SHU-TSUI LAN (NPI# 1770790602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770790602 |
| Entity Type | Individual |
| Full Name | SHU-TSUI LAN |
| Credential | PA |
| Practice Address |
1805 Parke Plaza Cir Suite 103 Stone Mountain GA 30087-3498 |
| Practice Telephone | 7704989355 |
| Practice Fax Number | 7704986294 |
| Mailing Telephone | 7704989355 |
| Mailing Fax Number | 7704986294 |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2013-10-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 004270 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 367H00000X | Anesthesiologist Assistant | 004270 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 406915721A | 05 |
| Street Address |
1805 PARKE PLAZA CIR SUITE 103 |
| City | STONE MOUNTAIN |
| State | GA |
| Zip Code | 30087-3498 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104810423 | Catherine Huggins Alexander | Family Medicine | 1805 Parke Plaza Cir, Suite 101, Stone Mountain, GA 30087-3498 | 2005-08-31 |
| 1205175262 | Carla N Cooke | Physician Assistant | 1805 Parke Plaza Cir, Suite 101, Stone Mountain, GA 30087-3637 | 2013-02-11 |
| 1154624013 | Kanani Daniels Floyd | Physician Assistant | 1805 Parke Plaza Cir, Suite 101, Stone Mountain, GA 30087-3637 | 2010-12-15 |
| 1467683342 | Gyn & Ob of Dekalb, P.C. | Obstetrics & Gynecology | 1805 Parke Plaza Cir, Suite 102, Stone Mountain, GA 30087-3637 | 2009-07-27 |
| 1518174036 | Northlake Pediatric Associates,pc | Pediatrics | 1805 Parke Plaza Cir, Suite 103, Stone Mountain, GA 30087-3498 | 2007-05-16 |
| 1053485037 | Stone Mountain Family Practice, PC | Family Medicine | 1805 Parke Plaza Cir, Suite 101, Stone Mountain, GA 30087-3498 | 2006-11-20 |
| 1730110370 | Edith J Dezoort | Pediatrics | 1805 Parke Plaza Cir, Ste 103, Stone Mountain, GA 30087 | 2006-07-05 |
| 1437195492 | Raymond Rosenberg | Pediatrics | 1805 Parke Plaza Cir, Ste 103, Stone Mountain, GA 30087 | 2006-06-20 |
| 1316998255 | Stanley M Tenenbaum | Pediatrics | 1805 Parke Plaza Cir, Ste 103, Stone Mountain, GA 30087 | 2006-05-15 |
| 1255325536 | Martha H Crenshaw | Family Medicine | 1805 Parke Plaza Cir, Suite 101, Stone Mountain, GA 30087-3498 | 2005-09-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477176394 | Optimal Choice Telehealth | General Practice | 1227 Rockbidge Rd Sw, Ste 208-354, Stone Mountain, GA 30087 | 2020-05-27 |
| 1245882943 | Lynell Williams | Counselor | 505 Lilburn-stone Mountain Road, Suite 235, Stone Mountain, GA 30087 | 2019-07-12 |
| 1003302688 | Mark Andrew Stevens | Physical Therapist | 1227 Rockbridge Rd Ste 402, Stone Mountain, GA 30087 | 2018-07-06 |
| 1154816825 | Tuan Minh Khong | Physician Assistant | 6301 Southland Rdg, Stone Mountain, GA 30087 | 2018-06-26 |
| 1215429881 | Stephanie Martin | Nurse Practitioner | 2720 S Rockbridge Rd, Stone Mountain, GA 30087 | 2018-05-30 |
| 1578979381 | Edmund Thomas Jr. | Dentist | 2536 Rockbridge Rd Ste 103, Stone Mountain, GA 30087 | 2014-07-02 |
| 1790027688 | Robert Fanning Eaves Jr. | General Practice | 5394 Leatherstocking Lane, Stone Mountain, GA 30087 | 2013-03-19 |
| 1609128917 | Mary Marlene Muse | Lactation Consultant, Non-RN | 510 Navarre Drive, Stone Mountain, GA 30087 | 2012-10-10 |
| 1457680704 | Cleo Evans | Counselor | 5638 Manassas Run, Stone Mountain, GA 30087 | 2009-12-16 |
| 1932348521 | Lawrence Randy Sheber | Dentist | 5500-a Lilburn Stone Mountain Road, Stone Mountain, GA 30087 | 2009-02-05 |
| Find all providers in zip 30087 | ||||
| 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 |
|---|---|---|---|---|
| 1912054206 | Tejal Haresh Desai | Anesthesiologist Assistant | 2171 West Park Court, Suite A, Stone Mountain, GA 30087-3555 | 2007-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639784119 | Caroline N/a Guan | Anesthesiologist Assistant | 1377 Dresden Dr Ne Apt 5117, Brookhaven, GA 30319-3457 | 2020-09-11 |
| 1841815925 | Ghazal Motakef | Anesthesiologist Assistant | 365 Victorian Ln, Johns Creek, GA 30097-5769 | 2020-06-14 |
| 1801446455 | Mednax | Anesthesiologist Assistant | 770 Pine St Ste L40, Macon, GA 31201-7521 | 2019-09-16 |
| 1114570553 | Diana Ansley Berry | Anesthesiologist Assistant | 531 Roselane St Nw Ste 830, Marietta, GA 30060-6979 | 2019-07-23 |
| 1346703758 | Alexander Lee | Anesthesiologist Assistant | 1228 Christiana Xing, Lawrenceville, GA 30043-7007 | 2019-04-11 |
| 1710449897 | Salman Noorali Dewani | Anesthesiologist Assistant | 6371 Crestgate Ln, Tucker, GA 30084-8458 | 2019-04-05 |
| 1316432537 | Heather Mcintyre | Anesthesiologist Assistant | 57 Executive Park S Ste 300, Atlanta, GA 30329-2287 | 2018-06-29 |
| 1699292235 | Robin Spierer | Anesthesiologist Assistant | 80 Jesse Hill Jr Dr Se # 6d028, Atlanta, GA 30303-3031 | 2017-08-24 |
| 1821512401 | Stephen Chaussinand | Anesthesiologist Assistant | 5673 Peachtree Dunwoody Rd Ste 490, Atlanta, GA 30342-1775 | 2017-07-26 |
| 1790206381 | Andres Felipe Hernandez | Anesthesiologist Assistant | 80 Jesse Hill Jr Dr Se Ste 6d028, Atlanta, GA 30303-3031 | 2017-07-05 |
| Find all providers with the same taxonomy | ||||
| City | STONE MOUNTAIN |
| Zip Code | 30087 |
Please comment or provide details below to improve the information on SHU-TSUI LAN.
| 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.