JEANNIE-IN-A-BOTTLE LLC (NPI# 1871759233) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871759233 |
| Entity Type | Organization |
| Organization Name | JEANNIE-IN-A-BOTTLE LLC |
| Other Organization Name | JEANNIE BLOM |
| Practice Address |
3620 Howell Ferry Rd Duluth GA 30096-3178 |
| Mailing Address |
1343 Canton Rd Ste C Marietta GA 30066-6079 |
| Practice Telephone | 6783126800 |
| Practice Fax Number | 6783125622 |
| Mailing Telephone | 8662148600 |
| Mailing Fax Number | 6788880390 |
| Enumeration Date | 2008-08-05 |
| Last Update Date | 2013-05-22 |
| Authorized Official Name | MS. JEANNIE M BLOM (CEO) |
| Authorized Official Telephone | 4048493443 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation | 041517 | GA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Jeannie Blom | Other Name - Individual/Organization |
| Street Address |
3620 HOWELL FERRY RD |
| City | DULUTH |
| State | GA |
| Zip Code | 30096-3178 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871561803 | Brandon Sang Joon Kang | Radiology | 3620 Howell Ferry Rd, Duluth, GA 30096-3178 | 2006-03-08 |
| 1952953960 | Anne Elizabeth Hysong | Clinical Nurse Specialist | 3620 Howell Ferry Rd, Duluth, GA 30096-3178 | 2019-07-10 |
| 1144696964 | Brittany Alders | Physical Therapist | 3620 Howell Ferry Rd, Duluth, GA 30096-3178 | 2015-08-16 |
| 1255680070 | Laura Elizabeth Hobbs | Nurse Practitioner | 3620 Howell Ferry Rd, Duluth, GA 30096-3178 | 2012-09-07 |
| 1720265861 | Michael Lubarsky | Radiology | 3620 Howell Ferry Rd, Duluth, GA 30096-3178 | 2008-01-30 |
| 1598949570 | John Edward Chenevey | Radiology | 3620 Howell Ferry Rd, Duluth, GA 30096-3178 | 2007-12-26 |
| 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 | 208100000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
| 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 Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699971283 | Garrick Kaluen Kwok | Physical Medicine & Rehabilitation | 3400 Mcclure Bridge Road, Building A, Suite B, Duluth, GA 30096 | 2007-06-21 |
| 1033525878 | Ugo Bitussi | Physical Medicine & Rehabilitation | 3215 Mcclure Bridge Rd, Duluth, GA 30096-3223 | 2014-07-01 |
| 1346668183 | Kimberly M Keniry | Physical Medicine & Rehabilitation | 400 E 3rd St, Duluth, MN 55805 | 2014-03-30 |
| 1871810630 | Erin Maureen Crimmins Grimsby | Physical Medicine & Rehabilitation | 400 East Third Street, Duluth, MN 55805-1951 | 2010-05-03 |
| 1518120955 | Myung Jae Yoo | Physical Medicine & Rehabilitation | 3473 Satellite Blvd, 120 N, Duluth, GA 30096-8690 | 2008-07-07 |
| 1457521726 | Jay B Bender | Physical Medicine & Rehabilitation | 3215 Mcclure Bridge Rd, Duluth, GA 30096-3223 | 2008-03-03 |
| 1922282458 | Zach Beresford | Physical Medicine & Rehabilitation | 400 E 3rd St, Essentia Health Duluth Clinic, Duluth, MN 55805-1951 | 2007-12-19 |
| 1053502716 | Oluseun Afolabi Olufade | Physical Medicine & Rehabilitation | 3855 Pleasant Hill Rd, Suite 470, Duluth, GA 30096-1407 | 2007-08-07 |
| 1295898880 | Atlanta Rehabilitation Consultants PC | Physical Medicine & Rehabilitation | 3215 Mcclure Bridge Rd, Duluth, GA 30096-3223 | 2006-12-18 |
| 1306909775 | Nayyer Mian Mujteba | Physical Medicine & Rehabilitation | 400 E 3rd St, Duluth, MN 55805-1951 | 2006-12-18 |
| 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.