PACES SURGICAL LLCC (NPI# 1629689146) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629689146 |
Entity Type | Organization |
Organization Name | PACES SURGICAL LLCC |
Practice Address |
1218 W Paces Ferry Rd Nw Ste 204 Atlanta GA 30327-2308 |
Mailing Address |
1266 W Paces Ferry Rd Nw # 231 Atlanta GA 30327-2306 |
Practice Telephone | 4044804888 |
Mailing Telephone | 4439394050 |
Enumeration Date | 2020-08-10 |
Last Update Date | 2020-08-10 |
Authorized Official Name | SAMUEL SHIH (DIRECTOR) |
Authorized Official Telephone | 4439394050 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
Allopathic & Osteopathic Physicians |
Street Address |
1218 W PACES FERRY RD NW STE 204 |
City | ATLANTA |
State | GA |
Zip Code | 30327-2308 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376696179 | Pak Ho Samuel Shih | Surgery | 1218 W Paces Ferry Rd Nw Ste 204, Atlanta, GA 30327-2308 | 2007-01-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497388730 | Brand New Start Treatment Center- Paulding LLC | Clinic/Center | 311 Wi Pkwy, Suite 500, Dallas, GA 30327 | 2020-02-14 |
1477039741 | Atlanta Knee and Shoulder Clinic PC | Orthopaedic Surgery | 3200 Downwood Cir Nw Ste 410, Atlanta, GA 30327 | 2018-07-19 |
1336636174 | One Group LLC | In Home Supportive Care | 3150 Howell Mill Road, Atlanta, GA 30327 | 2018-04-17 |
1609313949 | Michelle Perry | Specialist/Technologist | 4075 Paces Ferry Road Nw, Atlanta, GA 30327 | 2017-01-25 |
1447706981 | Cailey Ann Binkley | Counselor | 4200 Northside Parkway, Building 7, Atlanta, GA 30327 | 2016-08-25 |
1902256555 | Carlos Alberto Prays | Family Medicine | 3200 Downwood Cir Nw Ste 200, Atlanta, GA 30327 | 2016-06-14 |
1851793210 | Laura Goydich Rhein | Anesthesiologist Assistant | 3193 Howell Mill Rd Nw Ste 100, Atlanta, GA 30327 | 2014-09-17 |
1699115451 | Jeffrey Alan Bernstein | Obstetrics & Gynecology | 655 Widgeon Lane, Atlanta, GA 30327 | 2013-06-26 |
1053755207 | Thomas Windrow Marks | Orthopaedic Surgery | 1011 West Paces Ferry Rd.n.w., Atlanta, GA 30327 | 2013-04-18 |
1245572643 | Valerie Lananh Truong | Dermatology | 3193 Howell Mill Rd Nw Ste 220, Atlanta, GA 30327 | 2013-03-23 |
Find all providers in zip 30327 |
Taxonomy Code | 2086S0122X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Plastic and Reconstructive Surgery |
A surgeon who specializes in plastic and reconstructive surgery. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881100337 | Rpc Employee Services, LLC | Surgery | 975 Johnson Ferry Rd Ste 100, Atlanta, GA 30342-1618 | 2017-12-20 |
1700249042 | Justin Kyle Williams | Surgery | 3200 Downwood Cir Nw Ste 640-4, Atlanta, GA 30327-1610 | 2016-04-04 |
1235313776 | Robert William Crow | Surgery | 4400 Harris Valley Rd Nw, Atlanta, GA 30327-3828 | 2007-12-19 |
1730380775 | West Side Plastic Surgery, Inc | Surgery | 960 Johnson Ferry Rd N.e., Suite 336, Atlanta, GA 30342 | 2007-05-29 |
1861511230 | Lawrence Lefkoff | Surgery | 755 Mount Vernon Hwy Ste 520, Atlanta, GA 30328-4280 | 2007-03-28 |
1750450599 | Vincent N Zubowicz | Surgery | 365 East Paces Ferry Rd, Atlanta, GA 30305 | 2006-11-07 |
1316903255 | Carmen M Kavali | Surgery | 6045 Barfield Rd, Ste 100, Atlanta, GA 30328 | 2006-04-20 |
1972574515 | Joseph M Woods Iv | Surgery | 275 Collier Road, Suite 200, Atlanta, GA 30309-1604 | 2006-01-31 |
1992707335 | Grace Yu-chun Ma | Surgery | 3131 Maple Dr Ne Ste 100, Atlanta, GA 30305-2515 | 2005-08-15 |
1093713208 | Kristin A Boehm | Surgery | 6085 Barfield Road Northeast, Suite 100, Atlanta, GA 30328 | 2005-07-12 |
Find all providers in ATLANTA |
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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.