One Health Research Clinic, Inc

Primary specialty

Ph.D. Medical GeneticsTaxonomy code 170100000X

License

9270 Issued in GA

Legal business name

ONE HEALTH RESEARCH CLINIC, INC

Practice address

5430 Jimmy Carter Blvd
Suite 200B
Norcross, GA 30093-1517

Phone

(678) 585-4917

Fax

(678) 691-8129

NPI assigned

May 4, 2017

Organization subpart

No

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

Authorized official

Name

Sylvia Fischer

Title

Site Director

Phone

(678) 585-4917

Specialties & licenses 3

Addresses

Other identifiers 4

Locations

Practitioners 1

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

• David H Montaldi, MD

  • Obstetrics & Gynecology Physician
  • Marietta, GA
  • NPI 1225028947
  NPD (past)

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

{
    "created_epoch": "1493856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493856000000",
    "number": "1225564677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5430 JIMMY CARTER BLVD",
            "address_2": "SUITE 200B",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300931517",
            "telephone_number": "678-585-4917",
            "fax_number": "678-691-8129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5430 JIMMY CARTER BLVD",
            "address_2": "SUITE 200B",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300931517",
            "telephone_number": "678-585-4917",
            "fax_number": "678-691-8129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONE HEALTH RESEARCH CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-04",
        "last_updated": "2017-05-04",
        "status": "A",
        "authorized_official_last_name": "FISCHER",
        "authorized_official_first_name": "SYLVIA",
        "authorized_official_title_or_position": "SITE DIRECTOR",
        "authorized_official_telephone_number": "678-585-4917"
    },
    "taxonomies": [
        {
            "code": "170100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Medical Genetics, Ph.D. Medical Genetics",
            "state": "GA",
            "license": "9270",
            "primary": true
        },
        {
            "code": "170100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Medical Genetics, Ph.D. Medical Genetics",
            "state": "GA",
            "license": "30147",
            "primary": false
        },
        {
            "code": "170100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Medical Genetics, Ph.D. Medical Genetics",
            "state": "GA",
            "license": "35421",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1235345588",
            "identifier": "1235345588",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1225028947",
            "identifier": "1225028947",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1669555819",
            "identifier": "1669555819",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1710088505",
            "identifier": "1710088505",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Ademola Adebayo Opanuga, M.D.
• Kimberly Kirk Openo, LAPC CMFT NCC
• Optimum Pain Management Center LLC
• Optum Palliative and Hospice Care, Inc.

• Ph.D. Medical Genetics in Norcross, GA
• Providers in Norcross, GA by specialty
• Ph.D. Medical Genetics in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2017; 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.