Extreme Medical Group, Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

EXTREME MEDICAL GROUP, INC.

Practice address

2484 Briarcliff Rd NE
Suite 22-353
Atlanta, GA 30329-3011

Phone

(678) 237-6363

NPI assigned

Apr 3, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Didier Gutierrez

Title

President

Phone

(678) 237-6363

Specialties & licenses 2

Addresses

Tax ID family

Extreme Medical Group Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Unique Medical Group, Inc

  • Internal Medicine Physician
  • Atlanta, GA
  • NPI 1679716310
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1238716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238716800000",
    "number": "1003058165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2484 BRIARCLIFF RD NE",
            "address_2": "SUITE 22-353",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303293011",
            "telephone_number": "678-237-6363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2484 BRIARCLIFF RD NE",
            "address_2": "SUITE 22-353",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303293011",
            "telephone_number": "678-237-6363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXTREME MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-03",
        "last_updated": "2009-04-03",
        "status": "A",
        "authorized_official_last_name": "GUTIERREZ",
        "authorized_official_first_name": "DIDIER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "678-237-6363",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Britney Nicole Xiomara Extra, OTR/L
• Extreme Medical Solutions, Inc.
• Daniel Gebeyehu Eyassu
• Eye Can See Too Inc
• Eye Center of Atlanta, P.C.
• Eye Consultants Hearing Aid Center, LLC

• Internal Medicine Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.