Jerry T Todd (NPI# 1699041863, PAC ID# 4082999115) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ANESTHESIOLOGY.
| Nation Provider ID (NPI) | 1699041863 |
| PAC ID by PECOS | 4082999115 |
| Professional Enrollment ID | I20170331001697 |
| Full Name | Jerry T Todd |
| Organization Legal Name | MAK ANESTHESIA HOLDINGS, LLC |
| Address |
9930 Johnson Ferry Rd Ne Suite 200 Atlanta GA 30342 |
| Phone Number | 7707021806209 |
| Gender | M |
| Medical School | MEDICAL COLLEGE OF GEORGIA |
| Graduation Year | 2011 |
| Primary Specialty | ANESTHESIOLOGY |
| Group Practice PAC ID | 4284917204 |
| Number of Group Practice Members | 164 |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 9930 Johnson Ferry Rd Ne, Suite 200, Atlanta, GA 30342 | 7707021806209 | MAK ANESTHESIA HOLDINGS, LLC |
| 710 Ctr St, Columbus, GA 31901-1527 | 7065711000 | AMSOL ANESTHETISTS OF GEORGIA, LLC |
| 4401 River Chase Dr, Phenix City, AL 36867-7483 | 3347323010 | AMSOL ANESTHETISTS OF GEORGIA, LLC |
| Organization Legal Name | MAK ANESTHESIA HOLDINGS, LLC |
| Physicians | 144 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patti E. Landerfelt | Certified Registered Nurse Anesthetist (crna) | Mak Anesthesia Holdings, LLC | 1269 Wellbrook Cir Ne, Conyers, GA 30012-3873 |
| Bhavik D Mehta | Anesthesiology Assistant | Mak Anesthesia Holdings, LLC | 3950 Austell Rd, Austell, GA 30106-1121 |
| Grant Doornbos | Anesthesiology | Mak Anesthesia Holdings, LLC | 2041 Mesa Valley Way, Suite 125, Austell, GA 30106-6828 |
| Maria M Earnhart | Anesthesiology Assistant | Mak Anesthesia Holdings, LLC | 895 Canton Rd Ne, Suite 300, Marietta, GA 30060-8934 |
| Frank W Demarino | Anesthesiology | Mak Anesthesia Holdings, LLC | 2550 Windy Hill Rd Se, Suite 218, Marietta, GA 30067-8654 |
| Reza H Mohammad | Anesthesiology Assistant | Mak Anesthesia Holdings, LLC | 3950 Austell Rd, Austell, GA 30106-1121 |
| Morgan T Maeger | Certified Registered Nurse Anesthetist (crna) | Mak Anesthesia Holdings, LLC | 3950 Austell Rd, Austell, GA 30106-1121 |
| Whitney A Wright | Anesthesiology Assistant | Mak Anesthesia Holdings, LLC | 3950 Austell Rd, Austell, GA 30106-1121 |
| Frankie Annette Hurst | Certified Registered Nurse Anesthetist (crna) | Mak Anesthesia Holdings, LLC | 3950 Austell Rd, Austell, GA 30106-1121 |
| Khushbu Modi | Certified Registered Nurse Anesthetist (crna) | Mak Anesthesia Holdings, LLC | 3950 Austell Rd, Austell, GA 30106-1121 |
| Street Address |
9930 JOHNSON FERRY RD NE SUITE 200 |
| City | ATLANTA |
| State | GA |
| Zip | 30342 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nelson Enrique Castillo | Plastic and Reconstructive Surgery | 5445 Meridian Mark Rd Ne, Suite 395, Sandy Springs, GA 30342 | |
| Mackenzie J King | Nurse Practitioner | Northside Radiology Associates PC | 5445 Meridian Mark Rd, Suite 450, Atlanta, GA 30342 |
| Stephen Kraus | Emergency Medicine | Dermatology Associates of Atlanta | 5555 Peachtree Dnwdy Rd, Suite 190, Atlanta, GA 30342 |
| Charles F Peebles | Podiatry | Perry H Julien Dpm | 5600 Roswell Rd Ne, M190, Atlanta, GA 30342-1134 |
| Perry H Julien | Podiatry | Perry H Julien Dpm | 5600 Roswell Rd Ne, M190, Atlanta, GA 30342-1134 |
| Amanda Elizabeth Williams | Psychiatry | 5605 Glenridge Dr, Suite 620, Atlanta, GA 30342-1377 | |
| Daniel J Wachtel | Psychologist, Clinical | 5605 Glenridge Dr Ne, Suite 600, Atlanta, GA 30342-1377 | |
| James A Purvis | Psychologist, Clinical | 5605 Glenridge Dr, Suite 620, Atlanta, GA 30342-1377 | |
| Viviana L Mahoney | Psychologist, Clinical | 5605 Glenridge Dr, Suite 620, Atlanta, GA 30342-1377 | |
| Ann M Parker | Psychologist, Clinical | 5605 Glenridge Dr Ne, Suite 620, Atlanta, GA 30342-1377 | |
| Find all physicians in zip 30342 | |||
| City | ATLANTA |
| Zip Code | 30342 |
| Specialty | ANESTHESIOLOGY |
| City + Specialty | ATLANTA + ANESTHESIOLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.