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | 0309 | MD | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1830 E Monument St Ste 6-100, Baltimore, MD 212870020 | 4109553380 | 4109550141 |
| Street Address |
5665 NEW NORTHSIDE DR STE 320 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30328-5834 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871675496 | Sheryl Cabalza Chiariello | Physician Assistant | 5665 New Northside Dr Ste 320, Atlanta, GA 30328-5834 | 2006-10-20 |
| 1235789066 | Sarah Virginia Ellison | Emergency Medicine | 5665 New Northside Dr Ste 320, Atlanta, GA 30328-5834 | 2019-09-13 |
| 1144870973 | Hannah A Hoeffner | Emergency Medicine | 5665 New Northside Dr Ste 320, Atlanta, GA 30328-5834 | 2019-09-13 |
| 1598321499 | Joseph M Vallor | Physician Assistant | 5665 New Northside Dr Ste 320, Atlanta, GA 30328-5834 | 2019-05-15 |
| 1336638345 | Bethany S Lacheney | Registered Nurse | 5665 New Northside Dr Ste 320, Atlanta, GA 30328 | 2018-05-04 |
| 1518499201 | Ryan James Borst | Emergency Medicine | 5665 New Northside Dr Ste 320, Atlanta, GA 30328-5834 | 2017-03-31 |
| 1871948919 | Thuyan Tran Le | Emergency Medicine | 5665 New Northside Dr Ste 320, Atlanta, GA 30328-5834 | 2016-04-26 |
| 1770953796 | Dayana Pickard | Physician Assistant | 5665 New Northside Dr Ste 320, Atlanta, GA 30328-5834 | 2015-10-02 |
| 1407193014 | Latera D Davis | Emergency Medicine | 5665 New Northside Dr Ste 320, Atlanta, GA 30328-5834 | 2013-01-16 |
| 1063760320 | Audrey Claire Mueller Williams | Emergency Medicine | 5665 New Northside Dr Ste 320, Atlanta, GA 30328-5834 | 2012-08-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467910042 | Amber Andrews | Behavior Technician | 750 Hammond Drive Bldg 7 Suite 100, Atlanta, GA 30328 | 2019-03-04 |
| 1215492830 | Ryan William Dubinin | Behavior Technician | 750 Hammond Drive, Building 7, Suite 100, Atlanta, NJ 30328 | 2019-02-07 |
| 1346710142 | Emily Rose Lloyd Swavely | Speech-Language Pathologist | 5825 Glenridge Rd., Building 1, Suite 133, Atlanta, GA 30328 | 2018-12-05 |
| 1063994481 | Mark Edward Brachmanski | Optometrist | 800 Mount Vernon Highway Ne, Suite 130, Atlanta, GA 30328 | 2018-09-01 |
| 1407352578 | Nina Brown | Massage Therapist | 7100 Peachtree Dunwoody Rd Ste 110, Sandy Springs, GA 30328 | 2018-04-05 |
| 1336657741 | Renee Usher Reeves | Assistant Behavior Analyst | 750 Hammond Dr Building 7, Suite 100, Atlanta, GA 30328 | 2018-01-19 |
| 1487168274 | Patricia Nicole Felder | Student in an Organized Health Care Education/Training Program | 270 Carpenter Dr, Ne, Suite # 400, Atlanta, GA 30328 | 2017-12-01 |
| 1447762927 | Ponders Podiatry LLC | Podiatrist | 275 Carpenter Drive Ne, Suite 106, Atlanta, GA 30328 | 2017-10-24 |
| 1770093601 | Syed M Rasheed | Physician Assistant | 5788 Roswell Rd Ste 100, Atlanta, GA 30328 | 2017-10-05 |
| 1437678190 | Jeanette Denise Jones | Counselor | 270 Carpenter Drive, Suite 400, Sandy Springs, GA 30328 | 2017-09-13 |
| Find all providers in zip 30328 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760081657 | Rtw Health Services LLC | Emergency Medicine | 1951 Lenox Rd Ne, Atlanta, GA 30306-3059 | 2020-10-21 |
| 1588019368 | Martine Camille | Emergency Medicine | 49 Jesse Hill Jr Dr Se Ste 310, Atlanta, GA 30303-3049 | 2016-04-28 |
| 1124482179 | Caelyn Thea Bellerose | Emergency Medicine | Emory School of Medicine, 100 Woodruff Circle, Suite 327, Atlanta, GA 30322-0001 | 2016-04-06 |
| 1659752442 | Esther Hwang | Emergency Medicine | 531 Asbury Circle Hospital Annex Suite N340, Atlanta, GA 30322-4601 | 2015-06-17 |
| 1699165423 | Metropolitan Acute Care, LLP | Emergency Medicine | 1821 Clifton Road, Northeast, Atlanta, GA 30329-4021 | 2015-02-02 |
| 1164842910 | Emberlynn Liang Liu | Emergency Medicine | 531 Asbury Circle Hospital Annex-suite N340, Atlanta, GA 30322 | 2014-04-20 |
| 1669892618 | Michael J Carr | Emergency Medicine | 531 Asbury Cir Dept Of, Atlanta, GA 30322 | 2014-04-17 |
| 1962820654 | Elijah Robinson IIi | Emergency Medicine | 100 Woodruff Cir Ne Ste 327, Atlanta, GA 30322 | 2014-03-31 |
| 1922426741 | Rutvi Patel | Emergency Medicine | 235 Peachtree Street Ne, North Tower, Suite 2100, Atlanta, GA 30303 | 2014-03-29 |
| 1669816674 | Lisa Denardi | Emergency Medicine | 235 Peachtree St Ne #2100, Atlanta, GA 30303 | 2013-04-20 |
| 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.