Organization
ORTHOATLANTA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL OCHAL (CEO)
(770) 953-6929
Entity
Organization
Contact information
Practice address
105 COLLIER RD NW, SUITE 2000, ATLANTA, GA 30309-1710
(404) 352-1053
(404) 350-0840
Mailing address
900 CIRCLE 75 PKWY SE, SUITE 1700, ATLANTA, GA 30339-3035
(770) 953-6929
(770) 953-6972
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
GA
207XS0106X
Orthopaedic Hand Surgery Physician
—
GA
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
—
—
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
—
GA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
GA
363A00000X
Physician Assistant
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
346603703
USDOL - PIEDMONT
GA
01
—
6285940004
DME (ALSO MEDICARE NSC)
GA
Enumeration date
04/02/2007
Last updated
09/13/2017
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