LA-NIKQUA TRENAE THOMAS (NPI# 1811131428) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811131428 |
| Entity Type | Individual |
| Full Name | LA-NIKQUA TRENAE THOMAS |
| Credential | M.D. |
| Practice Address |
3650 Steve Reynolds Boulevard Kaiser Permanente Gwinnett Medical Center Duluth GA 30096 |
| Mailing Address |
3495 Piedmont Road, Ne Nine Piedmont Center Atlanta GA 30305 |
| Practice Telephone | 7709316012 |
| Mailing Telephone | 4045045678 |
| Enumeration Date | 2009-04-27 |
| Last Update Date | 2017-03-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 067616 | GA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
3650 STEVE REYNOLDS BOULEVARD KAISER PERMANENTE GWINNETT MEDICAL CENTER |
| City | DULUTH |
| State | GA |
| Zip Code | 30096 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770558751 | Thelma Berry Cummings | Nurse Practitioner | 3650 Steve Reynolds Boulevard, Kp Medical Center At Gwinnett, Duluth, GA 30086 | 2006-02-22 |
| 1780128983 | Katherine Anne Thompson | Registered Nurse | 3650 Steve Reynolds Boulevard, Kaiser Permanente Gwinnett Medical Center, Duluth, GA 30096 | 2016-12-07 |
| 1497932685 | Madhuri P Basavaraju | Pediatrics | 3650 Steve Reynolds Boulevard, Kaiser Permanente Gwinnett Medical Office, Duluth, GA 30096 | 2008-01-30 |
| 1134270721 | Lewin Go Chuachiaco | Internal Medicine | 3650 Steve Reynolds Boulevard, Dept of Int Med Hctc Kaiser Permanente Medical Center A, Duluth, GA 30096 | 2007-01-12 |
| 1811095847 | Fonda A Mitchell | Obstetrics & Gynecology | 3650 Steve Reynolds Boulevard, Department of Obstetrics & Gynecology, Duluth, GA 30096 | 2006-09-21 |
| 1104861970 | Noshin Najafi | Family Medicine | 3650 Steve Reynolds Boulevard, Kp Medical Center At Gwinnett, Duluth, GA 30096 | 2006-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922615897 | Georgia Eye Optical, LLC | Ophthalmology | 3800 Pleasant Hill Rd Ste 3, Duluth, GA 30096 | 2020-09-25 |
| 1568090868 | Positive Behavior Services, Inc | Behavior Technician | 3765 Crestwood Pkwy Nw, Duluth, GA 30096 | 2020-03-31 |
| 1861031940 | Elizabeth Ashley Edouard | Counselor | 3464 Duluth Hwy 120, Duluth, GA 30096 | 2020-01-06 |
| 1245701044 | Kathryn Irene Vaughn | Social Worker | 3968 Mainsail Court, Duluth, GA 30096 | 2018-12-06 |
| 1083184626 | Aica Orthopedics, P.C. | Orthopaedic Surgery | 3775 Venture Drive Bldg F, Duluth, GA 30096 | 2018-11-27 |
| 1245709799 | Positive Impact Health Centers, Inc. | Pharmacy | 3350 Breckinridge Blvd, Suite 200a, Duluth, GA 30096 | 2018-11-14 |
| 1235611724 | Katherine Winstead Knott | Counselor | 3460 Summit Ridge Parkway, Suite 503, Duluth, GA 30096 | 2018-08-31 |
| 1710467857 | Envision Optics LLC | Optometrist | 1943 Pleasant Hill Rd, Duluth, GA 30096 | 2018-08-17 |
| 1104314202 | Erin Mckernan Scupham | Chiropractor | 3820 Pleasant Hill Rd. Ne, Suite 4, Duluth, GA 30096 | 2018-04-25 |
| 1053839456 | Rogers Bridge Pediatric Therapy, LLC | Clinic/Center | 2845 Summercrest Ln, Duluth, GA 30096 | 2017-09-06 |
| Find all providers in zip 30096 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841739240 | Medexpress Urgent Care Minnesota P.C. | Emergency Medicine | 501 W Central Entrance, Duluth, MN 55811-5447 | 2017-02-17 |
| 1427212067 | Bryan P Berry | Emergency Medicine | 3740 London Rd, Duluth, MN 55804-2216 | 2008-07-14 |
| 1538380365 | Cynthia L Lonneman | Emergency Medicine | 915 East First Street, Duluth, MN 55805 | 2007-05-01 |
| 1336185362 | Gail E Bowdish | Emergency Medicine | 502 E Second St, Essentia Health, Duluth, MN 55805 | 2006-06-20 |
| 1295269389 | Dylan C Wyatt | Emergency Medicine | 915 E 1st St, Duluth, MN 55805-2107 | 2017-04-14 |
| 1447601562 | Tiffany M Abrahamian | Emergency Medicine | 407 E 3rd St, Duluth, MN 55805-1950 | 2016-06-29 |
| 1437509874 | Leslie Adrian | Emergency Medicine | 1012 E 2nd St, Duluth, MN 55805-2200 | 2016-06-16 |
| 1003293804 | Blake Ervin Collison | Emergency Medicine | 407 E 3rd St, Duluth, MN 55805 | 2015-04-30 |
| 1326452020 | Peter James Coenen | Emergency Medicine | 915 E 1st St, Duluth, MN 55805-2107 | 2014-06-20 |
| 1568875979 | Christopher Peters | Emergency Medicine | 407 E 3rd St, Duluth, MN 55805 | 2014-06-04 |
| Find all providers in DULUTH | ||||
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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.