SETH A YELLIN (NPI# 1619933249) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619933249 |
| Entity Type | Individual |
| Full Name | SETH A YELLIN |
| Other Name | SETH ADAM YELLIN |
| Credential | MD |
| Practice Address |
111 Marble Mill Rd Nw Marietta GA 30060-1047 |
| Practice Telephone | 7704221013 |
| Practice Fax Number | 7705145996 |
| Mailing Telephone | 7704221013 |
| Mailing Fax Number | 7705145996 |
| Enumeration Date | 2006-04-22 |
| Last Update Date | 2011-01-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Y00000X | Otolaryngology | 041394 | GA | Allopathic & Osteopathic Physicians |
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
041394 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
111 MARBLE MILL RD NW |
| City | MARIETTA |
| State | GA |
| Zip Code | 30060-1047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417360322 | Jessica Crabbe Harris | Dermatology | 111 Marble Mill Rd Nw, Marietta, GA 30060-1047 | 2014-06-09 |
| 1295099745 | Jennifer Rose Liechty | Nurse Practitioner | 111 Marble Mill Rd Nw, Marietta, GA 30060-1047 | 2012-06-29 |
| 1164795241 | Kelly A Houmand | Physician Assistant | 111 Marble Mill Rd Nw, Marietta, GA 30060-1047 | 2012-02-20 |
| 1184938797 | Lisa W Hill | Physician Assistant | 111 Marble Mill Rd Nw, Marietta, GA 30060-1047 | 2010-08-06 |
| 1750608758 | Adam Perry | Dermatology | 111 Marble Mill Rd Nw, Marietta, GA 30060-1047 | 2010-04-29 |
| 1497082929 | Jamie Lynn Bosma Groh | Dermatology | 111 Marble Mill Rd Nw, Marietta, GA 30060-1047 | 2009-11-04 |
| 1548383292 | Elizabeth E Richwine | Dermatology | 111 Marble Mill Rd Nw, Marietta, GA 30060-1047 | 2007-04-09 |
| 1710029277 | Shana Boyd Hackworth | Physician Assistant | 111 Marble Mill Rd Nw, Marietta Dermatology Associates Pa, Marietta, GA 30060-1047 | 2007-02-13 |
| 1235283219 | Patricia Anne Flynn | Physician Assistant | 111 Marble Mill Rd Nw, Marietta, GA 30060-1047 | 2007-01-23 |
| 1417007212 | Marietta Dermatology Associates Pa | Dermatology | 111 Marble Mill Rd Nw, Marietta Dermatology Associates Pa, Marietta, GA 30060-1047 | 2007-01-12 |
| 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 | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700118114 | Vidas Dumasius | Surgery | 400 Matthew St Ste B-1, Marietta, OH 45750-1644 | 2010-02-10 |
| 1033374392 | James Bradford Depew | Surgery | 120 Vann St Ne Ste 150, Marietta, GA 30060 | 2008-07-25 |
| 1255591814 | Corey Patrick Harkins | Surgery | 120 Vann Street, Suite 150, Marietta, GA 30060 | 2008-06-16 |
| 1376697565 | Thomas Blaise Lintner | Surgery | 711 C Anton Rd, Suite 400, Marietta, GA 30060-7210 | 2007-01-23 |
| 1164416582 | Michael Petrosky | Surgery | 120 Vann St Ne, Ste 150, Marietta, GA 30060-7250 | 2005-08-31 |
| 1356334825 | James Edgar Leake | Surgery | 672 Beauregard Dr Sw, Marietta, GA 30064-5509 | 2005-08-30 |
| 1659893139 | James B Depew Md PC | Surgery | 120 Vann St Ne Ste 150, Marietta, GA 30060 | 2017-07-17 |
| 1831578699 | James Leake | Surgery | 120 Vann St Ne, Suite 150, Marietta, GA 30060-7357 | 2015-05-27 |
| 1245638931 | Corey Patrick Harkins | Surgery | 120 Vann St Ne, Suite 150, Marietta, GA 30060-7357 | 2014-12-11 |
| 1760883201 | Elmer Anthony Musarra II | Surgery | 120 Vann St Ne, Suite 150, Marietta, GA 30060-7357 | 2014-09-15 |
| 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.