DR. VIVIAN CHIZOROM IWU (NPI# 1811019730) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811019730 |
| Entity Type | Individual |
| Full Name | DR. VIVIAN CHIZOROM IWU |
| Credential | D.P.M. |
| Practice Address |
540 Powder Springs St Ste B6 Marietta GA 30064-3559 |
| Mailing Address |
2450 Atlanta Hwy Ste 402 Cumming GA 30040-1254 |
| Practice Telephone | 7707028723 |
| Practice Fax Number | 7707028809 |
| Mailing Telephone | 6789470973 |
| Mailing Fax Number | 6789472836 |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2020-09-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
POD001071 | GA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | RAILROAD MEDICARE | P00460780 | 01 |
| GA | 924062921A | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2450 Atlanta Hwy, Suite 402, Cumming, GA 300408099 | 6789470973 | 6789472836 |
| Street Address |
540 POWDER SPRINGS ST STE B6 |
| City | MARIETTA |
| State | GA |
| Zip Code | 30064-3559 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043827280 | Choice Podiatry Center, Inc. | Podiatrist | 540 Powder Springs St Ste B6, Marietta, GA 30064-3559 | 2020-09-30 |
| 1326446873 | Kinna Ashok Patel | Podiatrist | 540 Powder Springs St Ste B6, Marietta, GA 30064-3559 | 2014-12-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043833304 | Chelsey Lewis | Pharmacist | 660 Whitlock Ave Sw, Marietta, GA 30064 | 2020-05-21 |
| 1316428527 | Candice Murray | Nurse Practitioner | 2727 Wynford Ave Sw, Marietta, GA 30064 | 2018-08-25 |
| 1427539741 | Emily Dorsey Drew | Nurse Practitioner | 3911 Mary Eliza Trce Nw Ste 200, Marietta, GA 30064 | 2018-08-24 |
| 1649765017 | Julie K Berger | Counselor | 336 Powder Springs St Suite 206, Marietta, GA 30064 | 2018-06-27 |
| 1689175291 | Anthony Bammer | Clinical Exercise Physiologist | 1001 Whitlock Avenue Nw, Marietta, GA 30064 | 2018-02-28 |
| 1831600725 | Dyniecia Barnes | Specialist | 2575 White Haven Dr Sw, Ste 100 / Salon 121, Marietta, GA 30064 | 2017-10-18 |
| 1588173298 | Michelle Ann Stich | Assistant Behavior Analyst | 376 Powder Springs St Ste 130, Marietta, GA 30064 | 2017-09-26 |
| 1194241976 | Namasine Lolice Dalrymple | Counselor | 1708 Peachtree St, Suite 300, Atlanta, GA 30064 | 2017-08-14 |
| 1245760859 | Michael H Mulkey, Dmd PC | Dentist | 3951 Mary Eliza Trace Nw, Suite 200, Marietta, GA 30064 | 2017-06-15 |
| 1700310893 | West Cobb Dentist Office, PC | Dentist | 3805 Dallas Hwy Sw, Suite 804, Marietta, GA 30064 | 2017-04-14 |
| Find all providers in zip 30064 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194184879 | Sequioa Ducasse | Podiatrist | 2550 Windy Hill Rd Se Ste 206, Marietta, GA 30067-8654 | 2016-02-23 |
| 1578946745 | Neha Delvadia | Podiatrist | 3901 Roswell Rd Ste 340, Marietta, GA 30062-6250 | 2015-07-06 |
| 1447653761 | Marie-christine Bergeron | Podiatrist | 3225 Shallowford Rd Ste 200, Marietta, GA 30062-1288 | 2014-10-01 |
| 1578856902 | Irene Cristina Verlezza | Podiatrist | 1200 Johnson Ferry Rd Ste 150, Marietta, GA 30068-5403 | 2011-05-18 |
| 1700981057 | Nathan Harold Schwartz | Podiatrist | 792 Church St Ne Ste 102, Marietta, GA 30060 | 2006-09-13 |
| 1497740229 | Mathew M. John | Podiatrist | 2790 Sandy Plains Rd, Suite 300, Marietta, GA 30066-4378 | 2005-09-19 |
| 1427055805 | Mark R. Light | Podiatrist | 4439 Roswell Rd, Marietta, GA 30062-6452 | 2005-06-30 |
| 1043827280 | Choice Podiatry Center, Inc. | Podiatrist | 540 Powder Springs St Ste B6, Marietta, GA 30064-3559 | 2020-09-30 |
| 1730721408 | Krishna Podiatry Group of Georgia | Podiatrist | 3901 Roswell Rd Ste 340, Marietta, GA 30062-6250 | 2019-10-14 |
| 1417342700 | Matthew Ward | Podiatrist | 165 Vann St Ne, Marietta, GA 30060 | 2015-04-02 |
| Find all providers in MARIETTA | ||||
Please comment or provide details below to improve the information on DR. VIVIAN CHIZOROM IWU.
| 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.