Agewell Men's Institute

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

035769 Issued in GA

Legal business name

AGEWELL MEN'S INSTITUTE

Practice address

3596 Old Milton Pkwy
Alpharetta, GA 30005-4465

Phone

(770) 559-5834

NPI assigned

Sep 26, 2012

Last updated

Sep 26, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Averel B Snyder, MDNPI 1154387074

Title

Owner

Phone

(770) 559-5834

Specialties & licenses 1

Addresses

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Averel B Snyder, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Atlanta, GA
  • NPI 1154387074
  NPD Authorized official
• Sloan C Greer, NP

  • Nurse Practitioner
  • Alpharetta, GA
  • NPI 1154673861
  NPD (past)
• Caroline Sparks, FNP

  • Family Nurse Practitioner
  • Alpharetta, GA
  • NPI 1861744435
  NPD (past)

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

{
    "created_epoch": "1348617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348617600000",
    "number": "1376894683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3596 OLD MILTON PKWY",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300054465",
            "telephone_number": "770-559-5834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3596 OLD MILTON PKWY",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300054465",
            "telephone_number": "770-559-5834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGEWELL MEN'S INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-26",
        "last_updated": "2012-09-26",
        "status": "A",
        "authorized_official_last_name": "SNYDER",
        "authorized_official_first_name": "AVEREL",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-559-5834",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "GA",
            "license": "035769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pooja Agarwal, M.D
• Helen Agbaje
• Ebanga Agbor, NP
• Parina Aggarwal, MD
• Agilitas USA Inc (Results Physiotherapy)
• Ignazio Agrippina, D.C.
• Wendy Aguilar
• Loren Gabrielle Aguillard, PHARM. D.

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Alpharetta, GA
• Providers in Alpharetta, GA by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.