DR. MICHAEL SHAY SABOM (NPI# 1699733386) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699733386 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL SHAY SABOM |
| Credential | MD |
| Practice Address |
11180 State Bridge Rd Alpharetta GA 30022-7482 |
| Mailing Address |
3495 Piedmont Rd Ne Atlanta GA 30305-1717 |
| Practice Telephone | 7707540788 |
| Mailing Telephone | 4043650966 |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2018-10-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 059583 | GA | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 24919 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 249190 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821198557 | Michael B Sabom | Internal Medicine | 77 Weaver Road, Suite B, Blairsville, GA 30512-3136 | 2006-09-23 |
| Street Address |
11180 STATE BRIDGE RD |
| City | ALPHARETTA |
| State | GA |
| Zip Code | 30022-7482 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851773899 | Alpharetta Creek Restorative Dentistry LLC | Dentist | 11180 State Bridge Rd, Suite 405, Alpharetta, GA 30022-7482 | 2015-06-26 |
| 1114136280 | Comprehensive Therapy Solutions | Durable Medical Equipment & Medical Supplies | 11180 State Bridge Rd, Suite 305, Alpharetta, GA 30022-7482 | 2007-05-22 |
| 1821214503 | Brett Harrelson | Dentist | 11180 State Bridge Rd, Suite 405, Alpharetta, GA 30022-7482 | 2007-04-18 |
| 1760501217 | Michelle Lee Mollard | Chiropractor | 11180 State Bridge Rd, Suite 402, Alpharetta, GA 30022-7482 | 2007-03-28 |
| 1982749206 | Mark J. Casertano | Chiropractor | 11180 State Bridge Rd, Suite 201, Alpharetta, GA 30022-7482 | 2007-02-21 |
| 1124174487 | Macia J Pearl | Physical Therapist | 11180 State Bridge Rd, Suite 503, Alpharetta, GA 30022-7482 | 2007-01-26 |
| 1669531539 | Rachel Biller | Physical Therapist | 11180 State Bridge Rd, Alpharetta, GA 30022-7482 | 2006-12-07 |
| 1356419493 | Comprehensive Therapy Solutions | Physical Therapist | 11180 State Bridge Rd, Suite 305, Alpharetta, GA 30022-7482 | 2006-11-30 |
| 1619045770 | Mia Fuller | Occupational Therapist | 11180 State Bridge Rd, Suite 305, Alpharetta, GA 30022-7482 | 2006-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982244463 | Youthful Md LLC | Family Medicine | 10595 Old Alabama Rd Con, # 9a, Alpharetta, GA 30022 | 2020-01-13 |
| 1194367185 | Maureen Onyewuenyi | Counselor | 1030 Jones Bridge Road, Suite 301, Johns Creek, GA 30022 | 2019-10-11 |
| 1427543032 | Neal Baker | Counselor | 5755 N Point Pkwy Ste 90, Alpharetta, GA 30022 | 2018-06-26 |
| 1215428685 | Advanced Cosmetic and Family Dentistry, PC | Durable Medical Equipment & Medical Supplies | 4205 North Point Parkway Bldg D, Alpharetta, GA 30022 | 2018-05-22 |
| 1114431541 | Grace Yang | Speech-Language Pathologist | 3207 Beaver Creek Road, Alpharetta, GA 30022 | 2017-11-21 |
| 1881112217 | Brittany Ketchup Hall | Counselor | 2750 Old Alabama Rd Unit 200, Alpharetta, GA 30022 | 2017-09-06 |
| 1154849867 | Fatima Wasim | Psychologist | 5755 N Point Pkwy Ste 79, Alpharetta, GA 30022 | 2017-09-01 |
| 1730602418 | Brian Keith Soles | Pharmacist | 4305 Old Milton Parkway, Alpharetta, GA 30022 | 2017-07-25 |
| 1548718976 | Serenity Life Counseling Center LLC | Community/Behavioral Health | 10068 Parc Sky Cir, Alpharetta, GA 30022 | 2016-09-14 |
| 1487016317 | National Vision, Inc. | Technician/Technologist | 7661 N Point Pwky, Ste 600, Alpharetta, GA 30022 | 2016-03-21 |
| Find all providers in zip 30022 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851909535 | Newly Sought After International LLC | Family Medicine | 11815 Northfall Ln Ste 1001, Alpharetta, GA 30009-7973 | 2020-07-17 |
| 1982244463 | Youthful Md LLC | Family Medicine | 10595 Old Alabama Rd Con, # 9a, Alpharetta, GA 30022 | 2020-01-13 |
| 1457901209 | Carehere LLC | Family Medicine | Carehere Clinic- Jackson Healthcare, 2655 Northwinds Pkwy, Alpharetta, GA 30009 | 2019-09-13 |
| 1386054336 | Navdeep Mangat | Family Medicine | 450 Walden Glen Ln, Alpharetta, GA 30004-1436 | 2014-04-30 |
| 1447699152 | Jay Frederick Morgan | Family Medicine | 501 S Main St Ste 202, Alpharetta, GA 30009-1975 | 2013-06-17 |
| 1891041125 | Pooja Agarwal | Family Medicine | 3400 Old Milton Pkwy Ste 270, Alpharetta, GA 30005-3707 | 2012-07-24 |
| 1598064636 | Charles Phillips | Family Medicine | 6045 Carlisle Ln, 6045 Carlisle Ln, Alpharetta, GA 30022-6281 | 2011-03-15 |
| 1134429566 | Hoyland Harris Ricks | Family Medicine | 11675 Great Oaks Way, Alpharetta, GA 30022-2421 | 2010-11-02 |
| 1942515531 | Amena Samar | Family Medicine | 120 Sunvalley Dr, Alpharetta, GA 30004-4383 | 2010-08-09 |
| 1275844847 | Stephen Matthew Cox | Family Medicine | 2450 Old Milton Pkwy Ste 201, Alpharetta, GA 30009-2108 | 2010-06-29 |
| Find all providers in ALPHARETTA | ||||
| City | ALPHARETTA |
| Zip Code | 30022 |
Please comment or provide details below to improve the information on DR. MICHAEL SHAY SABOM.
| 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.