ANTHONY D MANCUSO (NPI# 1952393258) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952393258 |
| Entity Type | Individual |
| Full Name | ANTHONY D MANCUSO |
| Credential | MD |
| Practice Address |
1 Meadows Pkwy Vidalia GA 30474-8759 |
| Mailing Address |
Po Box 1303 Vidalia GA 30475-1303 |
| Practice Telephone | 9125385359 |
| Practice Fax Number | 9125385228 |
| Mailing Telephone | 9125385359 |
| Mailing Fax Number | 9125385228 |
| Enumeration Date | 2005-08-22 |
| Last Update Date | 2018-10-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | 074890 | GA | Allopathic & Osteopathic Physicians |
| N | 207L00000X | Anesthesiology | 39238 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 64098015 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265716435 | Anthony Robert Mancuso Jr. | Registered Nurse | 4682 Drusilla Dr, Baton Rouge, LA 70809-6947 | 2011-10-05 |
| 1841718830 | Anthony Francis Mancuso | Social Worker | 711 Nw 1st St, Gainesville, FL 32601-5343 | 2017-08-30 |
| 1255871687 | Anthony Mancuso II | Student in an Organized Health Care Education/Training Program | 2213 Cherry St, Toledo, OH 43608-2603 | 2017-03-04 |
| 1700843398 | Anthony J Mancuso | Optometrist | 155 E Market St, Suite 2, Blairsville, PA 15717-1357 | 2006-04-27 |
| 1538131990 | Anthony A Mancuso | Radiology | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2006-02-01 |
| Street Address |
1 MEADOWS PKWY |
| City | VIDALIA |
| State | GA |
| Zip Code | 30474-8759 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023668894 | Hunter Dennard Richman | Physician Assistant | 1 Meadows Pkwy, Vidalia, GA 30474-8759 | 2019-09-13 |
| 1841855285 | Steven Michael Lashley | Emergency Medicine | 1 Meadows Pkwy, Vidalia, GA 30474-8759 | 2019-05-01 |
| 1851856124 | Megan Mitchell Rivera-o'rourke | Nurse Practitioner | 1 Meadows Pkwy, Vidalia, GA 30474-8759 | 2019-01-31 |
| 1790288181 | Southeast Regional Primary Care Corporation | General Acute Care Hospital | 1 Meadows Pkwy, Vidalia, GA 30474-8759 | 2018-03-13 |
| 1134622517 | Southeast Regional Primary Care Corporation | Anesthesiology | 1 Meadows Pkwy, Vidalia, GA 30474-8759 | 2018-03-13 |
| 1275085508 | Daniel Hartley | Nurse Practitioner | 1 Meadows Pkwy, Vidalia, GA 30474-8759 | 2016-11-03 |
| 1487004230 | Glen Jason Bunn Jr. | Emergency Medicine | 1 Meadows Pkwy, Vidalia, GA 30474-8759 | 2016-06-13 |
| 1962873711 | Leah M Waller | Physician Assistant | 1 Meadows Pkwy, Vidalia, GA 30474-8759 | 2015-10-19 |
| 1396116414 | Meadows Anesthesia LLC | Anesthesiology | 1 Meadows Pkwy, Vidalia, GA 30474-8759 | 2015-10-15 |
| 1528447372 | Christina Michelle Tidwell | Physician Assistant | 1 Meadows Pkwy, Vidalia, GA 30474-8759 | 2015-05-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730655374 | Abby Virginia Adams | Speech-Language Pathologist | 101 Harris Insustrial Blvd, Vidalia, GA 30474 | 2018-10-22 |
| 1467930156 | Laurel Shiver Sapp | Nurse Practitioner | 1608 Meadows Ln, Vidalia, GA 30474 | 2018-08-03 |
| 1235658931 | Mary Frances Andrews | Nurse Practitioner | 1608 Meadows Lane Suite 1, Vidalia, GA 30474 | 2017-09-13 |
| 1154714574 | Georgia Eye Institute of The Southeast, LLC | Optometrist | 104 Andrews Street, Suite 112, Vidalia, GA 30474 | 2015-03-10 |
