CARROLLTON ORTHOPAEDIC CLINIC PC (NPI# 1912367111) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912367111 |
| Entity Type | Organization |
| Organization Name | CARROLLTON ORTHOPAEDIC CLINIC PC |
| Other Organization Name | CARROLLTON ORTHOPAEDIC CLINIC |
| Practice Address |
812 S Park St Ste 3 Carrollton GA 30117-4412 |
| Mailing Address |
311 Park Place Blvd Suite 500 Clearwater FL 33759-4904 |
| Practice Telephone | 7277550693 |
| Mailing Telephone | 7277550693 |
| Enumeration Date | 2016-03-01 |
| Last Update Date | 2016-03-04 |
| Authorized Official Name | JAMES GILBERT (CFO) |
| Authorized Official Telephone | 7277550693 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | 038964 | GA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000104427 | 05 | |
| PK | 2158456 | 01 |
| Other Name | Type Code |
|---|---|
| Carrollton Orthopaedic Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013376490 | Carrollton Orthopaedic Clinic PC | Pharmacy | 204 Allen Memorial Dr Ste 102, Bremen, GA 30110-2063 | 2016-02-15 |
| 1043670243 | Carrollton Orthopaedic Clinic PC | Pharmacy | 705 Dallas Hwy Ste 301, Villa Rica, GA 30180-1243 | 2016-03-01 |
| 1033579230 | Carrollton Orthopaedic Clinic PC | Pharmacy | 150 Clinic Ave Ste 101, Carrollton, GA 30117-4402 | 2016-03-01 |
| 1356483747 | Carrollton Orthopaedic Clinic PC | Orthopaedic Surgery | 150 Clinic Ave, Suite 101, Carrollton, GA 30117-4401 | 2007-02-13 |
| Street Address |
812 S PARK ST STE 3 |
| City | CARROLLTON |
| State | GA |
| Zip Code | 30117-4412 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679199392 | Southern Rad Onc LLC | Radiology | 809 South Park Street, Carrollton, GA 30117 | 2020-06-18 |
| 1093361404 | Eyedeal Eyecare LLC | Optometrist | 1735 S Us 27, Carrollton, GA 30117 | 2019-08-12 |
| 1710412473 | Janis James | Optometrist | 1735 S, Us-27, Walmart Vision Center, Carrollton, GA 30117 | 2017-05-01 |
| 1568881951 | Omar Hajmurad | Anesthesiology | 812 S Park St Ste 5, Carrollton, GA 30117 | 2014-04-14 |
| 1134550353 | Goodbodys Minor Med Express Care | Nurse Practitioner | 1670 South Park St., Carrollton, GA 30117 | 2013-12-13 |
| 1306187570 | Myriam C Vela-ortiz | Internal Medicine | 157 Clinic Ave Ste 203, Carrollton, GA 30117 | 2013-03-12 |
| 1891030201 | Air Evac Ems, Inc. | Ambulance | 827 Old Bremen Rd, Carrollton, GA 30117 | 2012-12-11 |
| 1952682486 | Angelic Wings Transport, Inc. | Non-emergency Medical Transport (VAN) | 362 B Columbia Drive, Carrollton, GA 30117 | 2011-08-29 |
| 1073819256 | Atlanta Prosthetics & Orthotics, Inc. | Durable Medical Equipment & Medical Supplies | 812 South Park Street, Suite 2, Carrollton, GA 30117 | 2011-02-04 |
| 1255640348 | Amy Gilbert | Counselor | 515 Tanner St, Carrollton, GA 30117 | 2010-10-06 |
| Find all providers in zip 30117 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902307424 | Sasha Ramik LLC | Pharmacy | 3044 Old Denton Rd Ste 305, Carrollton, TX 75007-5017 | 2018-02-21 |
| 1467727909 | Institutional Pharmacy Solutions LLC | Pharmacy | 2225 W Parker Drive, Carrollton, TX 75007 | 2012-03-16 |
| 1437435179 | Smile Pharmaceutical Inc | Pharmacy | 2625 Old Denton Rd Ste 586, Carrollton, TX 75007-5110 | 2011-10-26 |
| 1184876831 | Carrollton Drugs Inc | Pharmacy | 25700 Highway 17, Carrollton, AL 35447-3246 | 2008-10-14 |
| 1750457925 | Carrollton Pharmacy Inc | Pharmacy | 105 Clinic Ave, Carrollton, GA 30117-4413 | 2006-11-28 |
| 1245323609 | Southern Family Markets LLC | Pharmacy | 505 Bankhead Hwy, Carrollton, GA 30117-2446 | 2006-09-30 |
| 1063448314 | Discount Drug Mart Inc | Pharmacy | 592 12th St Nw, Carrollton, OH 44615-9413 | 2006-06-25 |
| 1104865989 | Albertsons LLC | Pharmacy | 2661 Midway Rd, Carrollton, TX 75006-2359 | 2006-06-06 |
| 1396198818 | Platz Enterprises Inc. | Pharmacy | 1409 N Jefferson St, Carrollton, MO 64633-1945 | 2016-07-20 |
| 1902822232 | Briar Hill Foods | Pharmacy | 501 W Main St, Carrollton, OH 44615-1029 | 2006-07-13 |
| Find all providers in CARROLLTON | ||||
| City | CARROLLTON |
| Zip Code | 30117 |
Please comment or provide details below to improve the information on CARROLLTON ORTHOPAEDIC CLINIC PC.
| 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.