KRISTINE VANIJCHAROENKARN (NPI# 1669891636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669891636 |
| Entity Type | Individual |
| Full Name | KRISTINE VANIJCHAROENKARN |
| Credential | M.D. |
| Practice Address |
1364 Clifton Rd Ne Atlanta GA 30322-1059 |
| Mailing Address |
100 Woodruff Cir Ne Ste 327 Atlanta GA 30322-1020 |
| Practice Telephone | 4046861000 |
| Enumeration Date | 2014-04-07 |
| Last Update Date | 2019-07-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RA0201X |
Internal Medicine Specialization: Allergy & Immunology |
83256 | GA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1364 CLIFTON RD NE |
| City | ATLANTA |
| State | GA |
| Zip Code | 30322-1059 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669476248 | Maureen E. Haas | Pharmacist | 1364 Clifton Rd Ne, Atlanta, GA 30322-1059 | 2005-06-10 |
| 1730789900 | Gina Renae Martin | Student in an Organized Health Care Education/Training Program | 1364 Clifton Rd Ne, Atlanta, GA 30322-1059 | 2020-10-28 |
| 1053919878 | Yolanda Martin | Nurse Practitioner | 1364 Clifton Rd Ne, Atlanta, GA 30322-1059 | 2020-10-14 |
| 1508463175 | Federico Andres Napoli | Student in an Organized Health Care Education/Training Program | 1364 Clifton Rd Ne, Atlanta, GA 30322-1059 | 2020-10-06 |
| 1871109330 | Jazmynn Lee Orellana-noia | Nurse Practitioner | 1364 Clifton Rd Ne, Atlanta, GA 30322-1059 | 2020-09-21 |
| 1376156562 | Monica Fajobi | Nurse Practitioner | 1364 Clifton Rd Ne, Atlanta, GA 30322-1059 | 2020-08-26 |
| 1174135586 | Robert Achram | Student in an Organized Health Care Education/Training Program | 1364 Clifton Rd Ne, Atlanta, GA 30322-1059 | 2020-08-18 |
| 1336751932 | Michel Attieh | Pathology | 1364 Clifton Rd Ne, Atlanta, GA 30322-1059 | 2020-08-17 |
| 1346851417 | Tatiana Tvrdik | Pathology | 1364 Clifton Rd Ne, Atlanta, GA 30322-1013 | 2020-08-12 |
| 1710596333 | Juna Victoria Konomi Johnson | Anesthesiologist Assistant | 1364 Clifton Rd Ne, Atlanta, GA 30322-1059 | 2020-07-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700445830 | Justin Gill | Student in an Organized Health Care Education/Training Program | 1365 Clifton Rd Ne, Clinic B - Suite B6100, Atlanta, GA 30322 | 2019-06-12 |
| 1891354510 | Gwendolyn Gisiner Gunn | Genetic Counselor, MS | Emory Genetics Clinic, 1365 Clifton Road Ne, Atlanta, GA 30322 | 2019-06-06 |
| 1144710567 | Lisa Cathy-ann Akosa | Registered Nurse | 1365 Cifton Road Ne, Atlanta, GA 30322 | 2018-05-10 |
| 1083118004 | Jessica Milian Keilson | Student in an Organized Health Care Education/Training Program | 1364 Clifton Road Ne, Suite H100, Emory University Hospital Office of Surgical Education, Atlanta, GA 30322 | 2018-03-23 |
| 1568982684 | Jennifer Bilko | Dietitian, Registered | 1365 Clifton Rd., Bldg A, 1st Floor, Suite 1450, Atlanta, GA 30322 | 2017-06-20 |
| 1134652258 | Kassahun Bilcha | Student in an Organized Health Care Education/Training Program | 1525 Clifton Rd Ne Ste 100, Atlanta, GA 30322 | 2017-04-05 |
| 1356872246 | Tova Rogers | Dermatology | 1525 Clifton Road Suite 105, Atlanta, GA 30322 | 2017-03-23 |
| 1194271445 | Dina Amin | Dentist | 1365 Clifton,building B, Oral and Maxillofacial Surgery, Suite 2300, Atlanta, GA 30322 | 2016-08-28 |
| 1427404904 | Rita Kaur Kuwahara | Student in an Organized Health Care Education/Training Program | 100 Woodruff Circle, Suite 327, Atlanta, GA 30322 | 2016-05-13 |
| 1891176251 | Octav Cristea | Transplant Surgery | 1365 Clifton Road Northeast, Building B, 6th Floor, Atlanta, GA 30322 | 2015-06-11 |
| Find all providers in zip 30322 | ||||
| Taxonomy Code | 207RA0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Allergy & Immunology |
| An internist doctor of osteopathy that specializes in the treatment of allergy and immunologic disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Special Qualifications in the field of Allergy & Immunology. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073666087 | Jack Benson Potter | Internal Medicine | 960 Johnson Ferry Rd Ne, Suite 410, Atlanta, GA 30342-1631 | 2007-01-21 |
| 1780699421 | Nathan Segall, M.d., P.C. | Internal Medicine | 980 Johnson Ferry Rd Ne, Suite 1080, Atlanta, GA 30342-1626 | 2006-07-30 |
| 1144276486 | Henry Ming-yow Wu | Internal Medicine | 550 Peachtree St Ne, Tec Medical Office Tower, Atlanta, GA 30308-2212 | 2006-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932217189 | Breathe Better Allergy, Asthma, and Sinus P.C. | Internal Medicine | 950 South Enota Drive, A, Gainesville, GA 30501 | 2006-08-28 |
| 1619982444 | Nathan Segall | Internal Medicine | 175 Country Club Dr 100a, Stockbridge, GA 30281-7380 | 2006-07-30 |
| 1689614885 | Robert Martin Cohen | Internal Medicine | 2390 Wall St Se, Conyers, GA 30013-2186 | 2006-06-07 |
| 1295737328 | Melvin Lee Haysman | Internal Medicine | 5400 Waters Ave, Savannah, GA 31404-6234 | 2005-08-10 |
| 1831432863 | Charmi D Patel | Internal Medicine | 1360 Caduceus Way Ste 102, Watkinsville, GA 30677-7300 | 2013-03-27 |
| 1861448110 | Mokhtar Hacena | Internal Medicine | 2054 Watson Blvd, Warner Robins, GA 31093-3634 | 2006-05-26 |
| 1104828250 | Wasil Khan | Internal Medicine | 1326 Eisenhower Dr, Bldg 2, Savannah, GA 31406-3928 | 2005-08-10 |
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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.