Michael Petrosky

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

Legal business name

MICHAEL PETROSKY

Practice address

120 Vann St NE
Suite 150
Marietta, GA 30060-7357

Phone

(770) 421-1242

NPI assigned

Aug 1, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Michael Petrosky, M.D.

Title

M.D.

Phone

(770) 421-1242

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1217548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217548800000",
    "number": "1497911150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 VANN ST NE",
            "address_2": "SUITE 150",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300607357",
            "telephone_number": "770-421-1242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 VANN ST NE",
            "address_2": "SUITE 150",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300607357",
            "telephone_number": "770-421-1242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL PETROSKY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-01",
        "last_updated": "2008-08-01",
        "status": "A",
        "authorized_official_last_name": "PETROSKY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "770-421-1242",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mga, LLC
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• Michael L. Leingang, III, DDS, PC
• Michael S Rappaport PC
• Michael-Renee Godfrey, RN, LPC, PC
• Jeffrey Evan Michaelson, MD
• Adam Michalak, MD
• Meghan Michalewicz

• Plastic and Reconstructive Surgery Physician in Marietta, GA
• Providers in Marietta, GA by specialty
• Plastic and Reconstructive Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2008; 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.