EXCALIBUR ANESTHESIA ASSOCIATES INC (NPI# 1679933774) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679933774 |
| Entity Type | Organization |
| Organization Name | EXCALIBUR ANESTHESIA ASSOCIATES INC |
| Practice Address |
1301 Sigman Rd Ne Suite 120 Conyers GA 30012-3812 |
| Mailing Address |
Po Box 776 Conyers GA 30012-0776 |
| Practice Telephone | 7707609360 |
| Enumeration Date | 2016-03-02 |
| Last Update Date | 2016-03-02 |
| Authorized Official Name | ROY L TALLEY JR. (OWNER) |
| Authorized Official Telephone | 7707609360 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | Allopathic & Osteopathic Physicians |
| Street Address |
1301 SIGMAN RD NE SUITE 120 |
| City | CONYERS |
| State | GA |
| Zip Code | 30012-3812 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396732657 | Roy Lamar Talley Jr. | Anesthesiology | 1301 Sigman Rd Ne, Suite 100, Conyers, GA 30012 | 2005-10-03 |
| 1235671645 | Michelle Emerson | Physical Therapist | 1301 Sigman Rd Ne, Suite 220, Conyers, GA 30012-3812 | 2016-11-16 |
| 1194267260 | Sovereign Rehabilitation of Georgia, LLC | Physical Therapist | 1301 Sigman Rd Ne, Suite 220, Conyers, GA 30012-3812 | 2016-11-07 |
| 1730576786 | Erika Dorsey | Nurse Practitioner | 1301 Sigman Rd Ne, Suite 200, Conyers, GA 30012-3812 | 2015-04-16 |
| 1376965947 | April Ramsey | Registered Nurse | 1301 Sigman Rd Ne, Ste 130, Conyers, GA 30012-3812 | 2014-01-15 |
| 1386065878 | Patricia Julia Gonzalez | Physical Therapist | 1301 Sigman Rd Ne, Suite 220, Conyers, GA 30012-3812 | 2013-12-30 |
| 1891050381 | Rockdale Physician Practices LLC | Psychiatry & Neurology | 1301 Sigman Rd Ne, Suite 225, Conyers, GA 30012-3812 | 2012-07-10 |
| 1245503515 | Ips of Conyers LLC | Anesthesiology | 1301 Sigman Rd Ne, Suite 120, Conyers, GA 30012-3812 | 2012-02-17 |
| 1861765224 | Beate Sass | Physical Therapist | 1301 Sigman Rd Ne, Suite 220, Conyers, GA 30012-3812 | 2012-02-15 |
| 1811272495 | Rockdale Physician Practices LLC | Internal Medicine | 1301 Sigman Rd Ne, Suite 230, Conyers, GA 30012-3812 | 2011-10-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578188306 | The Eye Md | Ophthalmology | 1359 Milstead Road, Suite #103, Conyers, GA 30012 | 2020-06-08 |
| 1043855836 | Maurvet Minto | Counselor | 1175 Green St, Conyers, Conyers, GA 30012 | 2019-11-15 |
| 1770054561 | Sarah Elizabeth Brooks | Physical Medicine & Rehabilitation | 1290 Milstead Ave Ne, Conyers, GA 30012 | 2018-12-06 |
| 1679091276 | Valorie Antoinette Jones | Counselor | 1175 Green St Se, Conyers, GA 30012 | 2017-09-02 |
| 1558886341 | Synergy Radiology, LLC | Radiology | 1501 Milstead Road, Suite 140, Conyers, GA 30012 | 2017-08-14 |
| 1558813295 | Salon Lyon, LLC | Specialist | 1112 West Ave, Se, B, Conyers, GA 30012 | 2016-10-28 |
| 1992252753 | Traci Hunter Bryan | Pharmacist | 1501 Milstead Ave Ne, Suite 110, Conyers, GA 30012 | 2016-09-08 |
| 1316491830 | Hye Rim Kim | Anesthesiologist Assistant | 1380 Milstead Rd Ne, Suite G, Conyers, GA 30012 | 2016-08-12 |
| 1235591397 | David Jeffrey Wasserman | Optometrist | 1192 Dogwood Dr Sw, Conyers, GA 30012 | 2016-03-28 |
| 1174919187 | Anique Archer | Health Educator | 2170 Lester Rd Nw, Conyers, GA 30012 | 2015-04-07 |
| Find all providers in zip 30012 | ||||
| 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 |
|---|---|---|---|---|
| 1245640820 | Efosa Omonuwa Ogiamien | Anesthesiology | 1388 Wellbrook Cir Ne Ste A, Conyers, GA 30012-3872 | 2014-05-05 |
| 1255302675 | Selwynn Brian Howard | Anesthesiology | 1359 Milstead Rd Ne, Suite 103, Conyers, GA 30012-3865 | 2006-02-01 |
| 1235100082 | James Donald Vinson Jr. | Anesthesiology | 1388b Wellbrook Cir Ne, Conyers, GA 30012-3872 | 2006-01-30 |
| 1710957204 | Trent Skaar Tadsen | Anesthesiology | 1225 Lambeth Way Se, Conyers, GA 30013-1756 | 2006-01-25 |
| 1588198329 | Premier Anesthesiology Associates | Anesthesiology | 1805 Honey Creek Cmns Se, Conyers, GA 30013-5828 | 2017-04-19 |
| 1801138615 | David Wade Neckman | Anesthesiology | 1388a Wellbrook Cir Ne, Conyers, GA 30012-3872 | 2013-03-19 |
| 1245503515 | Ips of Conyers LLC | Anesthesiology | 1301 Sigman Rd Ne, Suite 120, Conyers, GA 30012-3812 | 2012-02-17 |
| 1063782696 | Mak Anesthesia Westside LLC | Anesthesiology | 1269 Wellbrook Cir Ne, Conyers, GA 30012-3873 | 2012-01-12 |
| 1619028396 | Rockdale Anesthesia Services, P.C. | Anesthesiology | 1359 Milstead Rd Ne, Suite 103, Conyers, GA 30012-3865 | 2007-01-16 |
| 1609933027 | Sadik N Haba | Anesthesiology | 1301 Sigman Rd Ne, Ste 100, Conyers, GA 30012-3812 | 2007-01-03 |
| Find all providers in CONYERS | ||||
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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.