DR. CLEMENCEAU DE JESUS LOPES (NPI# 1639209307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639209307 |
| Entity Type | Individual |
| Full Name | DR. CLEMENCEAU DE JESUS LOPES |
| Other Name | DR. C J LOPES |
| Credential | M.D. |
| Practice Address |
1360 Powers Ferry Rd Se Suite C - 150 - C - 300 Marietta GA 30067-5490 |
| Practice Telephone | 7709518288 |
| Practice Fax Number | 7709518287 |
| Mailing Telephone | 7709518288 |
| Mailing Fax Number | 7709518287 |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2013-06-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 18275 | NC | Allopathic & Osteopathic Physicians |
| N | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
63697 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | DEA | AL5418151 | 01 |
| NC | NC STATE LICENSE | 18275 | 01 |
| NC | BCBS OF NC | 52865 | 01 |
| GA | GEORGIA MEDICAL LICENSE | 63697 | 01 |
| Street Address |
1360 POWERS FERRY RD SE SUITE C - 150 - C - 300 |
| City | MARIETTA |
| State | GA |
| Zip Code | 30067-5490 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588062350 | Amber Landry | Chiropractor | 1360 Powers Ferry Rd Se, Ste A100, Marietta, GA 30067-5490 | 2014-12-10 |
| 1326388984 | Act Now LLC | Community/Behavioral Health | 1360 Powers Ferry Rd Se, Suite A-130, Marietta, GA 30067-5490 | 2013-02-19 |
| 1578789210 | Ricky Alan Welkis | Chiropractor | 1360 Powers Ferry Rd Se, Suite A-100, Marietta, GA 30067-5490 | 2007-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689140022 | Sherry Wilson King | Marriage & Family Therapist | 1640 Powers Ferry Rd Blg 7, Ste 300, Marietta, GA 30067 | 2018-10-23 |
| 1053886861 | Precious Angel Home Care Services Inc | Adult Companion | 2470 Windy Hill Road, Marietta, Suite 253, Marietta, GA 30067 | 2018-10-08 |
| 1194206466 | Joshua P Moree | Chiropractor | 860 Franklin Gtwy Se Apt 111, Marietta, GA 30067 | 2018-08-24 |
| 1841778081 | Sun Pediatrics LLC | Pediatrics | 2520 Windy Hill Rd Se Ste 104, Marietta, GA 30067 | 2018-07-31 |
| 1508358714 | Mbs Wellness Group, LLC | Durable Medical Equipment & Medical Supplies | 62 Shawnee Trail Se, Marietta, GA 30067 | 2018-06-04 |
| 1497254213 | Allison M Jancik | Chiropractor | 1355 Terrell Mill Road Se, Bldg 1474, Ste 150, Marietta, GA 30067 | 2018-02-07 |
| 1801304969 | Danielle Ann Dietrich | Chiropractor | 805 Winterset Pkwy Se, Marietta, GA 30067 | 2018-01-11 |
| 1740794866 | Jessica Lofgren | Chiropractor | 1130 Northchase Pkwy Se Ste 125, Marietta, GA 30067 | 2017-11-28 |
| 1871026393 | Rhonda Dawes Milner | Counselor | 1640 Powers Ferry Rd Bldg 16, Suite 100, Marietta, GA 30067 | 2017-04-11 |
| 1457894537 | Carcelia Delk | Counselor | 1110 Augusta Dr Se, Marietta, GA 30067 | 2016-11-22 |
| Find all providers in zip 30067 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124653456 | Oasis Surgical Associates LLC | Surgery | 800 Kennesaw Ave Nw Ste 130, Marietta, GA 30060-1052 | 2020-03-06 |
| 1215453055 | Hossein Ramadan | Surgery | 3308 Keenland Rd, Marietta, GA 30062-7035 | 2017-08-14 |
| 1366978991 | Olympian Surgical Assistants | Surgery | 98 Whitlock Sq Sw, Marietta, GA 30064-3260 | 2017-05-02 |
| 1467611152 | Charles Wike | Surgery | 219 N Forest Ave Ne, Marietta, GA 30060-1623 | 2008-06-06 |
| 1164606042 | Justin Michael Watson | Surgery | 55 Whitcher Street 250, Marietta, GA 30060 | 2007-12-27 |
| 1457559759 | William Walker Train | Surgery | 55 Whitcher St Ne Ste 130, Marietta, GA 30060-1156 | 2007-07-07 |
| 1548300015 | Michael J Oreilly | Surgery | 800 Canton Rd Ne, Marietta, GA 30060-7260 | 2007-02-07 |
| 1316083611 | Wellstar Comprehensive Bariatric Services LLC | Surgery | 780 Canton Rd Ne Ste 320, Marietta, GA 30060-7289 | 2007-01-30 |
| 1063570521 | Robert A. Underwood | Surgery | 598 Nancy St Nw Ste 250, Marietta, GA 30060-1377 | 2006-12-05 |
| 1841392990 | Leopold Isaac Pena | Surgery | 3834 Austell Rd Sw, Suite C, Marietta, GA 30008-5863 | 2006-09-01 |
| Find all providers in MARIETTA | ||||
Please comment or provide details below to improve the information on DR. CLEMENCEAU DE JESUS LOPES.
| 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.