DR. JORDAN H WEITZNER (NPI# 1992026140) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992026140 |
| Entity Type | Individual |
| Full Name | DR. JORDAN H WEITZNER |
| Credential | M.D. |
| Practice Address |
2020 Cumming Hwy Ste 102 Canton GA 30115-8071 |
| Practice Telephone | 6785931295 |
| Practice Fax Number | 6785931294 |
| Mailing Telephone | 6785931295 |
| Mailing Fax Number | 6785931294 |
| Enumeration Date | 2010-06-22 |
| Last Update Date | 2019-02-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 070003 | GA | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 4241 | GA | Allopathic & Osteopathic Physicians |
| Y | 2080P0206X |
Pediatrics Specialization: Pediatric Gastroenterology |
070003 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
2020 CUMMING HWY STE 102 |
| City | CANTON |
| State | GA |
| Zip Code | 30115-8071 |
| 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 | 2080P0206X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Gastroenterology |
| A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639339336 | Nirav Raman Patel | Pediatrics | 5445 Meridian Marks Rd Ste 490, Atlanta, GA 30342-4794 | 2008-06-16 |
| 1255599973 | Ritu Walia | Pediatrics | 1208 Sherwood Park Dr Ne Ste A, Gainesville, GA 30501-3445 | 2008-05-29 |
| 1003084377 | Seth Benjamin Marcus | Pediatrics | 993-d Johnson Ferry Rd Ne Suite 440, Atlanta, GA 30342-4780 | 2008-02-20 |
| 1245345982 | Ellen Ferrari | Pediatrics | 993 D Johnson Ferry Road, Suite 440, Atlanta, GA 30342 | 2006-08-21 |
| 1790744019 | Olga Maria Sherrod | Pediatrics | 993d Johnson Ferry Rd, Suite 440, Atlanta, GA 30342 | 2006-03-23 |
| 1245209378 | Dinesh Govind Patel | Pediatrics | 993 D Johnson Ferry Rd, Suite 440, Atlanta, GA 30342 | 2006-03-14 |
| 1417926544 | Jeffrey Alan Blumenthal | Pediatrics | 993-d Johnson Ferry Rd, Suite 440, Atlanta, GA 30342 | 2006-03-14 |
| 1457329989 | The Childrens Center for Digestive Health Care LLC | Pediatrics | 993d Johnson Ferry Road, Ste 440, Atlanta, GA 30342 | 2006-03-10 |
| 1851370019 | Christopher H. Rittmeyer | Pediatrics | 4750 Waters Ave Ste 307, Savannah, GA 31404-6268 | 2006-01-15 |
| 1982685244 | Syed Shaukat Ali | Pediatrics | 2032 Wynnton Rd, Suite B, Columbus, GA 31906-2448 | 2005-11-14 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. JORDAN H WEITZNER.
| 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.