ORTHOATLANTA, LLC (NPI# 1629624507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629624507 |
| Entity Type | Organization |
| Organization Name | ORTHOATLANTA, LLC |
| Practice Address |
620 Cherokee St Ne Ste 300 Marietta GA 30060-7202 |
| Mailing Address |
900 Circle 75 Pkwy Se Ste 1700 Atlanta GA 30339-3087 |
| Practice Telephone | 7706351812 |
| Practice Fax Number | 4044771176 |
| Mailing Telephone | 7709536929 |
| Mailing Fax Number | 7709536972 |
| Enumeration Date | 2019-08-15 |
| Last Update Date | 2019-08-15 |
| Authorized Official Name | MICHAEL OCHAL (CEO) |
| Authorized Official Telephone | 7709536829 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 207XS0114X |
Orthopaedic Surgery Specialization: Adult Reconstructive Orthopaedic Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 207XX0004X |
Orthopaedic Surgery Specialization: Foot and Ankle Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 208100000X | Physical Medicine & Rehabilitation | Allopathic & Osteopathic Physicians | ||
| N | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
Allopathic & Osteopathic Physicians | ||
| N | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265047005 | Orthoatlanta, LLC | Orthopaedic Surgery | 3929 Peachtree Rd Ne Ste 250, Brookhaven, GA 30319-3374 | 2020-09-09 |
| 1053819854 | Orthoatlanta, LLC | Physical Medicine & Rehabilitation | 455 Legends Pl Se Ste 890, Atlanta, GA 30339-4245 | 2018-01-26 |
| 1720350747 | Orthoatlanta, LLC | Orthopaedic Surgery | 620 Cherokee St Ne Ste 300, Marietta, GA 30060-7202 | 2012-02-07 |
| 1982618294 | Orthoatlanta, LLC | Orthopaedic Surgery | 900 Circle 75 Pkwy Se, Suite 1700, Atlanta, GA 30339-3035 | 2006-07-29 |
| 1851937114 | Orthoatlanta, LLC | Orthopaedic Surgery | 2201 Newnan Crossing Blvd E Ste 100, Newnan, GA 30265-2551 | 2019-11-21 |
| 1508302472 | Orthoatlanta, LLC | Orthopaedic Surgery | 2785 Highway 54, Peachtree City, GA 30269-1063 | 2017-01-16 |
| 1851756506 | Orthoatlanta, LLC | Orthopaedic Surgery | 1800 Howell Mill Rd Nw, Suite 200, Atlanta, GA 30318-2538 | 2015-12-23 |
| 1386946598 | Orthoatlanta, LLC | Orthopaedic Surgery | 354 Newnan Crossing Byp, Suite 200, Newnan, GA 30265-2323 | 2010-11-19 |
| 1215260922 | Orthoatlanta, LLC | Orthopaedic Surgery | 3525 Busbee Dr Nw, Kennesaw, GA 30144-5677 | 2009-09-13 |
| 1164646139 | Orthoatlanta, LLC | Radiologic Technologist | 6300 Hospital Pkwy, Suite 400, Johns Creek, GA 30097-1828 | 2007-04-12 |
| Street Address |
620 CHEROKEE ST NE STE 300 |
| City | MARIETTA |
| State | GA |
| Zip Code | 30060-7202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720350747 | Orthoatlanta, LLC | Orthopaedic Surgery | 620 Cherokee St Ne Ste 300, Marietta, GA 30060-7202 | 2012-02-07 |
| 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 | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114263878 | Joe Leonard Hughes | Orthopaedic Surgery | 4981 Lake Fjord Pass, Marietta, GA 30068-1638 | 2012-12-27 |
| 1013059823 | Pinnacle Orthopaedics & Sports Medicine Specialists LLC | Orthopaedic Surgery | 3747 Roswell Rd Ste 319, Marietta, GA 30062-6227 | 2007-02-12 |
| 1750336046 | Dominic S Carreira | Orthopaedic Surgery | 1163 Johnson Ferry Rd Ste 200, Marietta, GA 30068-2764 | 2006-05-24 |
| 1215992458 | First Settlement Orthopaedics Inc | Orthopaedic Surgery | 611 Second St, Marietta, OH 45750 | 2006-04-19 |
| 1336122746 | Douglas W Lundy | Orthopaedic Surgery | 61 Whitcher St, Suite 1100, Marietta, GA 30060 | 2005-11-21 |
| 1508853284 | Alfred O. Colquitt IIi | Orthopaedic Surgery | 211 Chicopee Dr Ne, Marietta, GA 30060-1269 | 2005-09-29 |
| 1124014568 | Richard W Cohen | Orthopaedic Surgery | 61 Whitcher St Ne, Suite 1100, Marietta, GA 30060-1176 | 2005-09-21 |
| 1205839925 | Clarence Lyn Crooms | Orthopaedic Surgery | 3823 Roswell Rd, Suite 202, Marietta, GA 30062-6278 | 2005-05-27 |
| 1578566527 | Stanley H Dysart | Orthopaedic Surgery | 300 Tower Rd Ne, Ste 200, Marietta, GA 30060-9403 | 2005-05-23 |
| 1689808214 | Stephen Kim | Orthopaedic Surgery | 61 Whitcher St Ne, Suite 1100, Marietta, GA 30060-1176 | 2009-05-11 |
| 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.