Fernando A Duralde (NPI# 1407856552, PAC ID# 4183749351) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
| Nation Provider ID (NPI) | 1407856552 |
| PAC ID by PECOS | 4183749351 |
| Professional Enrollment ID | I20101129000493 |
| Full Name | Fernando A Duralde |
| Organization Legal Name | GEORGIA UROLOGY, PA |
| Address |
900 Towne Lake Pkwy Suite 200 Woodstock GA 30189-1603 |
| Phone Number | 6784949201 |
| Gender | M |
| Medical School | EMORY UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1980 |
| Primary Specialty | UROLOGY |
| Group Practice PAC ID | 8921094376 |
| Number of Group Practice Members | 57 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110215 | PIEDMONT FAYETTE HOSPITAL |
| 110161 | NORTHSIDE HOSPITAL |
| 110229 | PIEDMONT NEWNAN HOSPITAL, INC |
| Address | Phone | Organization |
|---|---|---|
| 81 Upper Riverdale Swrd, Suite 200, Riverdale, GA 30274-2627 | 7709910020 | GEORGIA UROLOGY, PA |
| 115 N Park Trail, Suite 119, Stockbridge, GA 30281-7373 | 7703893739 | GEORGIA UROLOGY, PA |
| 900 Towne Lake Pkwy, Suite 200, Woodstock, GA 30189-1603 | 6784949201 | GEORGIA UROLOGY, PA |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 96% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 96% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 96% |
| Organization Legal Name | GEORGIA UROLOGY, PA |
| Physicians | 57 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Wesley Warren Ludwig | Urology | Georgia Urology, Pa | 145 Riverstone Ter, Suite 101, Canton, GA 30114-5327 |
| Carrie Collin | Nurse Practitioner | Georgia Urology, Pa | 5730 Glenridge Dr, Suite 200, Atlanta, GA 30328-5579 |
| Julia Caroline Branch | Nurse Practitioner | Georgia Urology, Pa | 1800 Northside Forsyth Dr, Suite 370, Cumming, GA 30041-8447 |
| Edwin A Smith | Urology | Georgia Urology, Pa | 790 Church Nest, Suite 430, Marietta, GA 30060-7290 |
| Francis Peter Nicholson | Urology | Georgia Urology, Pa | 720 Old Snellville Hwy 100, Lawrenceville, GA 30044-6216 |
| A Paul Sherlag | Urology | Georgia Urology, Pa | 1670 Scott Blvd, Suite 204k, Decatur, GA 30033-5645 |
| Edward Stark | Urology | Georgia Urology, Pa | 2685 Milscott Dr, Decatur, GA 30033-5906 |
| Warren Todd Oberle | Urology | Georgia Urology, Pa | 1700 Hospital Dr, Suite 201, Austell, GA 30106 |
| Brandi Knight | Nurse Practitioner | Georgia Urology, Pa | 970 Joe Frank Harris Sepkwy, Suite 260, Cartersville, GA 30120-2161 |
| Shaya Taghechian | Urology | Georgia Urology, Pa | 790 Church Nest, Suite 430, Marietta, GA 30060-7290 |
| Street Address |
900 TOWNE LAKE PKWY SUITE 200 |
| City | WOODSTOCK |
| State | GA |
| Zip | 30189-1603 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Grant C Wolfe | General Surgery | Northside Surgical Professional Services LLC | 900 Towne Lake Pkwy, Suite 412, Woodstock, GA 30189-1604 |
| Reagan O'connor | Nurse Practitioner | Physician's Express Care At Towne Lake LLC | 900 Towne Lake Pkwy, Suite 104, Woodstock, GA 30189-1603 |
| Cesar Cruz Aguilar | Cardiac Electrophysiology | Northside Cardiovascular Professional Services,llc | 900 Towne Lake Pkwy, Suite 400, Woodstock, GA 30189-1604 |
| Nicole Tabatha Rivera | Physician Assistant | Aga Professional Services LLC | 900 Towne Lake Pkwy, Suite 308, Woodstock, GA 30189-1604 |
| Anand Shantha | Urology | Georgia Urology, Pa | 900 Towne Lake Pkwy, Suite 200, Woodstock, GA 30189-1603 |
| James M Elmore | Urology | Georgia Urology, Pa | 900 Towne Lake Pkwy, Suite 200, Woodstock, GA 30189-1603 |
| Andrew J Kirsch | Urology | Georgia Urology, Pa | 900 Towne Lake Pkwy, Suite 200, Woodstock, GA 30189-1603 |
| Beniam Tefera Abebe | Physician Assistant | Georgia Urology, Pa | 900 Towne Lake Pkwy, Suite 200, Woodstock, GA 30189-1603 |
| Robert S Kaufmann | Internal Medicine | The Kaufmann Clinic Inc | 900 Towne Lake Pkwy, Suite 300, Woodstock, GA 30189-1604 |
| Adamantios Michael Mellis | Urology | Georgia Urology, Pa | 900 Towne Lake Pkwy, Suite 200, Woodstock, GA 30189-1603 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lili D Gipson | Chiropractic | 715 A Bascomb Comm Pkwy, Woodstock, GA 30189 | |
| Carrie E Tyner | Nurse Practitioner | Minute Clinic LLC | 1600 Towne Lake Pkwy, Woodstock, GA 30189-1585 |
| Paula S Thibault | Nurse Practitioner | Minute Clinic LLC | 1600 Towne Lake Pkwy, Woodstock, GA 30189-1585 |
| Naomi S Morson | Nurse Practitioner | Minute Clinic LLC | 1600 Towne Lake Pkwy, Woodstock, GA 30189-1585 |
| Victoria M Wermers | Nurse Practitioner | Piedmont Professional Services, LLC | 950 Towne Lake Pkwy, Woodstock, GA 30189-1601 |
| Safiah Vafaeian | Nurse Practitioner | Piedmont Professional Services, LLC | 950 Towne Lake Pkwy, Woodstock, GA 30189-1601 |
| Eden Y Shapiro | Urology | Georgia Urology, Pa | 900 Towne Lake Pkwy, Suite 200, Woodstock, GA 30189-1603 |
| Graham B Matthews | Family Medicine | Perimeter Professional Services, LLC | 900 Towne Lake Pkwy, Suite 210, Woodstock, GA 30189-1603 |
| Emily Ussery | Nurse Practitioner | Physician's Express Care At Towne Lake LLC | 900 Towne Lake Pkwy, Suite 104, Woodstock, GA 30189-1603 |
| Darrell J Carmen | Urology | Georgia Urology, Pa | 900 Towne Lake Pkwy, Suite 200, Woodstock, GA 30189-1603 |
| Find all physicians in zip 30189 | |||
| City | WOODSTOCK |
| Zip Code | 30189 |
| Specialty | UROLOGY |
| City + Specialty | WOODSTOCK + UROLOGY |
Please comment or provide details below to improve the information on Fernando A Duralde.
| 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.