DR. KATHLEEN SIKORA VISCUSI (NPI# 1972820975) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972820975 |
| Entity Type | Individual |
| Full Name | DR. KATHLEEN SIKORA VISCUSI |
| Other Name | KATHLEEN ELIZABETH SIKORA |
| Credential | M.D. |
| Practice Address |
4800 Olde Towne Pkwy Ste 250 Marietta GA 30068-4428 |
| Practice Telephone | 7709713376 |
| Mailing Telephone | 7709713376 |
| Mailing Fax Number | 7705788567 |
| Enumeration Date | 2010-04-29 |
| Last Update Date | 2020-04-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | 074424 | GA | Allopathic & Osteopathic Physicians |
| Y | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
074424 | GA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2045 Peachtree Rd Ne Ste 200, Atlanta, GA 30309 | 4043517546 | 4043512993 |
| Street Address |
4800 OLDE TOWNE PKWY STE 250 |
| City | MARIETTA |
| State | GA |
| Zip Code | 30068-4428 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366428146 | Candance Kimbrough-green | Dermatology | 4800 Olde Towne Pkwy Ste 250, Marietta, GA 30068-4428 | 2005-12-22 |
| 1447851357 | Dermatology and Surgery Specialists of North Atlanta PC | Dermatology | 4800 Olde Towne Pkwy Ste 250, Marietta, GA 30068-4428 | 2020-11-06 |
| 1104140037 | Onaopemipo Olayide Ofodile | Dermatology | 4800 Olde Towne Pkwy Ste 250, Marietta, GA 30068-4428 | 2010-03-22 |
| 1881734556 | Chason E. Worthy | Physician Assistant | 4800 Olde Towne Pkwy Ste 250, Marietta, GA 30068-4428 | 2007-02-08 |
| 1649368440 | Anjeli G Laungani | Dermatology | 4800 Olde Towne Pkwy Ste 250, Marietta, GA 30068-4428 | 2006-10-10 |
| 1689602138 | Laura Durell | Physician Assistant | 4800 Olde Towne Pkwy Ste 250, Marietta, GA 30068-4428 | 2006-06-30 |
| 1003857244 | Lisa M Lewis | Physician Assistant | 4800 Olde Towne Pkwy Ste 250, Marietta, GA 30068-4428 | 2006-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831798917 | Barbara Ann Goldschmidt | Pharmacist | 4088 Lower Roswell Rd, Marietta, GA 30068 | 2020-10-20 |
| 1285274480 | Cory Plasker | Chiropractor | 519b Johnson Ferry Road, Suite 350, Marietta, GA 30068 | 2020-01-15 |
| 1952949893 | Dr Amy L Varner LLC | Internal Medicine | 1000 Johnson Ferry Rd Bldg E Ste 200, Marietta, GA 30068 | 2019-12-11 |
| 1417501834 | Cornerstone Hospice and Palliative Care of Georgia, LLC | Hospice Care, Community Based | 1225 Johnson Ferry Rd., Bldg. 100, Suite 160, Marietta, GA 30068 | 2019-07-25 |
| 1639721038 | Cayla Clark | Behavior Technician | 137 Johnson Ferry Road Suite 2170, Marietta, GA 30068 | 2019-07-15 |
| 1467910828 | 2me Healthcare,llc | Home Health | 2586 Club Valley Drive Ne, Marietta, GA 30068 | 2019-03-05 |
| 1265912604 | Feidy Chiropractic Clinic Inc, Dba Cardwell Chiropractic Clinic | Chiropractor | 1230 Johnson Ferry Pl Ste G30, Marietta, GA 30068 | 2018-08-15 |
| 1225514219 | Audrey Hughes. Lcsw, LLC | Clinic/Center | 1212 Johnson Ferry Rd, Suite 300, Marietta, GA 30068 | 2018-07-13 |
| 1316461379 | Evan King | Registered Nurse | 52 Pioneer Trl, Marietta, GA 30068 | 2017-08-01 |
| 1912431867 | Anthony Izore | Nurse Practitioner | 5163 Tall Oak Drive, Marietta, GA 30068 | 2017-04-18 |
| Find all providers in zip 30068 | ||||
| Taxonomy Code | 207ND0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | MOHS-Micrographic Surgery |
| The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. |
| Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366409880 | John David Kayal | Dermatology | 2366 Habersham Dr Sw, Marietta, GA 30064-3804 | 2006-04-27 |
| 1114022167 | Skin Cancer Specialists P C | Dermatology | 835 Cogburn Ave Nw, Suite 100, Marietta, GA 30060-1031 | 2006-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245572643 | Valerie Lananh Truong | Dermatology | 3193 Howell Mill Rd Nw Ste 220, Atlanta, GA 30327 | 2013-03-23 |
| 1063668762 | Medical Services of Northern Georgia, Inc. | Dermatology | 4060 Peachtree Rd Ne, #d284, Atlanta, GA 30319-3020 | 2008-08-13 |
| 1720189293 | Janice Murphy Warner | Dermatology | 1550 Mulkey Rd, Austell, GA 30106 | 2006-09-26 |
| 1215973482 | Ross M Campbell | Dermatology | 1180 Resurgence Dr, Suite 100, Watkinsville, GA 30677-7210 | 2006-06-22 |
| 1902881659 | Karen R Maffei | Dermatology | 1050 Thomas Ave, Watkinsville, GA 30677-6071 | 2005-12-14 |
| 1023015690 | Diamondis John Papadopoulos | Dermatology | 875 Johnson Ferry Rd Ne, Ste 300, Atlanta, GA 30342-1418 | 2005-06-28 |
| 1154938579 | Forefront Dermatology, S.c. | Dermatology | 7000 Wellness Way Ste 7120, St Simons Island, GA 31522-2286 | 2020-09-29 |
| 1710449079 | Forefront Dermatology, S.c. | Dermatology | 5505 Peachtree Dunwoody Rd Ste 412, Atlanta, GA 30342-1758 | 2019-04-04 |
| 1245780980 | Baucom & Mina Derm Surgery, LLC | Dermatology | 5555 Peachtree Dunwoody Rd, Suite 206, Atlanta, GA 30342-1703 | 2016-10-06 |
| 1396087680 | Surgical & Cosmetic Dermatology, P. C. | Dermatology | 1615 Highway 34 E Ste B, Newnan, GA 30265 | 2013-03-25 |
| Find all providers with the same taxonomy | ||||
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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.