Dustin Allen Copeland Staloch (NPI# 1184011645, PAC ID# 1355692534) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1184011645 |
| PAC ID by PECOS | 1355692534 |
| Professional Enrollment ID | I20180927001003 |
| Full Name | Dustin Allen Copeland Staloch |
| Organization Legal Name | EMORY MEDICAL CARE FOUNDATION INC |
| Address |
80 Jesse Hill Jr Sedr Atlanta GA 30303-3031 |
| Phone Number | 4046165800 |
| Gender | M |
| Medical School | UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO |
| Graduation Year | 2015 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | HOSPITALIST |
| Group Practice PAC ID | 4981501814 |
| Number of Group Practice Members | 614 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110079 | GRADY MEMORIAL HOSPITAL |
| 110010 | EMORY UNIVERSITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1365 Clifton Rd Ne, Atlanta, GA 30322-1013 | 4047787525 | EMORY CLINIC INC |
| 80 Jesse Hill Jr Sedr, Atlanta, GA 30303-3031 | 4046165800 | EMORY MEDICAL CARE FOUNDATION INC |
| Organization Legal Name | EMORY MEDICAL CARE FOUNDATION INC |
| Physicians | 767 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katherine Michelle Gartin | Pediatric Medicine | Emory Medical Care Foundation Inc | 35 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3032 |
| Jacquelyn A O Banion | Ophthalmology | Emory Medical Care Foundation Inc | 80 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3031 |
| William Branch | Internal Medicine | Emory Medical Care Foundation Inc | 80 Jesse Hill Jr Sedr, Atlanta, GA 30303-3031 |
| Kajal Patel | Internal Medicine | Emory Medical Care Foundation Inc | 80 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3031 |
| John J Doran | Nephrology | Emory Medical Care Foundation Inc | 80 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3031 |
| Ethan Michael Meisel | Emergency Medicine | Emory Medical Care Foundation Inc | 80 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3031 |
| Emily B Graubart | Ophthalmology | Emory Medical Care Foundation Inc | 80 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3031 |
| Joanna M Schindler | Anesthesiology | Emory Medical Care Foundation Inc | 80 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3031 |
| Emad S Qayed | Gastroenterology | Emory Medical Care Foundation Inc | 80 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3031 |
| David R Goldsmith | Psychiatry | Emory Medical Care Foundation Inc | 80 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3031 |
| Street Address |
80 JESSE HILL JR SEDR |
| City | ATLANTA |
| State | GA |
| Zip | 30303-3031 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William Branch | Internal Medicine | Emory Medical Care Foundation Inc | 80 Jesse Hill Jr Sedr, Atlanta, GA 30303-3031 |
| George C Leach | Emergency Medicine | Emory Medical Care Foundation Inc | 80 Jesse Hill Jr Sedr, Atlanta, GA 30303-3031 |
| Melissa H White | Emergency Medicine | Emory Medical Care Foundation Inc | 80 Jesse Hill Jr Sedr, Atlanta, GA 30303-3031 |
| An Le-nguyen Young | Internal Medicine | Emory Medical Care Foundation Inc | 80 Jesse Hill Jr Sedr, Atlanta, GA 30303-3031 |
| Robert J Geller | Pediatric Medicine | Emory Medical Care Foundation Inc | 80 Jesse Hill Jr Sedr, Atlanta, GA 30303-3031 |
| Dominique J Jodry | Obstetrics/gynecology | Emory Medical Care Foundation Inc | 80 Jesse Hill Jr Sedr, Atlanta, GA 30303-3031 |
| Eric Stahl | Hospitalist | Emory Medical Care Foundation Inc | 80 Jesse Hill Jr Sedr, Atlanta, GA 30303-3031 |
| Anna Kristin Cherry | Certified Nurse Midwife | Emory Medical Care Foundation Inc | 80 Jesse Hill Jr Sedr, Atlanta, GA 30303-3031 |
| Marc Allard-ratick | Hospitalist | Emory Medical Care Foundation Inc | 80 Jesse Hill Jr Sedr, Atlanta, GA 30303-3031 |
| Polina Advolodkina | Obstetrics/gynecology | Emory Medical Care Foundation Inc | 80 Jesse Hill Jr Sedr, Atlanta, GA 30303-3031 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeremy J Broe | Chiropractic | 241 Peachtre St, Suite B, Atlanta, GA 30303 | |
| Paul Lawrence Douglass | Cardiovascular Disease (cardiology) | Wellstar Medical Group, LLC | 229 Peachtree St Ne, Suite 1200, Atlanta, GA 30303-1620 |
| Omar Rafik Kashlan | Internal Medicine | Wellstar Medical Group, LLC | 229 Peachtree St Ne, Suite 1200, Atlanta, GA 30303-1620 |
| Anne Constania Bullock | Nuclear Medicine | Wellstar Medical Group, LLC | 229 Peachtree St Ne, Suite 1200, Atlanta, GA 30303-1620 |
| Melissa Myers | Nurse Practitioner | Minute Clinic LLC | 133 Peachtree St Ne, Ga Pacific Bldg, Atlanta, GA 30303-1804 |
| Thomas W Kauffman | Oral Surgery | 133 Peachtree St Ne, Suite 4050, Atlanta, GA 30303-1819 | |
| Benjamin D Renelus | Internal Medicine | Morehouse Healthcare, Inc. | 75 Piedmont Ave Ne, Suite 700, Atlanta, GA 30303-2507 |
| Martha L Elks | Endocrinology | Morehouse Healthcare, Inc. | 75 Piedmont Ave Ne, Suite 700, Atlanta, GA 30303-2507 |
| Abraham Oyewo | Geriatric Medicine | Morehouse Healthcare, Inc. | 75 Piedmont Ave Ne, Atlanta, GA 30303-2507 |
| Harry J Heiman | Family Practice | Morehouse Healthcare, Inc. | 75 Piedmont Ave Ne, Suite 700, Atlanta, GA 30303-2507 |
| Find all physicians in zip 30303 | |||
| City | ATLANTA |
| Zip Code | 30303 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | ATLANTA + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Dustin Allen Copeland Staloch.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.