Kaelyn A Krook (NPI# 1285990481, PAC ID# 4486927852) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.
Nation Provider ID (NPI) | 1285990481 |
PAC ID by PECOS | 4486927852 |
Professional Enrollment ID | I20170906003191 |
Full Name | Kaelyn A Krook |
Organization Legal Name | GEORGIA SURGICAL PROFESSIONAL SERVICES LLC |
Address |
1790 Presidential Cir Suite A Snellville GA 30078-5688 |
Phone Number | 4042974230 |
Gender | F |
Medical School | UNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE |
Graduation Year | 2012 |
Primary Specialty | OTOLARYNGOLOGY |
Group Practice PAC ID | 3375774011 |
Number of Group Practice Members | 36 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
110082 | SAINT JOSEPH'S HOSPITAL OF ATLANTA, INC |
Address | Phone | Organization |
---|---|---|
5673 Peachtree Dunwoody Rd, Suite 150, Atlanta, GA 30342-1771 | 4042974230 | GEORGIA SURGICAL PROFESSIONAL SERVICES LLC |
1790 Presidential Cir, Suite A, Snellville, GA 30078-5688 | 4042974230 | GEORGIA SURGICAL PROFESSIONAL SERVICES LLC |
Organization Legal Name | GEORGIA SURGICAL PROFESSIONAL SERVICES LLC |
Physicians | 28 |
Name | Specialty | Organization | Address |
---|---|---|---|
James B Orr | Otolaryngology | Georgia Surgical Professional Services LLC | 484 Irvin Ct, Suite 140, Decatur, GA 30030-5406 |
Peter J Abramson | Otolaryngology | Georgia Surgical Professional Services LLC | 5673 Peachtree Dunwoody Rd, Suite 150, Atlanta, GA 30342-1771 |
Amy S Dowsett | Qualified Audiologist | Georgia Surgical Professional Services LLC | 1790 Presidential Cir, Suite A, Snellville, GA 30078-5688 |
Joan E Rodriguez | Qualified Audiologist | Georgia Surgical Professional Services LLC | 4245 Johns Creek Pkwy D, Suwanee, GA 30024-9122 |
Kelly C Calkins | Qualified Audiologist | Georgia Surgical Professional Services LLC | 550 Peachtree St Ne, Suite 1640, Atlanta, GA 30308-2255 |
Rachel C Spinuzza | Qualified Audiologist | Georgia Surgical Professional Services LLC | 4320 Suwanee Dam Rd, Suite 200, Suwanee, GA 30024-1951 |
Leah R Reynolds | Physician Assistant | Georgia Surgical Professional Services LLC | 4245 Johns Creek Pkwy D, Suwanee, GA 30024-9122 |
Jiovanne N Hughart | Qualified Audiologist | Georgia Surgical Professional Services LLC | 550 Peachtree St Ne, Suite 1640, Atlanta, GA 30308-2255 |
Jennifer Tirino | Otolaryngology | Georgia Surgical Professional Services LLC | 550 Peachtree St Ne, Suite 1640, Atlanta, GA 30308-2255 |
Alicia Bernstein | Qualified Audiologist | Georgia Surgical Professional Services LLC | 550 Peachtree St Ne, Suite 1640, Atlanta, GA 30308-2255 |
Street Address |
1790 PRESIDENTIAL CIR SUITE A |
City | SNELLVILLE |
State | GA |
Zip | 30078-5688 |
Name | Specialty | Organization | Address |
---|---|---|---|
Amy S Dowsett | Qualified Audiologist | Georgia Surgical Professional Services LLC | 1790 Presidential Cir, Suite A, Snellville, GA 30078-5688 |
Name | Specialty | Organization | Address |
---|---|---|---|
Ashley Ann Mire | Certified Registered Nurse Anesthetist (crna) | Premier Anesthesia of Georgia LLC | 1700 Medical Ctr Way, Snellville, GA 30078 |
Ramanjaneyulu V Dronavalli | Internal Medicine | 2138 Scenic N Hwy A, Snellville, GA 30078 | |
Jody Meek | Anesthesiology Assistant | Premier Anesthesia of Georgia LLC | 1700 Medical Ctr Way, Snellville, GA 30078 |
Brittany E Bradley | Certified Registered Nurse Anesthetist (crna) | Premier Anesthesia of Georgia LLC | 1700 Medical Ctr Way, Snellville, GA 30078 |
Keith Alan Housman | Anesthesiology | Premier Anesthesia of Georgia LLC | 1700 Medical Ctr Way, Snellville, GA 30078 |
Thien D Quach | Anesthesiology | Premier Anesthesia of Georgia LLC | 1700 Medical Ctr Way, Snellville, GA 30078 |
Benjamin Lee Hicks | Anesthesiology Assistant | Premier Anesthesia of Georgia LLC | 1700 Medical Ctr Way, Snellville, GA 30078 |
Geetha Jonnala | Rheumatology | 1567 Janmar Rd, Suite 100, Snellville, GA 30078-0308 | |
Oyinkansola Akinmade | Physical Therapy | Caretherapy, LLC | 1567 Janmar Rd, Snellville, GA 30078-0309 |
Allison L Guisasola | Occupational Therapy | Caretherapy, LLC | 1567 Janmar Rd, Snellville, GA 30078-0309 |
Find all physicians in zip 30078 |
City | SNELLVILLE |
Zip Code | 30078 |
Specialty | OTOLARYNGOLOGY |
City + Specialty | SNELLVILLE + OTOLARYNGOLOGY |
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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.