RAE A KING (NPI# 1750383691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750383691 |
| Entity Type | Individual |
| Full Name | RAE A KING |
| Credential | MD |
| Practice Address |
750 Townpark Ln Nw Kennesaw GA 30144-5579 |
| Mailing Address |
3495 Piedmont Rd Ne Atlanta GA 30305-1717 |
| Practice Telephone | 7705145500 |
| Mailing Telephone | (404) 364-7285 |
| Enumeration Date | 2005-08-11 |
| Last Update Date | 2017-07-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 053319 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 593568511O | 05 | |
| GA | 593568511L | 05 | |
| GA | 593568511K | 05 | |
| GA | 593568511M | 05 | |
| GA | 593568511N | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316162522 | Rae King | Dentist | 3810 Pacific Coast Hwy, Suite 202, Torrance, CA 90505-5900 | 2007-04-14 |
| Street Address |
750 TOWNPARK LN NW |
| City | KENNESAW |
| State | GA |
| Zip Code | 30144-5579 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861979460 | Allison M Christopher | Psychologist | 750 Townpark Ln Nw, Kennesaw, GA 30144 | 2018-07-26 |
| 1831676535 | Justin Liane Williams | Psychologist | 750 Townpark Ln Nw, Kennesaw, GA 30144-5579 | 2018-07-25 |
| 1457859365 | Kristina Hazard | Pharmacist | 750 Townpark Ln Nw, Kennesaw, GA 30144-5579 | 2018-01-25 |
| 1821471152 | Gretchen Earwood | Dietitian, Registered | 750 Townpark Ln Nw, Kennesaw, GA 30144-5579 | 2015-07-06 |
| 1023403607 | Kimberly Dao-king | Pediatrics | 750 Townpark Ln Nw, Kennesaw, GA 30144 | 2015-04-01 |
| 1467708453 | Cui Yang | Internal Medicine | 750 Townpark Ln Nw, Kennesaw, GA 30144-5579 | 2012-07-27 |
| 1417214925 | Kaiser Foundation Health Plan of Georgia Inc | Pharmacy | 750 Townpark Ln Nw, Kennesaw, GA 30144-5579 | 2012-04-20 |
| 1700152378 | Sanjeev Rally | Psychiatry & Neurology | 750 Townpark Ln Nw, Behavioral Health, Kennesaw, GA 30144-5579 | 2012-03-28 |
| 1265707244 | Kaiser Foundation Health Plan of Georgia Inc | Pharmacy | 750 Townpark Ln Nw, Kennesaw, GA 30144-5579 | 2012-03-09 |
| 1871872036 | Tiffany L Wray | Pharmacist | 750 Townpark Ln Nw, Kennesaw, GA 30144-5579 | 2011-08-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205440054 | Physician Assistant Surgical Solutions | Surgery | 4290 Bells Ferry Road, Suite 134 - 1032, Kennesaw, GA 30144 | 2020-08-31 |
| 1487149340 | Creative Family Care Inc. | Social Worker | 1275 Shiloh Rd Nw Ste 3030, Kennesaw, GA 30144 | 2018-06-24 |
| 1033632203 | Octavio Andres Tobar | Specialist/Technologist | 1950 Barrett Lakes Blvd Nw Apt 1213, Kennesaw, GA 30144 | 2017-07-19 |
| 1851829220 | Sharon Mcmillan | Counselor | 1301 Shiloh Rd Nw Ste 1840, Kennesaw, GA 30144 | 2017-05-31 |
| 1073054680 | Metropolitan Health Care Plus Inc | Home Health | 445 Laurian Way, Kennesaw, GA 30144 | 2017-03-15 |
| 1649627969 | Caresouth Hha Holdings of Gainesville, LLC | Hospice Care, Community Based | 1000 Cobb Place Blvd Nw Ste 310, Kennesaw, GA 30144 | 2016-05-17 |
| 1851745988 | Joseph Mulligan | Social Worker | 1301 Shiloh Rd., Ste. 849, Kennesaw, GA 30144 | 2016-04-14 |
| 1629438601 | Youfit Health Clubs | Clinic/Center | 3895 Cherokee St Suite 100, Kennesaw, GA 30144 | 2016-03-03 |
| 1598156317 | Jodie Evans | Specialist | 1925 Vaughn Rd, Ste 200, Kennesaw, GA 30144 | 2015-02-16 |
| 1912302134 | Sleepmed Therapies, Inc. | Durable Medical Equipment & Medical Supplies | 1000 Cobb Place Blvd Nw Ste 510, Kennesaw, GA 30144 | 2014-10-30 |
| Find all providers in zip 30144 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568753838 | Namita Bhardwaj | Ophthalmology | 750 Town Park Lane, Kaiser Permanente Town Park Medical Center, Kennesaw, GA 30144 | 2011-04-21 |
| 1396066072 | Jonathan Woolfson Md, PC | Ophthalmology | 1415 Wooten Lake Rd Nw, Suite 100, Kennesaw, GA 30144-1336 | 2010-06-17 |
| 1174772859 | Georgia Ophthalmology Referral Center, LLC | Ophthalmology | 1415 Wooten Lake Rd Nw, Suite 130, Kennesaw, GA 30144-1336 | 2008-09-17 |
| 1205097920 | Lubaina M. Rangwala | Ophthalmology | 750 Townpark Lane, Kaiser Permanente Townpark Medical Center, Kennesaw, GA 30144 | 2008-06-25 |
| 1376710822 | Seongmu Lee | Ophthalmology | 750 Townpark Lane, Kaiser Permanente Townpark Medical Center, Kennesaw, GA 30144 | 2008-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336748219 | Athens Eye Consultants LLC | Ophthalmology | 650 Oglethorpe Ave Ste 5, Athens, GA 30606-2216 | 2020-10-21 |
| 1922615897 | Georgia Eye Optical, LLC | Ophthalmology | 3800 Pleasant Hill Rd Ste 3, Duluth, GA 30096 | 2020-09-25 |
| 1578188306 | The Eye Md | Ophthalmology | 1359 Milstead Road, Suite #103, Conyers, GA 30012 | 2020-06-08 |
| 1255974630 | Thomas Eye Group PC | Ophthalmology | 2240 Hamilton Creek Pkwy Ste 1100, Dacula, GA 30019-4515 | 2019-10-18 |
| 1972151462 | Rahul Assa Sharma | Ophthalmology | Emory Eye Center 1365 Clifton Rd B, Atlanta, GA 30322-0001 | 2019-08-28 |
| 1821589441 | Thomas Eye Group PC | Ophthalmology | 1110 W Peachtree St Nw Ste 860, Atlanta, GA 30309-3609 | 2018-05-21 |
| 1609363878 | Patricia Anne Bentley | Ophthalmology | 4712 Polo Ln Se, Atlanta, GA 30339-5328 | 2018-04-13 |
| 1790280857 | Tift Regional Health System Inc | Ophthalmology | 1803 Old Ocilla Road, Tifton, GA 31794 | 2018-03-29 |
| 1497287031 | Luke Yuung-jier Chang | Ophthalmology | 1120 15th St # Ba2720, Augusta, GA 30912 | 2017-04-02 |
| 1689038986 | Jonathan Shader | Ophthalmology | 1120 15th St # Ba-2720, Augusta, GA 30912-3983 | 2016-04-12 |
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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.