CHRISTINA DANIELLE DICIOCCIO (NPI# 1790232031) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790232031 |
| Entity Type | Individual |
| Full Name | CHRISTINA DANIELLE DICIOCCIO |
| Credential | PA |
| Practice Address |
11040 Crabapple Rd # Suiea Roswell GA 30075 |
| Mailing Address |
547 Keeler Woods Dr Nw Marietta GA 30064-2022 |
| Practice Telephone | 6788783551 |
| Mailing Telephone | 7704229923 |
| Mailing Fax Number | 7704229923 |
| Enumeration Date | 2016-09-02 |
| Last Update Date | 2018-10-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 13190 Ga- 92, Suite 70, Woodstock, GA 30188 | 7709269495 |
| Street Address |
11040 CRABAPPLE RD # SUIEA |
| City | ROSWELL |
| State | GA |
| Zip Code | 30075 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851889539 | William Shelton Green | Specialist/Technologist | 1055 Riceland Ct, Roswell, GA 30075 | 2018-04-27 |
| 1043712524 | Lena Claire Morison | Music Therapist | 12060 Etris Rd. #200, Roswell, GA 30075 | 2018-03-01 |
| 1720531767 | Arbor Cove Therapy LLC | Social Worker | 981 Canton St, Suite 200-e, Roswell, GA 30075 | 2016-07-26 |
| 1740640887 | Christina C Plaice | Counselor | 10882 Crabapple Road, Suite 2, Roswell, GA 30075 | 2016-03-02 |
| 1215316435 | Jlm X-ray LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1015 Canton Street, Roswell, GA 30075 | 2015-05-20 |
| 1174953624 | Ellen Terrell | Occupational Therapist | 10050 Crabapple Road, Suite D-115a, Roswell, GA 30075 | 2013-11-20 |
| 1114269974 | Patricia E Hernandez | Nurse Practitioner | 10479 Alpharetta St Ste 18, Roswell, GA 30075 | 2013-03-20 |
| 1750623658 | The George Center Foundation | Music Therapist | 1206 Etris Rd., Suite 200, Roswell, GA 30075 | 2013-03-19 |
| 1407187735 | Rachael Anne Templeton | Chiropractor | 593 Atlanta Street, Gorman Chiropractic, Roswell, GA 30075 | 2010-01-27 |
| 1518297548 | Peter R. Schemm | Counselor | 5000 Ashurst Drive, Suite 100, Roswell, GA 30075 | 2010-01-14 |
| Find all providers in zip 30075 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598934481 | Andrew Neil Wasserberg | Physician Assistant | 400 N. Pennsylvania Ave, Suite 101, Roswell, NM 88201 | 2008-02-25 |
| 1073572954 | Thomas Alan Geckler | Physician Assistant | 500 Sun Valley Dr, Suite A-2, Roswell, GA 30076-1482 | 2006-03-21 |
| 1861481335 | Anna Marie Bauer | Physician Assistant | 1289 Hembree Rd, Suite 200-a, Roswell, GA 30076 | 2005-10-18 |
| 1841287471 | Carrie Flury | Physician Assistant | 712 W Hobbs St, Roswell, NM 88203-3646 | 2005-09-29 |
| 1538674650 | Carla Perry-davis | Physician Assistant | 1357 Hembree Rd Ste 200, Roswell, GA 30076-5710 | 2017-12-12 |
| 1114445590 | Mark Amba Standley | Physician Assistant | 111 W Hobbs St, Roswell, NM 88203-1869 | 2017-09-06 |
| 1760833388 | Kandace Suzette Mcclellan | Physician Assistant | 300 W Country Club Rd Ste 230, Roswell, NM 88201-5240 | 2016-06-24 |
| 1801203666 | Kimberly Ann Donahue | Physician Assistant | 1825 Old Alabama Rd, Suite 201, Roswell, GA 30076-2273 | 2014-07-14 |
| 1205267432 | Norman Bowers | Physician Assistant | 303 W Country Club Rd, Roswell, NM 88201-5892 | 2013-12-13 |
| 1932539293 | Kingel N Desai | Physician Assistant | 1340 Upper Hembree Rd Ste A, Roswell, GA 30076 | 2013-11-22 |
| Find all providers in ROSWELL | ||||
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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.