ELMWOOD PARK ANESTHESIA CONSULTANTS (NPI# 1306237706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306237706 |
| Entity Type | Organization |
| Organization Name | ELMWOOD PARK ANESTHESIA CONSULTANTS |
| Practice Address |
147 N Park Trl Stockbridge GA 30281-7373 |
| Practice Telephone | 3135873369 |
| Enumeration Date | 2015-02-07 |
| Last Update Date | 2015-02-07 |
| Authorized Official Name | GREGORY EVANS (OWNER) |
| Authorized Official Telephone | 3135873369 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LC0200X |
Anesthesiology Specialization: Critical Care Medicine |
70098 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
147 N PARK TRL |
| City | STOCKBRIDGE |
| State | GA |
| Zip Code | 30281-7373 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982787297 | Xavier C Moore | Internal Medicine | 147 N Park Trl, Stockbridge, GA 30281-7373 | 2006-10-23 |
| 1831374982 | Southern Crescent Pain Management LLC | Pain Medicine | 147 N Park Trl, Stockbridge, GA 30281-7373 | 2008-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164039095 | Colette Alls | Social Worker | 447 Lakeshore Dr, Stockbridge, GA 30281 | 2020-09-24 |
| 1982216800 | Pediatric and Family Behavioral Health of Georgia | Counselor | 1004 Ulster Court, Stockbridge, GA 30281 | 2020-08-21 |
| 1518577659 | Qunique Taveka Toxey | Behavior Technician | 115 N Park Trail, Suite 123, Stockbridge, GA 30281 | 2020-08-04 |
| 1497377675 | Melanie Harvey | Pharmacist | 4467 North Henry Boulevard, Stockbridge, GA 30281 | 2020-05-11 |
| 1114550571 | Cecile Maria Dunkley Layne | Counselor | 255 Corporte Drive, Stockbridge, GA 30281 | 2020-02-13 |
| 1306407143 | Palliative Care of Georgia. LLC | Home Health | 275 Corporate Center Court Ste C, Stockbridge, GA 30281 | 2019-06-24 |
| 1154883791 | Aaliyah Nura Fardan-alexander | Nurse's Aide | 105 Singletree, Stockbridge, GA 30281 | 2019-04-02 |
| 1306306261 | Prosthetic Care, Inc. | Prosthetic/Orthotic Supplier | 150 County Club Drive, Suite 200, Stockbridge, GA 30281 | 2019-03-25 |
| 1356814172 | Kristina Louissaint | Nurse Practitioner | 650 Country Club Dr, Stockbridge, GA 30281 | 2019-01-03 |
| 1942789284 | Cameren Barnes | Physical Therapist | 5473 N Henry Blvd, Stockbridge, GA 30281 | 2018-08-08 |
| Find all providers in zip 30281 | ||||
| Taxonomy Code | 207LC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Critical Care Medicine |
| An anesthesiologist, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073788816 | Gregory E Evans | Anesthesiology | 1133 Eagles Landing Pkwy, Stockbridge, GA 30281-5085 | 2008-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407345911 | Caitlin Cundiff | Anesthesiology | 550 Peachtree St Ne Ste 3245b, Atlanta, GA 30308 | 2018-05-09 |
| 1669730016 | Katherine Lyn Nugent | Anesthesiology | 1364 Clifton Rd., Atlanta, GA 30322 | 2012-04-23 |
| 1801374905 | Akrm Abdalrahman | Anesthesiology | 1120 15th St, Augusta, GA 30912-0004 | 2018-07-31 |
| 1053799270 | Rachel Hammer | Anesthesiology | 1364 Clifton Rd Ne, Atlanta, GA 30322-1716 | 2015-05-07 |
| 1790050037 | Amit Prabhakar | Anesthesiology | 550 Peachtree St Ne, Atlanta, GA 30308-2212 | 2012-03-20 |
| 1922393628 | Deepa Patel | Anesthesiology | 49 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3049 | 2011-06-10 |
| 1871810465 | Robert Frederick Groff Iv | Anesthesiology | 1364 Clifton Rd Ne, 3b South Department of Anesthesiology, Atlanta, GA 30322-1059 | 2010-04-22 |
| 1629207360 | Mark Caridi-scheible | Anesthesiology | 1364 Clifton Rd Ne, Dept of Anesthesiology, Atlanta, GA 30322-1059 | 2009-07-02 |
| 1275730855 | Keith B Dee | Anesthesiology | 1120 15th St, Augusta, GA 30912-0004 | 2007-06-28 |
| 1740299197 | Georgia Anesthesiologists, P.C. | Anesthesiology | 677 Church St Ne, Marietta, GA 30060-1101 | 2006-08-05 |
| Find all providers with the same taxonomy | ||||
| City | STOCKBRIDGE |
| Zip Code | 30281 |
Please comment or provide details below to improve the information on ELMWOOD PARK ANESTHESIA CONSULTANTS.
| 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.