REZA H MOHAMMAD (NPI# 1013970607) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013970607 |
| Entity Type | Individual |
| Full Name | REZA H MOHAMMAD |
| Credential | PAAA |
| Practice Address |
3950 Austell Road Austell GA 30106 |
| Mailing Address |
Po Box 155 Austell GA 30168-1002 |
| Practice Telephone | 7707323649 |
| Practice Fax Number | 7707323648 |
| Mailing Telephone | 7707323649 |
| Mailing Fax Number | 7707323648 |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367H00000X | Anesthesiologist Assistant | 003911 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 567958436A | 05 |
| Street Address |
3950 AUSTELL ROAD |
| City | AUSTELL |
| State | GA |
| Zip Code | 30106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538122122 | Anne Vidanagama | Anesthesiology | 3950 Austell Road, Austell, GA 30106 | 2006-04-06 |
| 1801053202 | Daniel Ryan Newshutz | Anesthesiologist Assistant | 3950 Austell Road, Austell, GA 30106 | 2008-05-22 |
| 1336306547 | Johnny Lee Bonner | Emergency Medicine | 3950 Austell Road, Hospitalists Office, Austell, GA 30106 | 2008-05-16 |
| 1073780748 | Kirsten Haskelle Bendeck | Emergency Medicine | 3950 Austell Road, Emergency Department, Austell, GA 30328 | 2008-05-13 |
| 1740363746 | Karen T. Hamilton | Obstetrics & Gynecology | 3950 Austell Road, Ob/gyn Hospitalists Office, Austell, GA 30106 | 2006-10-23 |
| 1245293570 | David A Reeder | Anesthesiology | 3950 Austell Road, Austell, GA 30106 | 2006-04-08 |
| 1124081716 | Grace A Langley | Nurse Anesthetist, Certified Registered | 3950 Austell Road, Austell, GA 30106 | 2006-04-06 |
| 1861455453 | Laura L Read | Anesthesiologist Assistant | 3950 Austell Road, Austell, GA 30106 | 2006-04-06 |
| 1770546368 | Ajay Handa | Anesthesiology | 3950 Austell Road, Austell, GA 30106 | 2006-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073126231 | Courtney Lashune Dorsett | Nurse Practitioner | 1005 Cureton Drive, Austell, Austell, GA 30106 | 2020-08-27 |
| 1184240491 | Brian H Eves | Dietitian, Registered | 3972 Brantley Drive, Austell, GA 30106 | 2020-06-23 |
| 1669014486 | Jesse Mccoy | Registered Nurse | 3950 Austell Rd., Austell, GA 30106 | 2019-10-14 |
| 1427522820 | Envision Optics LLC | Optometrist | 1680 E West Connector, Austell, GA 30106 | 2019-01-18 |
| 1972042380 | Thomas Dental Group | Clinic/Center | 1133 East West Connector, Suite 120, Austell, GA 30106 | 2017-02-17 |
| 1245779792 | Colton Dental Group | Clinic/Center | 2495 East-west Connector, Ste 60, Austell, GA 30106 | 2017-02-16 |
| 1144691684 | Georgia Dental Professionals, PC | Dentist | 780 East West Connector Sw, Suite 108, Austell, GA 30106 | 2015-10-09 |
| 1285013714 | Ikeade Bello Alamu | Nurse Practitioner | 2870 Betula Drive, Austell, GA 30106 | 2015-05-29 |
| 1376922211 | Jessica Williams | Obstetrics & Gynecology | 1700 Hospital South Dr Ste 500, Austell, GA 30106 | 2015-05-26 |
| 1558799593 | Tonya Renee Baldwin | Speech-Language Pathologist | 4229 Brass Trl., Austell, GA 30106 | 2013-10-30 |
| Find all providers in zip 30106 | ||||
| Taxonomy Code | 367H00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Anesthesiologist Assistant |
| An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013384205 | Bhavik Mehta | Anesthesiologist Assistant | 1483 Devon Mill Way, Austell, GA 30168-5925 | 2015-08-24 |
| 1689058018 | Bradley Mooney | Anesthesiologist Assistant | 3950 Austell Rd, Austell, GA 30106-1121 | 2015-07-15 |
| 1043645252 | Alison Stoeri Pardue | Anesthesiologist Assistant | 3950 Austell Rd, Austell, GA 30106-1121 | 2013-09-06 |
| 1003194424 | Maggi Stuart Markwell | Anesthesiologist Assistant | 3950 Austell Rd, Austell, GA 30106-1121 | 2011-08-02 |
| 1356629562 | Elizabeth Jean Stubbs | Anesthesiologist Assistant | 3950 Austell Rd, Austell, GA 30106-1121 | 2011-07-22 |
| 1396977757 | Victoria Aranda Gillum | Anesthesiologist Assistant | 3950 Austell Rd, Austell, GA 30106-1121 | 2009-08-19 |
| 1629203526 | Abby Faye Jarrard | Anesthesiologist Assistant | 3950 Austell Rd, Austell, GA 30106-1121 | 2009-05-20 |
| 1801051115 | Aaron B Lee | Anesthesiologist Assistant | 3950 Austell Rd, Austell, GA 30106-1121 | 2008-07-25 |
| 1063672640 | Whitney Ashlyn Wright | Anesthesiologist Assistant | 3950 Austell Rd, Austell, GA 30106-1121 | 2008-06-16 |
| 1538327846 | Auburn Kyle Elliott | Anesthesiologist Assistant | 3950 Austell Rd, Austell, GA 30106-1121 | 2008-05-23 |
| Find all providers in AUSTELL | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.