ADVANCE LAPAROSCOPIC SURGERY INSTITUTE, INC. (NPI# 1407151772) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407151772 |
| Entity Type | Organization |
| Organization Name | ADVANCE LAPAROSCOPIC SURGERY INSTITUTE, INC. |
| Practice Address |
3890 Johns Creek Pkwy Suite 240 Suwanee GA 30024-1284 |
| Mailing Address |
Po Box 62600 Dept. 1867 New Orleans LA 70162-2600 |
| Practice Telephone | 6783333584 |
| Practice Fax Number | 6786687965 |
| Mailing Telephone | 6783333584 |
| Mailing Fax Number | 6786687965 |
| Enumeration Date | 2011-01-18 |
| Last Update Date | 2011-03-11 |
| Authorized Official Name | DR. AHAD M KHAN (OWNER) |
| Authorized Official Telephone | 6783333584 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 055763 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 402816379A | 05 |
| Street Address |
3890 JOHNS CREEK PKWY SUITE 240 |
| City | SUWANEE |
| State | GA |
| Zip Code | 30024-1284 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851396832 | Matthew A Olearczyk | Otolaryngology | 3890 Johns Creek Pkwy, Ste 320, Suwanee, GA 30024-1284 | 2005-06-16 |
| 1760813034 | E. Earl Pennington, Md, LLC | Colon & Rectal Surgery | 3890 Johns Creek Pkwy, Suite 360, Suwanee, GA 30024-1284 | 2013-12-11 |
| 1255562948 | North Georgia Colon and Rectal Surgery, LLC | Colon & Rectal Surgery | 3890 Johns Creek Pkwy, Suite 320, Suwanee, GA 30024-1284 | 2009-07-29 |
| 1952574709 | Christopher Emile Bassil | Specialist | 3890 Johns Creek Pkwy, Suite 300, Suwanee, GA 30024-1284 | 2008-04-11 |
| 1053596296 | Westly Adrian Bailey | Family Medicine | 3890 Johns Creek Pkwy, Ste 230, Suwanee, GA 30024-1284 | 2008-01-07 |
| 1952583486 | Ent and Sinus Specialists, P.C. | Otolaryngology | 3890 Johns Creek Pkwy, Suite 320, Suwanee, GA 30024-1284 | 2007-11-27 |
| 1033261300 | Atlanta Women's Health Group, P.C. | Obstetrics & Gynecology | 3890 Johns Creek Pkwy, Suite 300, Suwanee, GA 30024-1284 | 2007-01-17 |
| 1376652172 | Susan R Spitzler | Dermatology | 3890 Johns Creek Pkwy, Suite 320, Suwanee, GA 30024-1284 | 2006-08-29 |
| 1841308376 | John Thomas Apgar | Dermatology | 3890 Johns Creek Pkwy, Suite 320, Suwanee, GA 30024-1284 | 2006-08-25 |
| 1144244757 | Concord Inc | Pharmacy | 3890 Johns Creek Pkwy, Ste 160, Suwanee, GA 30024 | 2006-07-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356996565 | Stephanie Arkin | Student in an Organized Health Care Education/Training Program | 25 Old Peachtree Rd Nw, Suwanee, GA 30024 | 2019-08-05 |
| 1164989638 | Laquitta Craft | Registered Nurse | 2855 Lawrenceville Suwanee Road Suite 330/340, Suwanee, GA 30024 | 2019-02-21 |
| 1467937235 | Greater Atlanta Monitoring, LLC | Electrodiagnostic Medicine | 3651 Peachtree Ste E. #331, Suwanee, GA 30024 | 2018-09-27 |
| 1760963482 | Esther Natacha Lafontant | Public Health or Welfare | 3205 Maple Terrace Drive, Suwanee, GA 30024 | 2018-08-22 |
| 1740778463 | Immaculate Healthcare Solutions, LLC | Home Health | 970 Peachtree Industrial Blvd Ste 8, Suwanee, GA 30024 | 2018-04-27 |
| 1053819235 | Sean Wonsuk Jang | Chiropractor | 3370 Lawrenceville Suwanee Rd Ste 118, Suwanee, GA 30024 | 2018-01-23 |
| 1932628468 | Silver Health Services, Inc. | Case Manager/Care Coordinator | 2640 Westbury Court, Swanee, GA 30024 | 2017-09-15 |
| 1285159095 | April L. Rivers | Nurse Practitioner | 4411 Suwanee Dam Rd Ste 110, Suwanee, GA 30024 | 2017-08-14 |
| 1144743840 | Nabil Elkareh | Pharmacist | 5049 Tarry Glen Drive., Suwanee, GA 30024 | 2017-07-25 |
| 1720508294 | Robert A Finkel Dds PC | Clinic/Center | 1325 Satellite Blvd Nw Ste 1304, Suwanee, GA 30024 | 2017-06-26 |
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| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083994974 | Carolyn Y Singleton-grant | Surgery | 3795 Riversong Dr, Suwanee, GA 30024-1874 | 2011-08-23 |
| 1710946314 | Alexander D. Park | Surgery | 4255 Johns Creek Pkwy Ste D, Suwanee, GA 30024-6122 | 2006-03-22 |
| 1609067081 | Kota Venkatesh | Surgery | 3905 Johns Creek Ct, Suite 200, Suwanee, GA 30024-1224 | 2007-08-09 |
| 1922033802 | Johns Creek Surgery PC | Surgery | 6920 Mcginnis Ferry Rd, Suite 340, Suwanee, GA 30024-1258 | 2006-07-11 |
| 1134151582 | Christopher John Hart | Surgery | 6920 Mcginnis Ferry Rd, Suite 340, Suwanee, GA 30024-1258 | 2006-07-07 |
| 1669422010 | William Holland Johnson Jr. | Surgery | 3890 Johns Creek Pkwy, Suite 240, Suwanee, GA 30024-1284 | 2006-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043824857 | Oasis Surgical Assistants LLC | Surgery | 170 Blackberry Run Dr, Dallas, GA 30132-1174 | 2020-08-31 |
| 1205440054 | Physician Assistant Surgical Solutions | Surgery | 4290 Bells Ferry Road, Suite 134 - 1032, Kennesaw, GA 30144 | 2020-08-31 |
| 1568087260 | Anthony George Campbell | Surgery | 1475 Laney Walker Blvd, Augusta, GA 30912-0002 | 2020-06-09 |
| 1821613431 | America Stephanie Revere | Surgery | Augusta University Medical Center 1120 15th St, Augusta, GA 30912-0001 | 2020-06-09 |
| 1124653456 | Oasis Surgical Associates LLC | Surgery | 800 Kennesaw Ave Nw Ste 130, Marietta, GA 30060-1052 | 2020-03-06 |
| 1063054237 | Stacey M Lowe | Surgery | 146 Wesleyan Way, Macon, GA 31210-4400 | 2019-10-09 |
| 1356982730 | Quinones & Sanchez LLC | Surgery | 1215 Eagles Landing Pkwy Ste 105, Stockbridge, GA 30281-5084 | 2019-10-07 |
| 1891342135 | Chakita Miesha Allen | Surgery | 24 Halyard Dr, Port Wentworth, GA 31407-9755 | 2019-08-21 |
| 1720631088 | 5am P.C. | Surgery | 475 Hansell St Se, Cairo, GA 39828-3071 | 2019-07-16 |
| 1033779152 | Kathryne Holmes | Surgery | 1120 15th St Rm Bi4076, Augusta, GA 30912-0004 | 2019-06-20 |
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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.