ATHENS KIDS SPECIALISTS, PC (NPI# 1801955018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801955018 |
| Entity Type | Organization |
| Organization Name | ATHENS KIDS SPECIALISTS, PC |
| Other Organization Name | ATHENS KIDS |
| Practice Address |
1500 Oglethorpe Ave Bldg 100 Athens GA 30606-2179 |
| Practice Telephone | 7065439899 |
| Practice Fax Number | 7066133995 |
| Mailing Telephone | 7065439899 |
| Mailing Fax Number | 7066133995 |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2011-10-19 |
| Authorized Official Name | DR. FELIX SHERWIN LOPEZ (PRESIDENT) |
| Authorized Official Telephone | 7065439899 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 044125 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000754839B | 05 |
| Other Name | Type Code |
|---|---|
| Athens Kids | Doing Business As Name - Organization |
| Street Address |
1500 OGLETHORPE AVE BLDG 100 |
| City | ATHENS |
| State | GA |
| Zip Code | 30606-2179 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396749925 | Joy B Chastain | Specialist | 1500 Oglethorpe Ave, Ste 3000, Athens, GA 30606-2190 | 2005-06-10 |
| 1467957787 | Vandana Yanamadala | Student in an Organized Health Care Education/Training Program | 1500 Oglethorpe Ave, Athens, GA 30606-2179 | 2018-03-28 |
| 1932604899 | Jamila-duyen Phuong Pham | Student in an Organized Health Care Education/Training Program | 1500 Oglethorpe Ave, Athens, GA 30606-2179 | 2018-03-23 |
| 1295266484 | Yousef Treki | Student in an Organized Health Care Education/Training Program | 1500 Oglethorpe Ave, Suite 200d, Athens, GA 30606-2179 | 2017-03-21 |
| 1073054409 | Jacob Sloan Kopp | Student in an Organized Health Care Education/Training Program | 1500 Oglethorpe Ave, Suite 200d, Athens, GA 30606-2179 | 2017-03-18 |
| 1205377629 | Jane Mangwi Fon-ndikum | Student in an Organized Health Care Education/Training Program | 1500 Oglethorpe Ave, Community Internal Medicine of Athens, Ste 200d, Athens, GA 30606-2179 | 2017-03-17 |
| 1255793600 | Martin Kagira | Student in an Organized Health Care Education/Training Program | 1500 Oglethorpe Ave, Suite 200d, Athens, GA 30606-2179 | 2016-03-24 |
| 1548654015 | Soma Mandal | Internal Medicine | 1500 Oglethorpe Ave, Building 200d, Athens, GA 30606-2179 | 2015-03-23 |
| 1659765287 | Tenzing Phanthok | Internal Medicine | 1500 Oglethorpe Ave, Suite 200d, Athens, GA 30606-2179 | 2015-03-20 |
| 1801292412 | Melissa Margaret Cannon | Physician Assistant | 1500 Oglethorpe Ave, Suite 3000, Athens, GA 30606-2179 | 2014-11-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942816962 | Kofi Darkwa Seffah | Student in an Organized Health Care Education/Training Program | 1199 Prince Ave #70, 1270 Prince Ave Suite 201, Athens, GA 30606 | 2020-09-16 |
| 1831712363 | Rebecca John | Licensed Practical Nurse | 240 Mitchel Bridge Road, Athens, GA 30606 | 2020-05-19 |
| 1497375612 | Alfred Ka-shing Wong | Student in an Organized Health Care Education/Training Program | 1270 Prince Ave Suite 201, Athens, GA 30606 | 2020-04-17 |
| 1881223956 | Lauren Fesperman | Nurse Practitioner | 242 King Ave Ste 130, Athens, GA 30606 | 2020-04-02 |
| 1255966081 | Westminster Presbyterian Homes, Inc. | Skilled Nursing Facility | 1400 Live Oak Ln, Building 100, Athens, GA 30606 | 2020-03-12 |
| 1255981700 | Carol Cameron Cready-pyle | Social Worker | 1551 Jennings Mill Pkwy Ste 1700, Athens, GA 30606 | 2019-09-17 |
| 1013576016 | Lauren Gruendling | Nurse Practitioner | 242 King Avenue, Suite 210, Athens, GA 30606 | 2019-06-12 |
| 1760045223 | Dominic Ofosu Amakye | Student in an Organized Health Care Education/Training Program | 1270 Prince Avenue Suite 201, Athens, GA 30606 | 2019-04-19 |
| 1740740422 | Juan G Salazar Castillo | Student in an Organized Health Care Education/Training Program | Community Internal Medicine of Athens, 1500 Oglethorpe Ave Suite 200d, Athens, GA 30606 | 2019-03-20 |
| 1750869020 | Jennifer Emily Chapman | Physical Therapist | 1021 Parkway Blvd Ste 101, Athens, GA 30606 | 2018-07-30 |
| Find all providers in zip 30606 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275950420 | Meredith Grace Merkley | Pediatrics | 6561 Lemaster Rd, Athens, OH 45701-9134 | 2014-03-26 |
| 1356661599 | Amy Marie Zidron | Pediatrics | 24 W Green Dr Ste 329, Athens, OH 45701-2974 | 2010-06-10 |
| 1003131244 | James Nicholas Frisk | Pediatrics | 125 Telfair Pl, Athens, GA 30606-3237 | 2010-03-31 |
| 1982898383 | Victor E Payton Md, PC | Pediatrics | 700 Oglethorpe Ave # 3, Athens, GA 30606-2221 | 2007-08-29 |
| 1083771398 | Patrick E Phelan | Pediatrics | 1500 Oglethorpe Ave Bldg 600, Athens, GA 30606-2179 | 2007-01-03 |
| 1346303575 | Christian D Lindsey | Pediatrics | 1500 Oglethorpe Ave Ste 600a, Athens, GA 30606-2185 | 2006-12-19 |
| 1881757193 | Athen Kids Specialists P.c | Pediatrics | 650 Oglethorpe Ave., Ste 4, Athens, GA 30303-2216 | 2006-12-18 |
| 1386726446 | Bibi Lee Teng | Pediatrics | 1005 West Market Street, Suite 4, Athens, AL 35611 | 2006-10-19 |
| 1316049059 | Saji K Gopinathan | Pediatrics | 119 Epperson St, Athens, TN 37303-3478 | 2006-09-02 |
| 1750306429 | Venkatappa N Murthy | Pediatrics | 555 Research Dr, Athens, GA 30605-2729 | 2006-07-13 |
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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.