Streeterville Internal Medicine 2LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

STREETERVILLE INTERNAL MEDICINE 2LLC

Practice address

5909 Peachtree Dunwoody Rd NE
Suite 900
Atlanta, GA 30328-5388

Phone

(404) 943-0205

Fax

(404) 943-0209

NPI assigned

Feb 10, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Alicia Holden

Title

Billing Manager

Phone

(404) 943-0205

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rachel Anne O'Mara, MD

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1891701702
  NPD (past)

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

{
    "created_epoch": "1328832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328832000000",
    "number": "1053684852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "676 N SAINT CLAIR ST",
            "address_2": "SUITE 1740",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112927",
            "telephone_number": "312-926-0444",
            "fax_number": "312-926-2797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5909 PEACHTREE DUNWOODY RD NE",
            "address_2": "SUITE 900",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303285388",
            "telephone_number": "404-943-0205",
            "fax_number": "404-943-0209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STREETERVILLE INTERNAL MEDICINE 2LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-10",
        "last_updated": "2012-02-10",
        "status": "A",
        "authorized_official_last_name": "HOLDEN",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "404-943-0205",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keller Street
• Kiara Street, LMSW
• Morgan Christine Street
• Olivia Street
• Alison Blaine Streeter, PA-C
• Anna Jane Streetman, M.ED, CCC-SLP
• Karen Streetman
• Virginia Streib, RDN, LD, CSSD
• Sarah Streitmatter
• Denise Streleckis, PA-C

• 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 Feb 10, 2012; 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.