DAVID I ANTOKAL (NPI# 1417910001) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417910001 |
| Entity Type | Individual |
| Full Name | DAVID I ANTOKAL |
| Credential | CRNA |
| Practice Address |
601 Dallas Hwy Villa Rica GA 30180-1202 |
| Mailing Address |
119 Ambulance Dr Suite 202 Carrollton GA 30117-3857 |
| Practice Telephone | 7704563000 |
| Practice Fax Number | 7704563460 |
| Mailing Telephone | 7708369666 |
| Mailing Fax Number | 7708369212 |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2019-01-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | APRN11000385 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 367500000X | Nurse Anesthetist, Certified Registered | RN129608 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 464995055A | 05 |
| Street Address |
601 DALLAS HWY |
| City | VILLA RICA |
| State | GA |
| Zip Code | 30180-1202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851388748 | Tmc/villa Rica Hospital, Inc | General Acute Care Hospital | 601 Dallas Hwy, Villa Rica, GA 30180-1202 | 2005-10-05 |
| 1851906192 | Sophia Tieu | Registered Nurse | 601 Dallas Hwy, Villa Rica, GA 30180-1202 | 2020-09-14 |
| 1073139994 | Sara Rose Addison | Dietitian, Registered | 601 Dallas Hwy, Villa Rica, GA 30180-1202 | 2020-06-17 |
| 1972139566 | Stefanie Christopher | Nurse Practitioner | 601 Dallas Hwy, Villa Rica, GA 30180-1202 | 2020-03-16 |
| 1144784679 | Nova Medical Services, LLC | Family Medicine | 601 Dallas Hwy, Villa Rica, GA 30180-1202 | 2019-01-29 |
| 1134442122 | Elissaveta B Johnson | Dietitian, Registered | 601 Dallas Hwy, Villa Rica, GA 30180-1202 | 2010-03-05 |
| 1104066265 | Tmc/villa Rica Hospital, Inc | Psychiatric Unit | 601 Dallas Hwy, Villa Rica, GA 30180-1202 | 2009-03-03 |
| 1801068796 | Oglethorpe Emergency Physicians | Emergency Medicine | 601 Dallas Hwy, Villa Rica, GA 30180-1202 | 2008-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174161624 | Crucible Communication Therapy LLC | Speech-Language Pathologist | 9765 Walnut Grove Trail, Villa Rica, GA 30180 | 2019-12-16 |
| 1366802845 | Medic-pearl, LLC | Ambulance | 1108 Charter Oak Ct, Villa Rica, GA 30180 | 2016-02-26 |
| 1396138368 | Josette Etienne | Nurse Practitioner | 403 Permian Way Suite A, Villa Rica, GA 30180 | 2015-03-13 |
| 1447690516 | Judith L.m. Thigpen | Nurse Practitioner | 736 Highway 78 West, Minute Clinic, Villa Rica, GA 30180 | 2013-07-03 |
| 1477890168 | Wesley Douglas Mckenzie | Pharmacist | 2500 Mirror Lake Blvd, Villa Rica, GA 30180 | 2013-01-15 |
| 1497005359 | Malika Remie Rajendra | Optometrist | 600 Hwy 61, Villa Rica, GA 30180 | 2012-09-18 |
| 1972876449 | Catherine Elaine Tyson | Pharmacist | 601 Dallas Road, Villa Rica, GA 30180 | 2012-02-14 |
| 1619262433 | Villa Rica Rx LLC | Pharmacy | 222 West Wilson Street, Villa Rica, GA 30180 | 2011-06-09 |
| 1851602874 | Jules Chopin Sybert | Nurse Practitioner | 736 W. Bankhead Hwy, Villa Rica, GA 30180 | 2010-06-24 |
| 1487984019 | Lisa Wood | Occupational Therapy Assistant | 1207 Woods Walk, Villa Rica, GA 30180 | 2010-01-04 |
| Find all providers in zip 30180 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821053901 | Jerry Price Jr. | Nurse Anesthetist, Certified Registered | 2010 Barrington Ln, Villa Rica, GA 30180-6954 | 2006-04-20 |
| 1407884091 | Yushonda D. Lofton | Nurse Anesthetist, Certified Registered | 705 Dallas Hwy, Villa Rica, GA 30180-1247 | 2006-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063010189 | Soms Anesthesia, LLC | Nurse Anesthetist, Certified Registered | 1061 Dowdy Rd Ste 201, Athens, GA 30606-5700 | 2020-10-12 |
| 1366071557 | Kelly A Winter | Nurse Anesthetist, Certified Registered | 780 Hillmont Ave, Decatur, GA 30030-3944 | 2020-04-08 |
| 1932762580 | Velocity Health Partners LLC | Nurse Anesthetist, Certified Registered | 1075 Bandy Pkwy Ste 105, Locust Grove, GA 30248-7036 | 2019-04-19 |
| 1255805107 | B and B Healthcare Consultants | Nurse Anesthetist, Certified Registered | 310 Stoneleigh Dr Sw, Atlanta, GA 30331-7666 | 2019-01-14 |
| 1497227797 | Mustapha Timmy Issa | Nurse Anesthetist, Certified Registered | 1403 Elderberry Run Cv, Lawrenceville, GA 30043-3999 | 2018-12-26 |
| 1790256931 | Change of Life Companion Homecare LLC | Nurse Anesthetist, Certified Registered | 401 Topaz Trail, Peachtree City, Fayetteville, GA 30269 | 2018-12-16 |
| 1548730179 | Alexis Nicole Robinson | Nurse Anesthetist, Certified Registered | 1000 Medical Center Boulevard, Lawrenceville, GA 30046 | 2018-11-27 |
| 1467927038 | Glga Anesthesia LLC | Nurse Anesthetist, Certified Registered | 1250 Jesse Jewell Pkwy Se Ste 100, Gainesville, GA 30501-3871 | 2018-10-09 |
| 1972098770 | Brett E Mason | Nurse Anesthetist, Certified Registered | 902 S 7th St, Cordele, GA 31015-2855 | 2018-06-25 |
| 1760989925 | Dream Team Anesthesia Associates Inc | Nurse Anesthetist, Certified Registered | 807 Carroll St Ste C-2002, Perry, GA 31069-3311 | 2018-04-12 |
| Find all providers with the same taxonomy | ||||
| City | VILLA RICA |
| Zip Code | 30180 |
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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.