VIVIAN TO (NPI# 1437417250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437417250 |
| Entity Type | Individual |
| Full Name | VIVIAN TO |
| Practice Address |
2204 Whitehall Dr Ne Marietta GA 30066-7202 |
| Practice Telephone | 4046415278 |
| Mailing Telephone | 4046415278 |
| Enumeration Date | 2012-04-30 |
| Last Update Date | 2012-04-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367H00000X | Anesthesiologist Assistant | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2204 WHITEHALL DR NE |
| City | MARIETTA |
| State | GA |
| Zip Code | 30066-7202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598253684 | Comfort Community Center, LLC | Skilled Nursing Facility | 2440 Sandy Plains Road, Blvd 21, Suite 100, Marietta, GA 30066 | 2018-04-25 |
| 1538681994 | Passionate Care | In Home Supportive Care | 1110 Renfro Ln., Marietta, GA 30066 | 2017-07-07 |
| 1437510443 | Steven Caras | Internal Medicine | 2682 Bonaire Terrace, Marietta, GA 30066 | 2016-03-18 |
| 1275918781 | Latifat Bolajoko Asemota | Nurse Practitioner | 410 Nottingham Dr, Marietta, GA 30066 | 2015-07-26 |
| 1497094205 | Changing Phases Behavioral Support, Inc | Internal Medicine | 3655 Canton Rd Ste 201, Marietta, GA 30066 | 2013-02-14 |
| 1659618916 | Alison Nicole Sims | Occupational Therapist | 2465 Canopy Drive, Marietta, GA 30066 | 2013-01-07 |
| 1790044907 | Antoine Jose Davenport | Massage Therapist | 4686 Jamerson Creek Dr, Marietta, GA 30066 | 2012-05-08 |
| 1174898548 | Angel Elizabeth Nofziger | Nurse Practitioner | 3750 Palladian Village Dr Ste 300, Marietta, GA 30066 | 2012-03-18 |
| 1912298019 | Nancy Jean Slack | Pharmacist | 2833 Canton Road, Marietta, GA 30066 | 2011-04-22 |
| 1336456078 | Mario B Miller Sr. | Chiropractor | 50 Barrett Parkway, Suite 3005#126, Marietta, GA 30066 | 2010-09-01 |
| Find all providers in zip 30066 | ||||
| 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 |
|---|---|---|---|---|
| 1114570553 | Diana Ansley Berry | Anesthesiologist Assistant | 531 Roselane St Nw Ste 830, Marietta, GA 30060-6979 | 2019-07-23 |
| 1346638616 | Sowjanya Thalanki Krishna Murthy | Anesthesiologist Assistant | 3440 River Heights Xing Se, Marietta, GA 30067-4500 | 2015-01-08 |
| 1053507129 | Adrianne Humphries | Anesthesiologist Assistant | 531 Roselane St Nw Ste 750, Marietta, GA 30060-6975 | 2007-09-21 |
| 1295818250 | Fleet Lester | Anesthesiologist Assistant | 1288 Sweet Bottom Ct Sw, Sw, Marietta, GA 30064-5222 | 2006-10-23 |
| 1730195348 | Thang Thai | Anesthesiologist Assistant | 531 Roselane Street Nw, Suite 750, Marietta, GA 30060-6975 | 2006-08-01 |
| 1346868908 | Megan Grace Zimmerman | Anesthesiologist Assistant | 677 Church St Ne, Marietta, GA 30060-1101 | 2020-07-10 |
| 1578180535 | Devon Potler-jack | Anesthesiologist Assistant | 677 Church St Ne, Marietta, GA 30060-1101 | 2020-06-25 |
| 1740802032 | Noelle Shaw | Anesthesiologist Assistant | 677 Church St Ne, Marietta, GA 30060-1101 | 2020-05-11 |
| 1417506304 | Jake Lane | Anesthesiologist Assistant | 677 Church St Ne, Marietta, GA 30060-1101 | 2019-09-04 |
| 1194372854 | Mackenzie Williams | Anesthesiologist Assistant | 677 Church St Ne, Marietta, GA 30060-1101 | 2019-08-19 |
| Find all providers in MARIETTA | ||||
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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.