Healthcare Provider Details

I. General information

NPI: 1265429807
Provider Name (Legal Business Name): FRANK ROSARIO STORNIOLO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/29/2005
Last Update Date: 06/09/2025
Certification Date: 06/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3000 HOSPITAL BLVD
ROSWELL GA
30076-4915
US

IV. Provider business mailing address

PO BOX 116171
ATLANTA GA
30368-6171
US

V. Phone/Fax

Practice location:
  • Phone: 770-751-2500
  • Fax: 770-751-2609
Mailing address:
  • Phone: 800-919-1190
  • Fax: 706-737-2271

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number85362
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number029797
License Number StateGA
# 3
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number0101285552
License Number StateVA
# 4
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number029797
License Number StateGA
# 5
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberDR.0061426
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: