Richard Howard Pike, MD | |
2400 Mt. Zion Parkway, Kaiser Permanente Southwood Medical Center, Jonesboro, GA 30236 | |
(404) 355-0743 | |
(404) 943-0641 |
Full Name | Richard Howard Pike |
---|---|
Gender | Male |
Speciality | Orthopaedic Surgery |
Location | 2400 Mt. Zion Parkway, Jonesboro, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730181777 | NPI | - | NPPES |
000924382B | Medicaid | GA | |
0486290001 | Other | DME |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | 047640 (Georgia) | Primary |
207XX0004X | Orthopaedic Surgery - Foot And Ankle Surgery | 047640 (Georgia) | Secondary |
Entity Name | The Southeast Permanente Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245266956 PECOS PAC ID: 6204829013 Enrollment ID: O20040407000370 |
Mailing Address | Practice Location Address |
---|---|
Richard Howard Pike, MD 3495 Piedmont Road, Ne, Nine Piedmont Center, Atlanta, GA 30305 Ph: (404) 504-5678 | Richard Howard Pike, MD 2400 Mt. Zion Parkway, Kaiser Permanente Southwood Medical Center, Jonesboro, GA 30236 Ph: (404) 355-0743 |
Mr. Sangmin Ryan Shin, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2400 Mount Zion Pkwy, Kaiser Permanente Southwood Medical Center, Jonesboro, GA 30236 Phone: 617-638-8934 | |
Dr. Christopher Robert Jones, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 2400 Mount Zion Pkwy, Kaiser Permanente Southwood Medical Center, Jonesboro, GA 30236 Phone: 770-603-4267 | |
Felix Boadi Ankomah, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 2400 Mount Zion Pkwy, Jonesboro, GA 30236 Phone: 470-650-6223 |