SHU-TSUI LAN


Address: 1805 Parke Plaza Cir, Suite 103, Stone Mountain, GA 30087-3498
Phone: 7704989355

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
GA 406915721A 05

Office Location

Street Address 1805 PARKE PLAZA CIR
SUITE 103
City STONE MOUNTAIN
State GA
Zip Code 30087-3498

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 367H00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Anesthesiologist Assistant

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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

Competitor

Search similar providers

City STONE MOUNTAIN
Zip Code 30087

Improve Information

Please comment or provide details below to improve the information on SHU-TSUI LAN.

Dataset Information

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.

Trending Searches