DR. ALYSSA LIGUORI (NPI# 1902250996) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902250996 |
| Entity Type | Individual |
| Full Name | DR. ALYSSA LIGUORI |
| Credential | D.O. |
| Practice Address |
470 Northside Cherokee Blvd Ste 290 Canton GA 30115-8029 |
| Mailing Address |
677 Church St Ne Marietta GA 30060-1101 |
| Practice Telephone | 7707219420 |
| Practice Fax Number | 7707219421 |
| Enumeration Date | 2016-04-16 |
| Last Update Date | 2020-06-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 82566 | GA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
470 NORTHSIDE CHEROKEE BLVD STE 290 |
| City | CANTON |
| State | GA |
| Zip Code | 30115-8029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497364806 | Amanda Arbogast | Speech-Language Pathologist | 610 Royal Crest Court, Canton, GA 30115 | 2020-07-31 |
| 1033754163 | Kelly Marie Shirley | Nurse Practitioner | 450 Northside Cherokee Blvd., Radiology Dept., Canton, GA 30115 | 2019-11-13 |
| 1700394319 | Jennifer Lynn Davenport | Nurse Practitioner | 684 Sixes Rd Ste 125, Holly Springs, GA 30115 | 2018-01-17 |
| 1851717961 | Wal-mart Stores East, Lp | Technician/Technologist | 2200 Holly Springs Pkey, Holly Springs, GA 30115 | 2014-03-13 |
| 1194148502 | Julia Bedingfield Reid | Pharmacist | 450 Northside Cherokee Blvd Ste T20, Canton, GA 30115 | 2014-01-22 |
| 1447597992 | America's Best Contacts & Eyeglasses | Technician/Technologist | 2030 Cumming Highway, Suite 106, Canton, GA 30115 | 2013-01-03 |
| 1679821193 | Jill M Decorso | Speech-Language Pathologist | 4280 Hickory Flat Hwy, Ste 108, Canton, GA 30115 | 2012-08-15 |
| 1306113378 | Sidney Boyd Collier IIi | Pharmacist | 6111 Hickory Flat Highway, Canton, GA 30115 | 2011-11-18 |
| 1174804702 | Rayllensons Itacy | Physician Assistant | 2020 Cumming Highway, Suite 102, Canton, GA 30115 | 2011-09-09 |
| 1245534346 | Kim M. Mcmillan | Counselor | 154 Lakeside Drive, Canton, GA 30115 | 2011-01-04 |
| Find all providers in zip 30115 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| 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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548600042 | Simrat Singh | Obstetrics & Gynecology | 46856 Eastbourne Rd, Canton, MI 48188-3021 | 2013-06-28 |
| 1104261528 | Atlanta Women's Surgery Specialists, P.C. | Obstetrics & Gynecology | 216 Riverstone Dr, Canton, GA 30114-5256 | 2013-04-30 |
| 1063704526 | Alice May Chi | Obstetrics & Gynecology | 1051 N Canton Center Drive, Canton, MI 48187-5097 | 2011-05-03 |
| 1922236652 | Kathryn Rose Kloss | Obstetrics & Gynecology | 1600 S Canton Center Rd Ste 350, Canton, MI 48188-6277 | 2009-07-01 |
| 1184882524 | Michelle A Glasgow | Obstetrics & Gynecology | 460 Northside Cherokee Blvd Ste 400, Canton, GA 30115-8023 | 2008-05-31 |
| 1881894004 | Luna Alkhafaji | Obstetrics & Gynecology | 7300 N Canton Center Rd Ste 210, Canton, MI 48187-1579 | 2007-07-25 |
| 1730300427 | Maria Moman Moman | Obstetrics & Gynecology | 1668 W Peace Street, Canton, MS 39046 | 2007-05-01 |
| 1437242658 | Tina D Groat | Obstetrics & Gynecology | 1561 Glengarry Blvd, Canton, MI 48188-3236 | 2006-10-02 |
| 1144332800 | Jyothi R. Nichanametla | Obstetrics & Gynecology | 42287 Cherry Hill Rd, Suite D, Canton, MI 48188-2040 | 2006-08-31 |
| 1922017607 | Joann Krivetzky | Obstetrics & Gynecology | 4256 Fulton Dr Nw, Ste B, Canton, OH 44718-2879 | 2006-08-05 |
| Find all providers in CANTON | ||||
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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.