ANNE VIDANAGAMA (NPI# 1538122122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538122122 |
| Entity Type | Individual |
| Full Name | ANNE VIDANAGAMA |
| Credential | MD |
| Practice Address |
3950 Austell Road Austell GA 30106 |
| Mailing Address |
Po Box 155 Austell GA 30168-1002 |
| Practice Telephone | 7707323649 |
| Practice Fax Number | 7707323648 |
| Mailing Telephone | 7707323649 |
| Mailing Fax Number | 7707323648 |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2009-11-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | 019433 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000159035D | 05 | |
| LICENSE # | 019433 | 01 |
| Street Address |
3950 AUSTELL ROAD |
| City | AUSTELL |
| State | GA |
| Zip Code | 30106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801053202 | Daniel Ryan Newshutz | Anesthesiologist Assistant | 3950 Austell Road, Austell, GA 30106 | 2008-05-22 |
| 1336306547 | Johnny Lee Bonner | Emergency Medicine | 3950 Austell Road, Hospitalists Office, Austell, GA 30106 | 2008-05-16 |
| 1073780748 | Kirsten Haskelle Bendeck | Emergency Medicine | 3950 Austell Road, Emergency Department, Austell, GA 30328 | 2008-05-13 |
| 1740363746 | Karen T. Hamilton | Obstetrics & Gynecology | 3950 Austell Road, Ob/gyn Hospitalists Office, Austell, GA 30106 | 2006-10-23 |
| 1245293570 | David A Reeder | Anesthesiology | 3950 Austell Road, Austell, GA 30106 | 2006-04-08 |
| 1124081716 | Grace A Langley | Nurse Anesthetist, Certified Registered | 3950 Austell Road, Austell, GA 30106 | 2006-04-06 |
| 1861455453 | Laura L Read | Anesthesiologist Assistant | 3950 Austell Road, Austell, GA 30106 | 2006-04-06 |
| 1770546368 | Ajay Handa | Anesthesiology | 3950 Austell Road, Austell, GA 30106 | 2006-04-06 |
| 1013970607 | Reza H Mohammad | Anesthesiologist Assistant | 3950 Austell Road, Austell, GA 30106 | 2006-04-06 |
| 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 | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| 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 |
|---|---|---|---|---|
| 1942713326 | Southcare Anesthesia Services, LLC | Anesthesiology | 3825 Medical Park Dr Ste 300, Austell, GA 30106-6831 | 2017-11-08 |
| 1821369448 | Mak Anesthesia Ewsc LLC | Anesthesiology | 2041 Mesa Valley Way, Ste 125, Austell, GA 30106-6828 | 2012-01-13 |
| 1699045070 | Mak Anesthesia Cobb LLC | Anesthesiology | 3950 Austell Rd, Austell, GA 30106-1121 | 2012-01-03 |
| 1417288069 | Mulkey Anesthesiology Associates, PC | Anesthesiology | 3870 Medical Park Dr, Austell, GA 30106-1110 | 2010-01-21 |
| 1811003213 | Nabeel A Khan | Anesthesiology | 3950 Austell Rd, Austell, GA 30106-1121 | 2006-08-21 |
| 1811944705 | Cobb Anesthesia, PC | Anesthesiology | 3950 Austell Rd, Austell, GA 30106-1121 | 2006-05-27 |
| 1366405698 | Robert Silverman | Anesthesiology | 3950 Austell Rd, Austell, GA 30106 | 2006-04-08 |
| 1538122866 | Kamela Coleman | Anesthesiology | 3950 Austell Rd, Austell, GA 30106 | 2006-04-08 |
| 1447213772 | Thakorbhai Patel | Anesthesiology | 3950 Austell Rd, Austell, GA 30106 | 2006-04-08 |
| 1518920842 | David Termotto | Anesthesiology | 3950 Austell Rd, Austell, GA 30106 | 2006-04-08 |
| Find all providers in AUSTELL | ||||
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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.