Manuel A Colon Dejesus (NPI# 1083702427, PAC ID# 4385618610) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ANESTHESIOLOGY.
| Nation Provider ID (NPI) | 1083702427 |
| PAC ID by PECOS | 4385618610 |
| Professional Enrollment ID | I20170725002820 |
| Full Name | Manuel A Colon Dejesus |
| Organization Legal Name | APOLLOMD GROUP SERVICES, LLC |
| Address |
303 Pkwy Nedr Atlanta GA 30312-1239 |
| Phone Number | 4042654000 |
| Gender | M |
| Credential | MD |
| Medical School | PONCE SCHOOL OF MEDICINE |
| Graduation Year | 1997 |
| Primary Specialty | ANESTHESIOLOGY |
| Group Practice PAC ID | 6406918317 |
| Number of Group Practice Members | 60 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110115 | WELLSTAR ATLANTA MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 303 Pkwy Nedr, Atlanta, GA 30312-1239 | 4042654000 | APOLLOMD GROUP SERVICES, LLC |
| Organization Legal Name | APOLLOMD GROUP SERVICES, LLC |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Larry W Morehead | Anesthesiology | Apollomd Group Services, LLC | 601 S 8th St, Griffin, GA 30224-4213 |
| Florence R Lecraw | Anesthesiology | Apollomd Group Services, LLC | 601 S 8th St, Griffin, GA 30224-4213 |
| Samantha D Baldwin | Anesthesiology Assistant | Apollomd Group Services, LLC | 601 S 8th St, Griffin, GA 30224-4213 |
| Sarah R Brown | Anesthesiology Assistant | Apollomd Group Services, LLC | 601 S 8th St, Griffin, GA 30224-4213 |
| Grier M James | Anesthesiology Assistant | Apollomd Group Services, LLC | 601 S 8th St, Griffin, GA 30224-4213 |
| Preston P Hawkins | Anesthesiology | Apollomd Group Services, LLC | 601 S 8th St, Griffin, GA 30224-4213 |
| Joseph P Chovanec | Anesthesiology Assistant | Apollomd Group Services, LLC | 601 S 8th St, Griffin, GA 30224-4213 |
| William M Redwood | Anesthesiology | Apollomd Group Services, LLC | 601 S 8th St, Griffin, GA 30224-4213 |
| Street Address |
303 PKWY NEDR |
| City | ATLANTA |
| State | GA |
| Zip | 30312-1239 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sonya D Marks | Obstetrics/gynecology | Obhg Georgia, P.C. | 303 Pkwy Nedr, Atlanta, GA 30312-1212 |
| Tressa Scineaux | Obstetrics/gynecology | Obhg Georgia, P.C. | 303 Pkwy Nedr, Atlanta, GA 30312-1212 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patrick S Malone | Podiatry | 285 Blvd Ne, Suite L 3, Atlanta, GA 30312 | |
| Althea L Turk | Ophthalmology | 315 Boulevard, Suite 242, Atlanta, GA 30312-1202 | |
| Dipa Ketan Patel | Nurse Practitioner | Wellstar Medical Group, LLC | 303 Pkwy Dr Ne, Atlanta, GA 30312-1212 |
| Miriam Parker | Internal Medicine | Wellstar Medical Group, LLC | 303 Pkwy Dr Ne, Atlanta, GA 30312-1212 |
| Jessica L Olson | Nurse Practitioner | Wellstar Medical Group, LLC | 303 Pkwy Dr Ne, Atlanta, GA 30312-1212 |
| Thomas R Lall | Internal Medicine | Wellstar Medical Group, LLC | 303 Pkwy Dr Ne, Atlanta, GA 30312-1212 |
| Nomi L Traub | Internal Medicine | Wellstar Medical Group, LLC | 303 Pkwy Dr Ne, Atlanta, GA 30312-1212 |
| Katherine Lanning | Neurology | Wellstar Medical Group, LLC | 303 Pkwy Dr Ne, Atlanta, GA 30312-1212 |
| Sharon B Williams | Nurse Practitioner | South Fulton Emergency Physicians, LLC | 303 Pkwy Dr Ne, Atlanta, GA 30312-1212 |
| Andy Quoc Truong | Anesthesiology | Mak Anesthesia Holdings, LLC | 303 Pkwy Dr Ne, Atlanta, GA 30312-1212 |
| Find all physicians in zip 30312 | |||
| City | ATLANTA |
| Zip Code | 30312 |
| Specialty | ANESTHESIOLOGY |
| City + Specialty | ATLANTA + ANESTHESIOLOGY |
Please comment or provide details below to improve the information on Manuel A Colon Dejesus.
| 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.