| 1790112571 | Tattnall Hospital Company, LLC | Surgery | 1702-a Meadows Lane, Vidalia, GA 30474 | 2013-10-10 |
| 1801235312 | Paul Anderson Youth Home, Inc. | Substance Abuse Rehabilitation Facility | 1603 Mcintosh Street, Vidalia, GA 30474 | 2013-06-18 |
| 1043591076 | Kimberly Thigpen Evans | Nurse Practitioner | 621 East First Street, Unit B, Vidalia, GA 30474 | 2011-09-03 |
| 1154614360 | Tattnall Hospital Company, LLC | Family Medicine | 1811 Edwina Drive, Vidalia, GA 30474 | 2011-05-20 |
| 1255586053 | Vidalia Medical Partners Inc. | Home Health | 801 Mcnatt Street, Vidalia, GA 30474 | 2008-11-20 |
| 1154596419 | Jill Nicole Lawrence | Speech-Language Pathologist | 1400 Ne Main St, Bethany Alf, Vidalia, GA 30474 | 2008-04-28 |
| Find all providers in zip 30474 | ||||
| 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 |
|---|---|---|---|---|
| 1912955725 | Vidalia Anesthesia Assoc PC | Anesthesiology | 1703 Meadows Lane, Vidalia, GA 30474 | 2006-05-04 |
| 1134622517 | Southeast Regional Primary Care Corporation | Anesthesiology | 1 Meadows Pkwy, Vidalia, GA 30474-8759 | 2018-03-13 |
| 1396116414 | Meadows Anesthesia LLC | Anesthesiology | 1 Meadows Pkwy, Vidalia, GA 30474-8759 | 2015-10-15 |
| 1104111731 | Sarah F Campbell | Anesthesiology | 1 Meadows Pkwy, Vidalia, GA 30474-8759 | 2011-06-11 |
| 1629139142 | George A Ferrara | Anesthesiology | 1703 Meadows Ln, Vidalia, GA 30474-8915 | 2006-12-12 |
| 1861454753 | Stacie L Wong | Anesthesiology | 1 Meadows Pkwy, Vidalia, GA 30474-8759 | 2006-04-05 |
| 1598758807 | Laila Mozdab | Anesthesiology | 1 Meadows Pkwy, Vidalia, GA 30474-8759 | 2005-08-23 |
| 1194718494 | Frank Gibase | Anesthesiology | 1 Meadows Pkwy, Vidalia, GA 30474-8759 | 2005-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053918441 | Nicole Marie Tetro | Anesthesiology | Candler Hospital, 5353 Reynolds St, Savannah, GA 31405 | 2020-10-08 |
| 1306463013 | Pain Spine Md LLC | Anesthesiology | 3993 Lawrenceville Hwy Nw Ste 115, Lilburn, GA 30047-2831 | 2020-06-29 |
| 1235754151 | Anesthesiologists for Dental Sedation LLC | Anesthesiology | 4151 Steve Reynolds Blvd, Norcross, GA 30093-3060 | 2020-06-16 |
| 1497370035 | Maria Gabriela Sanchez Gonzalez | Anesthesiology | 1120 15th St # Bi-2144, Augusta, GA 30912-0004 | 2020-06-09 |
| 1992325641 | Oconee River Anesthesia Associates | Anesthesiology | 1360 Caduceus Way Bldg 300, Watkinsville, GA 30677-7300 | 2020-04-23 |
| 1174085757 | Pain Physicians of America, LLC | Anesthesiology | 3333 Old Milton Parkway, Suite 400, Alpharetta, GA 30005-4437 | 2019-04-03 |
| 1215404892 | Seaworthy Anesthesia, LLC | Anesthesiology | 109 Worthing Rd, St Simons Island, GA 31522-1928 | 2018-10-31 |
| 1205318029 | At Your Service Anesthesia, LLC | Anesthesiology | 2056 W Park Place Blvd Ste F, Stone Mountain, GA 30087-3537 | 2018-08-29 |
| 1750877676 | Gastro Anesthesia Services | Anesthesiology | 4150 Dep Bill Cantrell Memorial Rd Ste 200, Cumming, GA 30040-3005 | 2018-07-03 |
| 1437644226 | Prathik Mudaliar Mudaliar | Anesthesiology | 11250 15th Street, Augusta, GA 30912-0001 | 2018-06-25 |
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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.