MARK E CRISPIN (NPI# 1699730705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699730705 |
| Entity Type | Individual |
| Full Name | MARK E CRISPIN |
| Credential | MD |
| Practice Address |
5673 Peachtree Dunwoody Rd Ste 100 Atlanta GA 30342 |
| Practice Telephone | 4042579888 |
| Practice Fax Number | 4042571568 |
| Mailing Telephone | 4042579888 |
| Mailing Fax Number | 4042571568 |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
032163 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
5673 PEACHTREE DUNWOODY RD STE 100 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30342 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003813379 | Peter Jay Abramson | Otolaryngology | 5673 Peachtree Dunwoody Rd, Ste 150, Atlanta, GA 30342-1771 | 2005-07-01 |
| 1689183097 | Vicki Johnson Green | Nurse Practitioner | 5673 Peachtree Dunwoody Rd, Atlanta, GA 30342-1731 | 2017-09-28 |
| 1760922686 | Michelle Soojung Hong | Nurse Practitioner | 5673 Peachtree Dunwoody Rd, Suite 775, Atlanta, GA 30342-1731 | 2017-02-24 |
| 1205291408 | Stephanie Henke | Nurse Practitioner | 5673 Peachtree Dunwoody Rd, Suite 825, Atlanta, GA 30342-1731 | 2015-12-15 |
| 1801269394 | Rebecca I Myles | Physician Assistant | 5673 Peachtree Dunwoody Rd, Suite 850, Atlanta, GA 30342-1731 | 2015-11-05 |
| 1366820276 | Advanced Hearing, LLC | Audiologist-Hearing Aid Fitter | 5673 Peachtree Dunwoody Rd, Suite 150, Atlanta, GA 30342-1731 | 2015-05-12 |
| 1225421928 | Blue Sky Surgical Assistants, LLC | Physician Assistant | 5673 Peachtree Dunwoody Rd, Suite 880, Atlanta, GA 30342-1731 | 2015-03-05 |
| 1932517331 | Laura Jean Ramirez | Audiologist | 5673 Peachtree Dunwoody Rd, Suite 150, Atlanta, GA 30342-1731 | 2014-07-29 |
| 1700296258 | Allison Malafronte | Registered Nurse | 5673 Peachtree Dunwoody Rd, Suite 675, Atlanta, GA 30342-1731 | 2014-05-06 |
| 1467870402 | Alexis Jarvis | Specialist/Technologist | 5673 Peachtree Dunwoody Rd, Atlanta, GA 30342-1731 | 2014-04-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820614 | Nia Charnice Griffin | Nurse Practitioner | 5670 Peachtree Dunwoodyroad, Suite 900, Atlanta, GA 30342 | 2020-10-26 |
| 1255945184 | Jennifer Lynne Cole | Behavior Technician | 5555 Glenridge Con Suite 200, Atlanta, GA 30342 | 2020-09-08 |
| 1093336232 | Van Tran | Respiratory Therapist, Registered | 1000 Johnson Ferry Rd Ne, Atlanta, Ga 30342, Atlanta, GA 30342 | 2020-04-28 |
| 1356978340 | Twyla Douglas Jackson I | Clinical Nutrition, 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342 | 2020-03-27 | |
| 1760013411 | Emily Hamm | Dietitian, Registered | 933 D Johnson Ferry Road, Suite 250, Atlanta, GA 30342 | 2020-01-31 |
| 1043855984 | Mackenzie Tucker Wayda | Registered Nurse | 1001 Johnson Ferry Rd. Ne, Atlanta, GA 30342 | 2019-11-14 |
| 1386288454 | Tiauna Lashun Cochman | Psychologist | 1307 Glenridge Dr, Sandy Springs, GA 30342 | 2019-11-01 |
| 1164074399 | Stephen J. White | Hearing Instrument Specialist | 5775 Peachtree Dunwoody Rd Suite 600 Fl. 6, Uhc Hearing, Atl., GA 30342 | 2019-07-09 |
| 1144788142 | Jaytyn LLC | Internal Medicine | 4600 Broswell Road, Atlanta, GA 30342 | 2019-03-08 |
| 1760954705 | Mishele Walker LLC | Counselor | 555 Glenridge Connector, Suite 200, Sandy Springs, GA 30342 | 2018-12-31 |
| Find all providers in zip 30342 | ||||
| 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 |
|---|---|---|---|---|
| 1881100337 | Rpc Employee Services, LLC | Surgery | 975 Johnson Ferry Rd Ste 100, Atlanta, GA 30342-1618 | 2017-12-20 |
| 1700249042 | Justin Kyle Williams | Surgery | 3200 Downwood Cir Nw Ste 640-4, Atlanta, GA 30327-1610 | 2016-04-04 |
| 1235313776 | Robert William Crow | Surgery | 4400 Harris Valley Rd Nw, Atlanta, GA 30327-3828 | 2007-12-19 |
| 1730380775 | West Side Plastic Surgery, Inc | Surgery | 960 Johnson Ferry Rd N.e., Suite 336, Atlanta, GA 30342 | 2007-05-29 |
| 1861511230 | Lawrence Lefkoff | Surgery | 755 Mount Vernon Hwy Ste 520, Atlanta, GA 30328-4280 | 2007-03-28 |
| 1750450599 | Vincent N Zubowicz | Surgery | 365 East Paces Ferry Rd, Atlanta, GA 30305 | 2006-11-07 |
| 1316903255 | Carmen M Kavali | Surgery | 6045 Barfield Rd, Ste 100, Atlanta, GA 30328 | 2006-04-20 |
| 1972574515 | Joseph M Woods Iv | Surgery | 275 Collier Road, Suite 200, Atlanta, GA 30309-1604 | 2006-01-31 |
| 1992707335 | Grace Yu-chun Ma | Surgery | 3131 Maple Dr Ne Ste 100, Atlanta, GA 30305-2515 | 2005-08-15 |
| 1093713208 | Kristin A Boehm | Surgery | 6085 Barfield Road Northeast, Suite 100, Atlanta, GA 30328 | 2005-07-12 |
| Find all providers in ATLANTA | ||||
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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.