Dr Mark Cooper Stovroff, MD | |
755 Mount Vernon Hwy Ne, Suite 460, Atlanta, GA 30328-4274 | |
(404) 252-7900 | |
(404) 252-7905 |
Full Name | Dr Mark Cooper Stovroff |
---|---|
Gender | Male |
Speciality | Surgery - Pediatric Surgery |
Location | 755 Mount Vernon Hwy Ne, Atlanta, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750380689 | NPI | - | NPPES |
00552736D | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0120X | Surgery - Pediatric Surgery | 037088 (Georgia) | Primary |
Entity Name | Westchester Medical Center Advanced Physician Services Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912131392 PECOS PAC ID: 3173660776 Enrollment ID: O20091031000042 |
Mailing Address | Practice Location Address |
---|---|
Dr Mark Cooper Stovroff, MD 755 Mount Vernon Hwy Ne, Suite 460, Atlanta, GA 30328-4274 Ph: (404) 252-7900 | Dr Mark Cooper Stovroff, MD 755 Mount Vernon Hwy Ne, Suite 460, Atlanta, GA 30328-4274 Ph: (404) 252-7900 |
Dr. Dominic Joseph Papandria, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 550 Peachtree St Ne, Atlanta, GA 30308 Phone: 404-686-4411 | |
Dr. Constance Scott Harrell Shreckengost, MD, PHD Surgery Medicare: Medicare Enrolled Practice Location: 1364 Clifton Rd Ne Rm B206, Atlanta, GA 30322 Phone: 404-727-5800 | |
John Sweeney, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1365a Clifton Rd Ne, Suite 3300, Atlanta, GA 30322 Phone: 404-778-3712 Fax: 404-778-5033 | |
Marlieke E Nussenbaum, M.D. Surgery Medicare: May Accept Medicare Assignments Practice Location: 1015 Boulevard Se Apt 629, Atlanta, GA 30312 Phone: 919-360-5327 | |
Samantha Courtney Thomas, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 69 Jesse Hill Jr Drive, Glenn Memorial Building, 3rd Floor, Atlanta, GA 30303 Phone: 404-251-8915 Fax: 404-523-3931 | |
Vanessa Arientyl, MD Surgery Medicare: Medicare Enrolled Practice Location: 69 Jesse Hill Jr. Drive Southeast, Glenn Memorial Building, 3rd Floor, Atlanta, GA 30303 Phone: 404-251-8915 Fax: 404-523-3931 | |
Mr. Barrie Douglas Lowman, P.A. Surgery Medicare: Not Enrolled in Medicare Practice Location: 5669 Peachtree Dunwoody Rd Ne, Suite 100, Atlanta, GA 30342 Phone: 404-256-0404 Fax: 404-847-0423 |