David J Derosso
AMS SOUTHEAST LLC


Address: 1499 Fair Rd, Statesboro, GA 30458-1683
Phone: 9124861000

David J Derosso (NPI# 1194897710, PAC ID# 5991693566) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).

Physician Overview

Nation Provider ID (NPI) 1194897710
PAC ID by PECOS 5991693566
Professional Enrollment ID I20040305000576
Full Name David J Derosso
Organization Legal Name AMS SOUTHEAST LLC
Address 1499 Fair Rd
Statesboro
GA 30458-1683
Phone Number 9124861000
Gender M
Credential CNA
Graduation Year 2001
Primary Specialty CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Group Practice PAC ID 3870880792
Number of Group Practice Members 64
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
110075 EAST GEORGIA REGIONAL MEDICAL CENTER

Other Locations

Address Phone Organization
1499 Fair Rd, Statesboro, GA 30458-1683 9124861000 AMS SOUTHEAST LLC

Organization Information

Organization Legal Name AMS SOUTHEAST LLC
Physicians 55

Physicians with the same organization

Name Specialty Organization Address
Jonathan Shea Diruzzo Anesthesiology Ams Southeast LLC 830 Eagle's Landing Pkwy, Suite 101, Stockbridge, GA 30281-7366
Carla F Duffie Certified Registered Nurse Anesthetist (crna) Ams Southeast LLC 2460 Washington Rd Ne, Thomson, GA 30824-6600
Catherine A Landry Arseneault Certified Registered Nurse Anesthetist (crna) Ams Southeast LLC 1499 Fair Rd, Statesboro, GA 30458-1683
Kevin C Thompson Certified Registered Nurse Anesthetist (crna) Ams Southeast LLC 2260 Wrightsboro Rd, Augusta, GA 30904-4764
Aaron T Street Certified Registered Nurse Anesthetist (crna) Ams Southeast LLC 2260 Wrightsboro Rd, Augusta, GA 30904-4764
Michael T Lama Anesthesiology Ams Southeast LLC 2460 Washington Rd Ne, Thomson, GA 30824-6600
Clare D Heidler Certified Registered Nurse Anesthetist (crna) Ams Southeast LLC 1499 Fair Rd, Statesboro, GA 30458-1683
Jada A Lee Certified Registered Nurse Anesthetist (crna) Ams Southeast LLC 1499 Fair Rd, Statesboro, GA 30458-1683
Jonathan C Griggs Certified Registered Nurse Anesthetist (crna) Ams Southeast LLC 2460 Washington Rd Ne, Thomson, GA 30824-6600
David H Gorney Certified Registered Nurse Anesthetist (crna) Ams Southeast LLC 2260 Wrightsboro Rd, Augusta, GA 30904-4764

Office Location

Street Address 1499 FAIR RD
City STATESBORO
State GA
Zip 30458-1683

Physicians in the same location

Name Specialty Organization Address
Catherine A Landry Arseneault Certified Registered Nurse Anesthetist (crna) Ams Southeast LLC 1499 Fair Rd, Statesboro, GA 30458-1683
Jeffrey R Millard Family Medicine Statesboro Hma Physician Management LLC 1499 Fair Rd, Statesboro, GA 30458-1683
Colin A Dodds Diagnostic Radiology East Georgia Radiology LLC 1499 Fair Rd, Statesboro, GA 30458-1683
Stacy L Whitworth Nurse Practitioner Statesboro Hma Physician Management LLC 1499 Fair Rd, Statesboro, GA 30458-1683
Clare D Heidler Certified Registered Nurse Anesthetist (crna) Ams Southeast LLC 1499 Fair Rd, Statesboro, GA 30458-1683
Wayne Ross Bryan Internal Medicine Statesboro Hma Physician Management LLC 1499 Fair Rd, Statesboro, GA 30458-1683
Robert K Wade Pathology Southeastern Pathology Associates PC 1499 Fair Rd, Statesboro, GA 30458-1683
Tristia Knight Nurse Practitioner Statesboro Hma Physician Management LLC 1499 Fair Rd, Statesboro, GA 30458-1683
Jada A Lee Certified Registered Nurse Anesthetist (crna) Ams Southeast LLC 1499 Fair Rd, Statesboro, GA 30458-1683
Hollie White Certified Registered Nurse Anesthetist (crna) Ams Southeast LLC 1499 Fair Rd, Statesboro, GA 30458-1683
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Physicians in the same zip code

Name Specialty Organization Address
Amy O Kitching Chiropractic 2 Ed Moore Court, Statesboro, GA 30458
Samuel D Chapman Nurse Practitioner The Neurological Institute of Savannah and Center for Spine P C 1213 Merchants Way, Unit A, Statesboro, GA 30458
Karen C Penrose Nurse Practitioner Sidney P Smith Md PC 6677 Ga Hwy 67, Statesboro, GA 30458
Elizabeth Hinely Nurse Practitioner The Neurological Institute of Savannah and Center for Spine P C 1213 Merchants Way, Unit A, Statesboro, GA 30458
Andrea B Pitts Nurse Practitioner The Neurological Institute of Savannah and Center for Spine P C 1213 Merchants Way, Unit A, Statesboro, GA 30458
Anuj Goel Psychiatry Dps Health and Wellness 204 S Main St, Statesboro, GA 30458-0723
Deborah Stewart Nurse Practitioner Dps Health and Wellness 204 S Main St, Statesboro, GA 30458-0723
Saraju C Dalsania Internal Medicine 1601 Fair Rd, Suite 700, Statesboro, GA 30458-0800
Stacey C Basquin Physician Assistant East Georgia Hma Physician Management LLC 1601 Fair Rd, Suite 600, Statesboro, GA 30458-0800
Harsh Bhushan Hematology/oncology 1601 Fair Rd, Suite 900, Statesboro, GA 30458-0800
Find all physicians in zip 30458

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Dataset Information

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.

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