DR. SAMUEL E VICTORIA JR. (NPI# 1649690835) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649690835 |
| Entity Type | Individual |
| Full Name | DR. SAMUEL E VICTORIA JR. |
| Credential | M.D. |
| Practice Address |
6300 Hospital Pkwy Ste 375 Johns Creek GA 30097-2461 |
| Mailing Address |
1542 Tulane Ave 7th Floor New Orleans LA 70112-2865 |
| Practice Telephone | 7707715260 |
| Practice Fax Number | 7707715269 |
| Mailing Telephone | 5045684750 |
| Mailing Fax Number | 5045684633 |
| Enumeration Date | 2014-04-26 |
| Last Update Date | 2019-07-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
83005 | GA | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | 301277 | LA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1542 Tulane Ave, 7th Floor, New Orleans, LA 701122865 | 5045684750 | 5044684633 |
| Street Address |
6300 HOSPITAL PKWY STE 375 |
| City | JOHNS CREEK |
| State | GA |
| Zip Code | 30097-2461 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619987682 | North Atlanta Vascular Clinic, PC | Surgery | 6300 Hospital Pkwy Ste 375, Johns Creek, GA 30097-2461 | 2006-08-09 |
| 1679189443 | Soheil Jamshidi | Surgery | 6300 Hospital Pkwy Ste 375, Johns Creek, GA 30097-2461 | 2020-09-17 |
| 1922595099 | Jennifer Rosson | Nurse Practitioner | 6300 Hospital Pkwy Ste 375, Johns Creek, GA 30097-2461 | 2018-04-15 |
| 1124414602 | Nicole A Sparks | Obstetrics & Gynecology | 6300 Hospital Pkwy Ste 375, Johns Creek, GA 30097-2461 | 2015-04-10 |
| 1336540590 | Akhila Kothapalli | Obstetrics & Gynecology | 6300 Hospital Pkwy Ste 375, Johns Creek, GA 30097-2461 | 2014-09-08 |
| 1124467709 | Mehulkumar Joshi | Surgery | 6300 Hospital Pkwy Ste 375, Johns Creek, GA 30097-2461 | 2013-06-18 |
| 1285920322 | Daniel Jose Torrent | Surgery | 6300 Hospital Pkwy Ste 375, Johns Creek, GA 30097-2461 | 2011-06-28 |
| 1942415153 | Thomas C Matthews | Surgery | 6300 Hospital Pkwy Ste 375, North Atlanta Vascular Clinic, Johns Creek, GA 30097-2461 | 2007-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659986057 | Herman Medical Solutions, LLC | Internal Medicine | 10700 Medlock Bridge Road, Suite 207, Duluth, GA 30097 | 2020-09-11 |
| 1649808619 | Kirsty Amber Ramirez | Behavior Technician | 218 Premiere Pkwy #500, Duluth, GA 30097 | 2020-03-27 |
| 1386277820 | Cristina Madalina Niculas | Pharmacist | Kroger Pharmacy 476, 6555 Sugarloaf Parkway, Duluth, GA 30097 | 2020-02-12 |
| 1619514924 | Opesdei Health Solutions | Home Health Aide | 6615 Abbotts Bridge Road, 6615 Abbotts Bridge Road Unit 1111, Johns Creek, GA 30097 | 2019-12-05 |
| 1700422979 | Ria Alexander | Nurse Practitioner | 6300 Hospital Parkway Ste 300, Johns Creek, GA 30097 | 2019-11-22 |
| 1043867765 | Mosesal Zakia White | Nurse Practitioner | 10680 Medlock Bridge Rd #102, Johns Creek, GA 30097 | 2019-08-19 |
| 1982187068 | Lighthouse Clinical Counseling, LLC | Counselor | 3883 Rogers Bridge Road, Suite 601, Duluth, GA 30097 | 2018-09-13 |
| 1376025643 | Faithe Beanne Kimsey | Counselor | 3883 Rogers Bridge Road Nw, Suite 601, Duluth, GA 30097 | 2018-09-04 |
| 1306330303 | Denise Jackson | Prosthetist | 11720 Medlock Bridge Rd Ste 155, Johns Creek, GA 30097 | 2018-06-21 |
| 1407363328 | Berkeley Van Dyke | Physical Therapist | 6335 Hospital Pkwy Ste 316, Johns Creek, GA 30097 | 2017-12-30 |
| Find all providers in zip 30097 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| 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 |
|---|---|---|---|---|
| 1619987682 | North Atlanta Vascular Clinic, PC | Surgery | 6300 Hospital Pkwy Ste 375, Johns Creek, GA 30097-2461 | 2006-08-09 |
| 1679189443 | Soheil Jamshidi | Surgery | 6300 Hospital Pkwy Ste 375, Johns Creek, GA 30097-2461 | 2020-09-17 |
| 1124467709 | Mehulkumar Joshi | Surgery | 6300 Hospital Pkwy Ste 375, Johns Creek, GA 30097-2461 | 2013-06-18 |
| 1285920322 | Daniel Jose Torrent | Surgery | 6300 Hospital Pkwy Ste 375, Johns Creek, GA 30097-2461 | 2011-06-28 |
| 1912134644 | Anuj Dinesh Mahajan | Surgery | 6300 Hospital Pkwy, Suite 375, Johns Creek, GA 30097-1828 | 2009-06-20 |
| 1831109891 | Uthan Vivek | Surgery | 6300 Hospital Pkwy, #375, Johns Creek, GA 30097-1828 | 2006-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285241265 | Jennifer Ann Hales | Surgery | 11090 Mcauley, Suite 100 2a, Savannah, GA 31419 | 2020-09-24 |
| 1902423387 | Center for Vein Restoration Ga Corp | Surgery | 1100 Johnson Fy Rd Ne Ste 165, Atlanta, GA 30342-1795 | 2020-07-01 |
| 1487133278 | Usa Vascular Center of Decatur LLC | Surgery | 495 Winn Way Ste 230, Decatur, GA 30030-1736 | 2018-08-13 |
| 1841789914 | Milner Vein and Vascular LLC | Surgery | 5700 Hillandale Dr Ste 150, Lithonia, GA 30058 | 2018-05-04 |
| 1023517505 | Antioch Vascular Center, LLC | Surgery | 9104 Middleground Road, Suite 2, Savannah, GA 31406 | 2018-02-09 |
| 1689012205 | Daniel Joseph Badia | Surgery | 601 Professional Dr Ste A220, Lawrenceville, GA 30046-7698 | 2013-06-05 |
| 1740507425 | Christopher Ray Ramos | Surgery | 1365 Clifton Road Ne, Building A, Room A2200, Atlanta, GA 30322 | 2010-04-21 |
| 1184879678 | Rockdale Vascular and Thoracic Surgery, LLC | Surgery | 1368c Wellbrook Cir Ne, Conyers, GA 30012-3872 | 2008-11-25 |
| 1528218393 | Vladimir Zahradnik | Surgery | 380 Hospital Dr Bldg A Ste 320, Macon, GA 31217 | 2008-09-29 |
| 1487819132 | Yazan Duwayri | Surgery | Division of Vascular Surgery Emory Clinic Bldg A, 1365 Clifton Road Ne. 3rd Floor, Atlanta, GA 30322-0001 | 2008-07-22 |
| Find all providers with the same taxonomy | ||||
| City | JOHNS CREEK |
| Zip Code | 30097 |
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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.