Ezequiel Hernan Cassinelli (NPI# 1033144241, PAC ID# 8123003589) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1033144241 |
| PAC ID by PECOS | 8123003589 |
| Professional Enrollment ID | I20071004000199 |
| Full Name | Ezequiel Hernan Cassinelli |
| Organization Legal Name | PEACHTREE ORTHOPAEDIC CLINIC PA |
| Address |
1163 Johnson Ferry Rd Suite 200 Marietta GA 30068-2764 |
| Phone Number | 4043550743 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON |
| Graduation Year | 1998 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Secondary Specialties | HAND SURGERY |
| Group Practice PAC ID | 4587552963 |
| Number of Group Practice Members | 79 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110161 | NORTHSIDE HOSPITAL |
| 110005 | NORTHSIDE HOSPITAL FORSYTH |
| 110083 | PIEDMONT HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2001 Peachtree Rd Ne, Suite 705, Atlanta, GA 30309-1403 | 4043550743 | PEACHTREE ORTHOPAEDIC CLINIC PA |
| 3200 Downwood Circle N W, Suite 700, Atlanta, GA 30327-1610 | 4043550743 | PEACHTREE ORTHOPAEDIC CLINIC PA |
| 1163 Johnson Ferry Rd, Suite 200, Marietta, GA 30068-2764 | 4043550743 | PEACHTREE ORTHOPAEDIC CLINIC PA |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | PEACHTREE ORTHOPAEDIC CLINIC PA |
| Physicians | 86 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ashton Gregory Fannin | Physical Therapy | Peachtree Orthopaedic Clinic Pa | 3200 Downwood Circle N W, Suite 700, Atlanta, GA 30327-1610 |
| Janet S Waldt | Occupational Therapy | Peachtree Orthopaedic Clinic Pa | 3870 Pleasant Hill Road, Suite 1, Duluth, GA 30096 |
| David G O'hara | Physical Therapy | Peachtree Orthopaedic Clinic Pa | 11800 Amberpark Dr, Bldg 1, Alpharetta, GA 30009-2274 |
| Melissa C Thurlow | Occupational Therapy | Peachtree Orthopaedic Clinic Pa | 2045 Peachtree Rd Ne, Suite 600, Atlanta, GA 30309-1414 |
| Dennis A Roesch | Physical Therapy | Peachtree Orthopaedic Clinic Pa | 5505 PChtree Dnwdy Rd Ne, Suite 600, Atlanta, GA 30342-1705 |
| Caroline A Heramb | Physician Assistant | Peachtree Orthopaedic Clinic Pa | 2001 Peachtree Rd Ne, Suite 705, Atlanta, GA 30309-1403 |
| Jaclyn P Clamon | Nurse Practitioner | Peachtree Orthopaedic Clinic Pa | 3200 Downwood Circle N W, Suite 700, Atlanta, GA 30327-1610 |
| Lindsay King | Physician Assistant | Peachtree Orthopaedic Clinic Pa | 2001 Peachtree Rd Ne, Suite 705, Atlanta, GA 30309-1403 |
| Stephanie S Volpini | Physical Therapy | Peachtree Orthopaedic Clinic Pa | 2001 Peachtree Rd Ne, Suite 705, Atlanta, GA 30309-1403 |
| Letha Griffin | Orthopedic Surgery | Peachtree Orthopaedic Clinic Pa | 2001 Peachtree Rd Ne, Suite 705, Atlanta, GA 30309-1403 |
| Street Address |
1163 JOHNSON FERRY RD SUITE 200 |
| City | MARIETTA |
| State | GA |
| Zip | 30068-2764 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anil O Thomas | Orthopedic Surgery | Peachtree Orthopaedic Clinic Pa | 1163 Johnson Ferry Rd, Suite 200, Marietta, GA 30068-2764 |
| Marcus B Goodman | Dermatology | Goodman Dermatology PC | 1163 Johnson Ferry Rd, Suite 250, Marietta, GA 30068-2797 |
| Dominic Suarez Carreira | Orthopedic Surgery | Peachtree Orthopaedic Clinic Pa | 1163 Johnson Ferry Rd, Suite 200, Marietta, GA 30068-2764 |
| David Arlen Schiff | Physical Medicine and Rehabilitation | Peachtree Orthopaedic Clinic Pa | 1163 Johnson Ferry Rd, Suite 200, Marietta, GA 30068-2764 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James A Biga | Physical Therapy | 1230 Johnson Ferry Pl, H20, Marietta, GA 30068-2057 | |
| Sinan N Feidy | Chiropractic | 1230 Johnson Ferry Pl, Suite G30, Marietta, GA 30068-2058 | |
| Elbert H Cardwell | Chiropractic | 1230 Johnson Ferry Pl, G30, Marietta, GA 30068-2058 | |
| Nicole L Mosley | Nurse Practitioner | Hcr Manor Care Medical Services of Florida LLC | 4360 Johnson Ferry Pl, Marietta, GA 30068-2063 |
| Christie E Parker | Nurse Practitioner | Hcr Manor Care Medical Services of Florida LLC | 4360 Johnson Ferry Pl, Marietta, GA 30068-2063 |
| Jonathan M.c. Threadgill | Maxillofacial Surgery | Atlanta Oral and Facial Surgery LLC | 1000 Johnson Ferry Rd, Building H, Marietta, GA 30068-2100 |
| Christopher Hugh Kragor | Maxillofacial Surgery | Atlanta Oral and Facial Surgery LLC | 1000 Johnson Ferry Rd, Building H, Marietta, GA 30068-2100 |
| Joseph W Slaughter | Maxillofacial Surgery | Atlanta Oral and Facial Surgery LLC | 1000 Johnson Ferry Rd, Building H, Marietta, GA 30068-2100 |
| Jorge A Gonzalez-ocasio | Maxillofacial Surgery | Atlanta Oral and Facial Surgery LLC | 1000 Johnson Ferry Rd, Building H, Marietta, GA 30068-2100 |
| Donald Ray Nunn | Plastic and Reconstructive Surgery | Atlanta Oral and Facial Surgery LLC | 1000 Johnson Ferry Rd, Building H, Marietta, GA 30068-2100 |
| Find all physicians in zip 30068 | |||
| City | MARIETTA |
| Zip Code | 30068 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | MARIETTA + ORTHOPEDIC SURGERY |
Please comment or provide details below to improve the information on Ezequiel Hernan Cassinelli.
| 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.