EAST WEST SURGERY CENTER LP (NPI# 1366444929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366444929 |
| Entity Type | Organization |
| Organization Name | EAST WEST SURGERY CENTER LP |
| Practice Address |
2041 Mesa Valley Way Ste 125 Austell GA 30106-6828 |
| Practice Telephone | 6783098100 |
| Practice Fax Number | 6783098101 |
| Mailing Telephone | 6783098100 |
| Mailing Fax Number | 6783098101 |
| Enumeration Date | 2005-08-12 |
| Last Update Date | 2018-11-15 |
| Authorized Official Name | JENETHA D MORAN (OFFICER / AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 9727633893 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
033202 | GA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00897047A | 05 | |
| GA | AETNA H/POS | 2377093 | 01 |
| GA | UNITED HEALTHCARE | 68-00053 | 01 |
| GA | AETNA PPO | 7467086 | 01 |
| GA | DEPT OF LABOR | 166-510-500 | 01 |
| GA | RR MEDICARE | 490005006 | 01 |
| GA | MEDICAID WELLCARE | 327221 | 01 |
| GA | BLUE CROSS | 51795413002 | 01 |
| Street Address |
2041 MESA VALLEY WAY STE 125 |
| City | AUSTELL |
| State | GA |
| Zip Code | 30106-6828 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780042333 | Curtis Anthony Peoples Jr. | Physician Assistant | 2041 Mesa Valley Way, Suite 100, Austell, GA 30106-6828 | 2016-02-10 |
| 1487011771 | April Amaral | Physician Assistant | 2041 Mesa Valley Way, Suite 100, Austell, GA 30106-6828 | 2016-01-19 |
| 1174919880 | Kyle Spinrad | Physician Assistant | 2041 Mesa Valley Way, Suite 100, Austell, GA 30106-6828 | 2015-04-09 |
| 1750717310 | Tor K. Robinson | Physician Assistant | 2041 Mesa Valley Way, Suite 100, Austell, GA 30106-6828 | 2013-09-16 |
| 1821369448 | Mak Anesthesia Ewsc LLC | Anesthesiology | 2041 Mesa Valley Way, Ste 125, Austell, GA 30106-6828 | 2012-01-13 |
| 1710206214 | Mikael Starecki | Orthopaedic Surgery | 2041 Mesa Valley Way, Suite 100, Austell, GA 30106 | 2010-05-24 |
| 1326276734 | Angela Josephine Lucier | Physical Therapist | 2041 Mesa Valley Way, Suite 100, Austell, GA 30106-6828 | 2009-06-24 |
| 1467688085 | Marly N. Dows-martinez | Physical Medicine & Rehabilitation | 2041 Mesa Valley Way, Suite 100, Austell, GA 30106-6828 | 2009-06-10 |
| 1063625051 | Jeffrey N Hairston | Physician Assistant | 2041 Mesa Valley Way, Suite 100, Austell, GA 30106-6828 | 2007-05-07 |
| 1154533875 | Susan H Kirby | Nurse Practitioner | 2041 Mesa Valley Way, Suite 100, Austell, GA 30106-6828 | 2007-05-04 |
| Find all providers in the same location | ||||
| 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 | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124592746 | Denmark Surgical Associates | Clinic/Center | 4271 Weavers White Ln, Austell, GA 30106-8256 | 2019-01-16 |
| 1467833160 | Austell Surgery Center, LLC | Clinic/Center | 1610 Mulkey Rd, Austell, GA 30106-1186 | 2015-06-18 |
| 1376716316 | Cpm Sugery Center, P.C. | Clinic/Center | 3870 Medical Park Dr, Suite 100, Austell, GA 30106-1110 | 2008-04-10 |
| 1053632372 | Orthoatlanta Surgery Center of Austell, LLC | Clinic/Center | 3672 Marathon Circle, Suite 120, Austell, GA 30106-6821 | 2010-06-21 |
| 1740306059 | Foot and Leg Clinic, Pa | Clinic/Center | 1650 Mulkey Rd, Austell, GA 30106-1186 | 2007-03-21 |
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| 1750905618 | Rsps Fayetteville Asc Lllp | Clinic/Center | 874 Lanier Ave W Ste 270, Fayetteville, GA 30214-7617 | 2020-06-05 |
| 1699395541 | Medici Surgical Center Gwinnett, LLC | Clinic/Center | 2220 Wisteria Dr Ste 100, Snellville, GA 30078-4604 | 2020-04-21 |
| 1114552338 | Georgia Interventional Pain - G, LLC | Clinic/Center | 1504 N Thornton Ave Ste 104, Dalton, GA 30720-8394 | 2020-03-09 |
| 1700424322 | Georgia Interventional Pain - F, LLC | Clinic/Center | 1357 Hembree Rd Ste 230, Roswell, GA 30076-5725 | 2019-12-13 |
| 1699328369 | Georgia Urology, Pa | Clinic/Center | 1670 Scott Blvd Ste 204k, Decatur, GA 30033-5645 | 2019-07-22 |
| 1912563941 | Commerce Ambulatory Surgery Center, Inc. | Clinic/Center | 417 Pottery Factory Dr, Commerce, GA 30529-6682 | 2019-05-15 |
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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.