Eugenio Jose Aspuru, MD
Individual provider Active NPI Obstetrics & Gynecology Physician · Atlanta, GA
NPI 1922052950 · NPPES record last updated Aug 8, 2013
Key facts
- NPI
- 1922052950
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- 52676 (GA)
- Practice address
- 5780 Peachtree Dunwoody Rd NE
Suite 295
Atlanta, GA 30342-1554 - Phone
- (404) 255-3633
- Fax
- (404) 255-7599
- NPI assigned
- May 22, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
- Opted out of Medicare
- Yes, effective Jan 1, 2014 through Jan 1, 2028
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 52676 | GA | MD | Obstetrics & Gynecology Physician |
| 024718 | LA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlanta Gwinnett Women'S Specialists | Obstetrics & Gynecology | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 024718 | LA | |
| Obstetrics & Gynecology Physician | 207V00000X | 52676 | GA | Yes |
Addresses
Primary practice location
5780 Peachtree Dunwoody Rd NE
Suite 295
Atlanta, GA 30342-1554
Mailing address
5780 Peachtree Dunwoody Road
Suite 300
Atlanta, GA 30342-1513
Phone (404) 303-1224
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 530687225E | Medicaid | GA | |
| 530687225B | Medicaid | GA | |
| 530687225C | Medicaid | GA | |
| 530687225D | Medicaid | GA | |
| 511I160226 | Other | GA | MEDICARE PTAN |
| 530687225A | Medicaid | GA |
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All providers in Atlanta, GA · Obstetrics & Gynecology Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 8, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.