THOMAS A COLLENTINE (NPI# 1992779342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992779342 |
| Entity Type | Individual |
| Full Name | THOMAS A COLLENTINE |
| Credential | MD |
| Practice Address |
4800 Olde Towne Pkwy Ste 150a Marietta GA 30068-4357 |
| Practice Telephone | 7705091025 |
| Practice Fax Number | 7705091884 |
| Mailing Telephone | 7705091025 |
| Mailing Fax Number | 7705091884 |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2018-03-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 016568 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000243746 | 05 |
| Street Address |
4800 OLDE TOWNE PKWY STE 150A |
| City | MARIETTA |
| State | GA |
| Zip Code | 30068-4357 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538701263 | Allison Heather Miller | Nurse Practitioner | 4800 Olde Towne Pkwy Ste 150a, Marietta, GA 30068-4357 | 2019-10-15 |
| 1225484165 | Esther Barnes Klein | Nurse Practitioner | 4800 Olde Towne Pkwy Ste 150a, Marietta, GA 30068-4357 | 2016-05-10 |
| 1235516303 | Meredith Stauch | Nurse Practitioner | 4800 Olde Towne Pkwy Ste 150a, Marietta, GA 30068-4357 | 2015-04-28 |
| 1154750545 | Tonya Gipson | Nurse Practitioner | 4800 Olde Towne Pkwy Ste 150a, Marietta, GA 30068-4357 | 2013-11-06 |
| 1568714061 | Amanda Ann Choi | Physician Assistant | 4800 Olde Towne Pkwy Ste 150a, Marietta, GA 30068-4357 | 2012-10-08 |
| 1043416662 | Sandra Lamb | Nurse Practitioner | 4800 Olde Towne Pkwy Ste 150a, Marietta, GA 30068-4357 | 2007-06-21 |
| 1770682890 | Carole Felser | Nurse Practitioner | 4800 Olde Towne Pkwy Ste 150a, Marietta, GA 30068-4357 | 2006-09-22 |
| 1578517876 | Melissa M Davidson | Physician Assistant | 4800 Olde Towne Pkwy Ste 150a, Marietta, GA 30068-4357 | 2006-05-20 |
| 1427018068 | Pamela L Asadi | Physician Assistant | 4800 Olde Towne Pkwy Ste 150a, Marietta, GA 30068-4357 | 2006-03-27 |
| 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 | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376102830 | John Edward Cooke | Emergency Medicine | 2411 Tuxedo Ln Nw, Marietta, GA 30064-1898 | 2019-06-10 |
| 1902290406 | Irina Catanescu | Emergency Medicine | 401 Matthew Street, Emergency Department, Marietta, OH 45750 | 2015-03-23 |
| 1679877286 | Lawrence James Dawson | Emergency Medicine | 3761 Lassiter Rd, Marietta, GA 30062-4121 | 2010-12-23 |
| 1447410600 | Jeremy Sebastian Nelson | Emergency Medicine | 2221 Bonniewood Dr, Marietta, GA 30064-3820 | 2008-06-11 |
| 1427233501 | Virginia Garrett Galvin | Emergency Medicine | 3772 Baccurate Way, Marietta, GA 30062-8708 | 2008-01-08 |
| 1184841082 | John Charles Meholic | Emergency Medicine | 4175 S Arbor Cir, Marietta, GA 30066-2278 | 2007-04-20 |
| 1982740643 | Albert G Lintel IIi | Emergency Medicine | 3747 Roswell Rd Ste 107, Marietta, GA 30062 | 2007-01-29 |
| 1134133747 | Gayle Galan | Emergency Medicine | 1106 Colegate Dr Emergency Dept, Marietta, OH 45750-1323 | 2006-07-28 |
| 1134143910 | Thomas L Haltom | Emergency Medicine | 1401 Johnson Ferry Rd, Suite 390, Marietta, GA 30062-6495 | 2006-07-26 |
| 1508894767 | Marlon Fisher | Emergency Medicine | 2913 Kings Walk Ave, Marietta, GA 30062-4503 | 2006-06-28 |
| Find all providers in MARIETTA | ||||
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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.