Dominion Orthopaedic Clinic, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

DOMINION ORTHOPAEDIC CLINIC, LLC

Practice address

4235 Johns Creek Pkwy
Suite B
Suwanee, GA 30024-6038

Phone

(770) 455-4009

Fax

(770) 455-4065

NPI assigned

Sep 8, 2009

Last updated

Sep 8, 2009By 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

John I Foster III, MDNPI 1356336655

Title

President

Phone

(770) 455-4009

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• John I Foster III, MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Atlanta, GA
  • NPI 1356336655
  NPD Authorized official
• Allison L Fritzsche, PA-C

  • Physician Assistant
  • Newnan, GA
  • NPI 1942826334
  NPD
• Jeffrey John Kovacic, MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Calhoun, GA
  • NPI 1831164524
  NPD (past)

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

{
    "created_epoch": "1252368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252368000000",
    "number": "1861725079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5555 PEACHTREE DUNWOODY RD NE",
            "address_2": "SUITE 215",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421703",
            "telephone_number": "770-455-4009",
            "fax_number": "770-455-4065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4235 JOHNS CREEK PKWY",
            "address_2": "SUITE B",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300246038",
            "telephone_number": "770-455-4009",
            "fax_number": "770-455-4065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOMINION ORTHOPAEDIC CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-08",
        "last_updated": "2009-09-08",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-455-4009",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "GRP7986",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth M Dixon, M.D.
• Rosemary Dixon
• Matthew Kybao DO, DMD
• Mehtaab Dobani, NP-C
• Effie S Dolores, M.D.
• Jae Wook Dong, M.D.
• Mariah Dookie, LPC
• Maria E. Doolen, PT
• Kimberly Erika Dowe, NP-C
• Lauren Marie Downes, M.S., CCC-SLP

• Durable Medical Equipment & Medical Supplies in Suwanee, GA
• Providers in Suwanee, GA by specialty
• Durable Medical Equipment & Medical Supplies in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2009; 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.