KENICHI TANAKA (NPI# 1871526228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871526228 |
| Entity Type | Individual |
| Full Name | KENICHI TANAKA |
| Credential | M.D. |
| Practice Address |
1364 Clifton Rd Ne 3b South Euh Atlanta GA 30322-0001 |
| Mailing Address |
1253 Village Run Ne Atlanta GA 30319-5304 |
| Practice Telephone | 4047783900 |
| Practice Fax Number | 4047785194 |
| Mailing Telephone | 4047783900 |
| Mailing Fax Number | 4047785194 |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | 045348 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | GA LICENSE | 045348 | 01 |
| Street Address |
1364 CLIFTON RD NE 3B SOUTH EUH |
| City | ATLANTA |
| State | GA |
| Zip Code | 30322-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669476248 | Maureen E. Haas | Pharmacist | 1364 Clifton Rd Ne, Atlanta, GA 30322-1059 | 2005-06-10 |
| 1730789900 | Gina Renae Martin | Student in an Organized Health Care Education/Training Program | 1364 Clifton Rd Ne, Atlanta, GA 30322-1059 | 2020-10-28 |
| 1053919878 | Yolanda Martin | Nurse Practitioner | 1364 Clifton Rd Ne, Atlanta, GA 30322-1059 | 2020-10-14 |
| 1508463175 | Federico Andres Napoli | Student in an Organized Health Care Education/Training Program | 1364 Clifton Rd Ne, Atlanta, GA 30322-1059 | 2020-10-06 |
| 1871109330 | Jazmynn Lee Orellana-noia | Nurse Practitioner | 1364 Clifton Rd Ne, Atlanta, GA 30322-1059 | 2020-09-21 |
| 1376156562 | Monica Fajobi | Nurse Practitioner | 1364 Clifton Rd Ne, Atlanta, GA 30322-1059 | 2020-08-26 |
| 1174135586 | Robert Achram | Student in an Organized Health Care Education/Training Program | 1364 Clifton Rd Ne, Atlanta, GA 30322-1059 | 2020-08-18 |
| 1336751932 | Michel Attieh | Pathology | 1364 Clifton Rd Ne, Atlanta, GA 30322-1059 | 2020-08-17 |
| 1346851417 | Tatiana Tvrdik | Pathology | 1364 Clifton Rd Ne, Atlanta, GA 30322-1013 | 2020-08-12 |
| 1710596333 | Juna Victoria Konomi Johnson | Anesthesiologist Assistant | 1364 Clifton Rd Ne, Atlanta, GA 30322-1059 | 2020-07-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700445830 | Justin Gill | Student in an Organized Health Care Education/Training Program | 1365 Clifton Rd Ne, Clinic B - Suite B6100, Atlanta, GA 30322 | 2019-06-12 |
| 1891354510 | Gwendolyn Gisiner Gunn | Genetic Counselor, MS | Emory Genetics Clinic, 1365 Clifton Road Ne, Atlanta, GA 30322 | 2019-06-06 |
| 1144710567 | Lisa Cathy-ann Akosa | Registered Nurse | 1365 Cifton Road Ne, Atlanta, GA 30322 | 2018-05-10 |
| 1083118004 | Jessica Milian Keilson | Student in an Organized Health Care Education/Training Program | 1364 Clifton Road Ne, Suite H100, Emory University Hospital Office of Surgical Education, Atlanta, GA 30322 | 2018-03-23 |
| 1568982684 | Jennifer Bilko | Dietitian, Registered | 1365 Clifton Rd., Bldg A, 1st Floor, Suite 1450, Atlanta, GA 30322 | 2017-06-20 |
| 1134652258 | Kassahun Bilcha | Student in an Organized Health Care Education/Training Program | 1525 Clifton Rd Ne Ste 100, Atlanta, GA 30322 | 2017-04-05 |
| 1356872246 | Tova Rogers | Dermatology | 1525 Clifton Road Suite 105, Atlanta, GA 30322 | 2017-03-23 |
| 1194271445 | Dina Amin | Dentist | 1365 Clifton,building B, Oral and Maxillofacial Surgery, Suite 2300, Atlanta, GA 30322 | 2016-08-28 |
| 1427404904 | Rita Kaur Kuwahara | Student in an Organized Health Care Education/Training Program | 100 Woodruff Circle, Suite 327, Atlanta, GA 30322 | 2016-05-13 |
| 1891176251 | Octav Cristea | Transplant Surgery | 1365 Clifton Road Northeast, Building B, 6th Floor, Atlanta, GA 30322 | 2015-06-11 |
| Find all providers in zip 30322 | ||||
| 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 |
|---|---|---|---|---|
| 1457716516 | North Perimeter Anesthesia LLC | Anesthesiology | 1100 Johnson Ferry Rd Ste 200, Atlanta, GA 30342-2073 | 2015-12-16 |
| 1841664398 | Hilton Kupshik | Anesthesiology | 769 W Paces Ferry Rd Nw, West Paces Ferry Rd, Atlanta, GA 30327-2656 | 2015-11-20 |
| 1558733139 | Ehi Anesthesia Services, LLC. | Anesthesiology | 900 Circle 75 Pkwy Se Ste 900, Atlanta, GA 30339-3084 | 2015-10-22 |
| 1508232364 | Concepts Management, LLC | Anesthesiology | 5885 Glenridge Dr, Suite 200, Atlanta, GA 30328-5512 | 2015-08-17 |
| 1548640394 | Inspired Anesthesia Providers LLC | Anesthesiology | 1210 Regency Rd Nw, Atlanta, GA 30327-2722 | 2015-06-08 |
| 1023495736 | Rachel Schultz | Anesthesiology | 7385 Wildercliff Dr, Atlanta, GA 30328-1145 | 2015-05-01 |
| 1871903567 | Cory Kane Mansour | Anesthesiology | 1364 Clifton Rd Ne # T5l38, Atlanta, GA 30322 | 2014-05-02 |
| 1346669439 | Davin Singh | Anesthesiology | 49 Jesse Hill Jr Dr Se Ste 470a, Atlanta, GA 30303-3049 | 2014-04-16 |
| 1144655481 | Taj Eubanks Md LLC | Anesthesiology | 830 W Peachstree St, Atlanta, GA 30308-1056 | 2013-09-05 |
| 1487086138 | Continuum Care Group | Anesthesiology | 3574 Lenox Rd, 655, Atlanta, GA 30324 | 2013-08-05 |
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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.