Active NPI
The Kane Clinic'S, LLC
- Obstetrics Physician
- Doraville, GA
National Provider Identifier
1093248015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics Physician
- Legal business name
- THE KANE CLINIC'S, LLC
- Practice address
- 2000 Clearview Ave
Suite 111
Doraville, GA 30340-2100 - Phone
- (404) 250-4447
- Fax
- (770) 451-3343
- NPI assigned
- Apr 6, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Ana B Arriaza
- Title
- Biller
- Phone
- (404) 250-4447
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics Physician | 207VX0000X | Primary |
Addresses
Primary practice location
2000 Clearview Ave
Suite 111
Doraville, GA 30340-2100
Mailing address
2000 Clearview Ave
Suite 111
Doraville, GA 30340-2100
Phone (404) 250-4447
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003145697A | Medicaid | GA |
Other names 1
- International womens health services
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D2090496 | International Womens Health Services Cima | Certificate of waiver | Jan 25, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- International Women'S Health Services-Cima
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Obstetrics & Gynecology Physician
- Doraville, GA
- NPI 1245652726
-
- Advanced Practice Midwife
- Doraville, GA
- NPI 1346629706
Locations
2000 Clearview Ave
Ste 111
Doraville, GA 30340
Phone (404) 250-4447
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491436800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1491436800000",
"number": "1093248015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 CLEARVIEW AVE",
"address_2": "SUITE 111",
"city": "DORAVILLE",
"state": "GA",
"postal_code": "303402100",
"telephone_number": "404-250-4447",
"fax_number": "770-451-3343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 CLEARVIEW AVE",
"address_2": "SUITE 111",
"city": "DORAVILLE",
"state": "GA",
"postal_code": "303402100",
"telephone_number": "404-250-4447",
"fax_number": "770-451-3343"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE KANE CLINIC'S, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-04-06",
"last_updated": "2017-04-06",
"status": "A",
"authorized_official_last_name": "ARRIAZA",
"authorized_official_first_name": "ANA",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "BILLER",
"authorized_official_telephone_number": "404-250-4447",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "207VX0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Obstetrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003145697A",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "International womens health services",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Doraville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.