DR. TOBIAS NIKOLAUS VON BERGEN (NPI# 1861807414) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1861807414 |
Entity Type | Individual |
Full Name | DR. TOBIAS NIKOLAUS VON BERGEN |
Credential | M.D. |
Practice Address |
1240 Eagles Landing Pkwy Ste 300 Stockbridge GA 30281-5173 |
Mailing Address |
900 Circle 75 Pkwy Se Ste 1700 Atlanta GA 30339-3087 |
Practice Telephone | 7705064350 |
Practice Fax Number | 7705069860 |
Mailing Telephone | 7709536929 |
Enumeration Date | 2014-06-23 |
Last Update Date | 2020-09-15 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgery | 86346 | GA | Allopathic & Osteopathic Physicians |
N | 207X00000X | Orthopaedic Surgery | 2019-00768 | NC | Allopathic & Osteopathic Physicians |
Y | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
86346 | GA | Allopathic & Osteopathic Physicians |
Street Address |
1240 EAGLES LANDING PKWY STE 300 |
City | STOCKBRIDGE |
State | GA |
Zip Code | 30281-5173 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881687937 | Cynthia Ellen Hunt | Physician Assistant | 1240 Eagles Landing Pkwy Ste 300, Stockbridge, GA 30281-5173 | 2005-08-24 |
1558821314 | Danielle Tiffany Mcdonald | Physical Therapist | 1240 Eagles Landing Pkwy Ste 300, Stockbridge, GA 30281-5173 | 2019-03-20 |
1598240269 | Kris Magpantay | Physician Assistant | 1240 Eagles Landing Pkwy Ste 300, Stockbridge, GA 30281-5173 | 2018-09-28 |
1376075176 | Roger Gregory | Specialist/Technologist | 1240 Eagles Landing Pkwy Ste 300, Stockbridge, GA 30281-5173 | 2017-03-30 |
1063956431 | Jerrica Miles | Physician Assistant | 1240 Eagles Landing Pkwy Ste 300, Stockbridge, GA 30281-5173 | 2016-12-05 |
1093264277 | Chentiesha Latrice Cozart | Physical Therapist | 1240 Eagles Landing Pkwy Ste 300, Stockbridge, GA 30281-5173 | 2016-09-28 |
1013279553 | James Vincent Edwards | Physician Assistant | 1240 Eagles Landing Pkwy Ste 300, Stockbridge, GA 30281-5173 | 2012-06-11 |
1649591173 | Silvana M Bishop | Physical Therapist | 1240 Eagles Landing Pkwy Ste 300, Stockbridge, GA 30281-5173 | 2010-06-18 |
1952507485 | Timothy Noshi Ghattas | Orthopaedic Surgery | 1240 Eagles Landing Pkwy Ste 300, Stockbridge, GA 30281-5173 | 2007-06-22 |
1215013552 | Minoo H Hollis | Orthopaedic Surgery | 1240 Eagles Landing Pkwy Ste 300, Stockbridge, GA 30281-5173 | 2006-10-30 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164039095 | Colette Alls | Social Worker | 447 Lakeshore Dr, Stockbridge, GA 30281 | 2020-09-24 |
1982216800 | Pediatric and Family Behavioral Health of Georgia | Counselor | 1004 Ulster Court, Stockbridge, GA 30281 | 2020-08-21 |
1518577659 | Qunique Taveka Toxey | Behavior Technician | 115 N Park Trail, Suite 123, Stockbridge, GA 30281 | 2020-08-04 |
1497377675 | Melanie Harvey | Pharmacist | 4467 North Henry Boulevard, Stockbridge, GA 30281 | 2020-05-11 |
1114550571 | Cecile Maria Dunkley Layne | Counselor | 255 Corporte Drive, Stockbridge, GA 30281 | 2020-02-13 |
1306407143 | Palliative Care of Georgia. LLC | Home Health | 275 Corporate Center Court Ste C, Stockbridge, GA 30281 | 2019-06-24 |
1154883791 | Aaliyah Nura Fardan-alexander | Nurse's Aide | 105 Singletree, Stockbridge, GA 30281 | 2019-04-02 |
1306306261 | Prosthetic Care, Inc. | Prosthetic/Orthotic Supplier | 150 County Club Drive, Suite 200, Stockbridge, GA 30281 | 2019-03-25 |
1356814172 | Kristina Louissaint | Nurse Practitioner | 650 Country Club Dr, Stockbridge, GA 30281 | 2019-01-03 |
1942789284 | Cameren Barnes | Physical Therapist | 5473 N Henry Blvd, Stockbridge, GA 30281 | 2018-08-08 |
Find all providers in zip 30281 |
Taxonomy Code | 207XS0106X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
Specialization | Hand Surgery |
An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
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 Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265047005 | Orthoatlanta, LLC | Orthopaedic Surgery | 3929 Peachtree Rd Ne Ste 250, Brookhaven, GA 30319-3374 | 2020-09-09 |
1720350747 | Orthoatlanta, LLC | Orthopaedic Surgery | 620 Cherokee St Ne Ste 300, Marietta, GA 30060-7202 | 2012-02-07 |
1366734410 | Erika Lynn Templeton | Orthopaedic Surgery | 980 Johnson Ferry Rd Ste 1020, Atlanta, GA 30342-1609 | 2011-05-09 |
1497944565 | Michael S Shuler | Orthopaedic Surgery | 1765 Old West Broad Street, Building 2 Suite 200, Athens, GA 30606-2887 | 2007-10-15 |
1902963317 | Alain Arthur Czaykowsky | Orthopaedic Surgery | 920 River Centre Pl, Suite 100, Lawrenceville, GA 30043-7320 | 2007-01-03 |
1083723738 | T. Rex Orthopaedics, PC | Orthopaedic Surgery | 1014 Sycamore Dr Ste B, Decatur, GA 30030 | 2006-08-29 |
1982618294 | Orthoatlanta, LLC | Orthopaedic Surgery | 900 Circle 75 Pkwy Se, Suite 1700, Atlanta, GA 30339-3035 | 2006-07-29 |
1205857307 | Jim W Roderique | Orthopaedic Surgery | 955 Spring St Nw, Atlanta, GA 30309-3821 | 2006-07-22 |
1982620456 | John Seiler IIi | Orthopaedic Surgery | 2061 Peachtree Rd Ne Ste 500, Atlanta, GA 30309-1446 | 2006-07-15 |
1811913643 | S Houston Payne Jr. | Orthopaedic Surgery | 2061 Peachtree Rd. Ne, Suite 500, Atlanta, GA 30309-1446 | 2006-07-14 |
Find all providers with the same taxonomy |
City | STOCKBRIDGE |
Zip Code | 30281 |
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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.