Provider Demographics
NPI: | 1316766579 |
---|---|
Name: | DESIGNER HEALTH PARTNERS, LLC |
Entity type: | Organization |
Organization Name: | DESIGNER HEALTH PARTNERS, LLC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | CHIEF MEDICAL OFFICER |
Authorized Official - Prefix: | DR |
Authorized Official - First Name: | ANNA |
Authorized Official - Middle Name: | CHOO |
Authorized Official - Last Name: | ELMERS |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | MD |
Authorized Official - Phone: | 404-210-5499 |
Mailing Address - Street 1: | 3147 E ADDISON DR |
Mailing Address - Street 2: | |
Mailing Address - City: | ALPHARETTA |
Mailing Address - State: | GA |
Mailing Address - Zip Code: | 30022-1819 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 404-210-5499 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 3147 E ADDISON DR |
Practice Address - Street 2: | |
Practice Address - City: | ALPHARETTA |
Practice Address - State: | GA |
Practice Address - Zip Code: | 30022-1819 |
Practice Address - Country: | US |
Practice Address - Phone: | 404-210-5499 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2024-10-05 |
Last Update Date: | 2024-10-05 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 208100000X | Allopathic & Osteopathic Physicians | Physical Medicine & Rehabilitation | Group - Multi-Specialty | |
No | 171400000X | Other Service Providers | Health & Wellness Coach | Group - Multi-Specialty | |
No | 171M00000X | Other Service Providers | Case Manager/Care Coordinator | Group - Multi-Specialty | |
No | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Group - Multi-Specialty | |
No | 225800000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Recreation Therapist | Group - Multi-Specialty | |
No | 225X00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Group - Multi-Specialty | |
No | 227800000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Certified | Group - Multi-Specialty | |
No | 235Z00000X | Speech, Language and Hearing Service Providers | Speech-Language Pathologist | Group - Multi-Specialty | |
No | 101Y00000X | Behavioral Health & Social Service Providers | Counselor | Group - Multi-Specialty | |
No | 103T00000X | Behavioral Health & Social Service Providers | Psychologist | Group - Multi-Specialty | |
No | 133V00000X | Dietary & Nutritional Service Providers | Dietitian, Registered | Group - Multi-Specialty |