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DR. FERNANDO DAVID NUSSENBAUM M.D NPI 1205274800


NPI Information

NPI: 1205274800
Provider Name: DR. FERNANDO DAVID NUSSENBAUM, M.D
Classification: Orthopaedic Surgery - 207XS0114X
Entity Type: Individual

Specialization: Adult Reconstructive Orthopaedic Surgery

PECOS Registration: Yes

Address:
135 N PARK PL STE 101
STOCKBRIDGE, GA
ZIP 30281
Phone: (770) 892-0300
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DR. Fernando David Nussenbaum, M.D is an adult reconstructive orthopaedic surgery orthopaedic surgery in Stockbridge, GA with 11 years of experience. The provider is recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures. DR. Fernando David Nussenbaum, M.D NPI is 1205274800. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

135 N PARK PL STE 101
STOCKBRIDGE, GA
ZIP 30281-237
Phone: (770) 892-0300

The NPI 1205274800 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/5/2013 and was last updated on 8/27/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207XS0114XOrthopaedic SurgeryAdult Reconstructive Orthopaedic SurgeryMD468290GEORGIAYes
2390200000XStudent in an Organized Health Care Education/Training ProgramBP10046144TEXASNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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