DONALD MACNEILL (NPI# 1093734428) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093734428 |
| Entity Type | Individual |
| Full Name | DONALD MACNEILL |
| Credential | PAAA |
| Practice Address |
1640 Airport Rd Nw Ste 110 Kennesaw GA 30144-7038 |
| Mailing Address |
1968 Peachtree Rd Nw Atlanta GA 30309-1281 |
| Practice Telephone | 6782022074 |
| Practice Fax Number | 7705901442 |
| Mailing Telephone | 4043511754 |
| Mailing Fax Number | 4043517121 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2014-01-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367H00000X | Anesthesiologist Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000390277 | 05 |
| Street Address |
1640 AIRPORT RD NW STE 110 |
| City | KENNESAW |
| State | GA |
| Zip Code | 30144-7038 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053308601 | Tiffany L. Artman | Anesthesiologist Assistant | 1640 Airport Rd Nw, Ste110, Kennesaw, GA 30144-7038 | 2005-09-29 |
| 1346465127 | Gary P Jones | Anesthesiologist Assistant | 1640 Airport Rd Nw, Ste 110, Kennesaw, GA 30144-7038 | 2007-04-16 |
| 1528197324 | Paul Christopher Dozier | Nurse Anesthetist, Certified Registered | 1640 Airport Rd Nw, Ste 110, Kennesaw, GA 30144-7038 | 2007-03-05 |
| 1013046374 | Russell H Blocker | Anesthesiology | 1640 Airport Rd Nw, Ste. 110, Kennesaw, GA 30144-7038 | 2007-03-05 |
| 1245369784 | Jenny R Deforeest | Anesthesiology | 1640 Airport Rd Nw, Ste. 110, Kennesaw, GA 30144-7038 | 2007-03-02 |
| 1821187386 | Alan I Freedman | Anesthesiology | 1640 Airport Rd Nw, Ste 110, Kennesaw, GA 30144-7038 | 2006-10-12 |
| 1649379165 | Carmen A Mays | Anesthesiology | 1640 Airport Rd Nw, Ste 110, Kennesaw, GA 30144-7038 | 2006-09-21 |
| 1154341840 | Amy Fowler | Physician Assistant | 1640 Airport Rd Nw, Ste 110, Kennesaw, GA 30144-7038 | 2006-07-19 |
| 1518986835 | Brian Finke | Physician Assistant | 1640 Airport Rd Nw, Ste 110, Kennesaw, GA 30144-7038 | 2006-07-18 |
| 1629094248 | Lori Stanton | Nurse Anesthetist, Certified Registered | 1640 Airport Rd Nw, Ste 110, Kennesaw, GA 30144-7038 | 2006-07-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205440054 | Physician Assistant Surgical Solutions | Surgery | 4290 Bells Ferry Road, Suite 134 - 1032, Kennesaw, GA 30144 | 2020-08-31 |
| 1487149340 | Creative Family Care Inc. | Social Worker | 1275 Shiloh Rd Nw Ste 3030, Kennesaw, GA 30144 | 2018-06-24 |
| 1033632203 | Octavio Andres Tobar | Specialist/Technologist | 1950 Barrett Lakes Blvd Nw Apt 1213, Kennesaw, GA 30144 | 2017-07-19 |
| 1851829220 | Sharon Mcmillan | Counselor | 1301 Shiloh Rd Nw Ste 1840, Kennesaw, GA 30144 | 2017-05-31 |
| 1073054680 | Metropolitan Health Care Plus Inc | Home Health | 445 Laurian Way, Kennesaw, GA 30144 | 2017-03-15 |
| 1649627969 | Caresouth Hha Holdings of Gainesville, LLC | Hospice Care, Community Based | 1000 Cobb Place Blvd Nw Ste 310, Kennesaw, GA 30144 | 2016-05-17 |
| 1851745988 | Joseph Mulligan | Social Worker | 1301 Shiloh Rd., Ste. 849, Kennesaw, GA 30144 | 2016-04-14 |
| 1629438601 | Youfit Health Clubs | Clinic/Center | 3895 Cherokee St Suite 100, Kennesaw, GA 30144 | 2016-03-03 |
| 1598156317 | Jodie Evans | Specialist | 1925 Vaughn Rd, Ste 200, Kennesaw, GA 30144 | 2015-02-16 |
| 1912302134 | Sleepmed Therapies, Inc. | Durable Medical Equipment & Medical Supplies | 1000 Cobb Place Blvd Nw Ste 510, Kennesaw, GA 30144 | 2014-10-30 |
| Find all providers in zip 30144 | ||||
| Taxonomy Code | 367H00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Anesthesiologist Assistant |
| An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134485972 | Charles Luther | Anesthesiologist Assistant | 4295 Country Garden Walk Nw, Kennesaw, GA 30152-2399 | 2012-04-05 |
| 1053308601 | Tiffany L. Artman | Anesthesiologist Assistant | 1640 Airport Rd Nw, Ste110, Kennesaw, GA 30144-7038 | 2005-09-29 |
| 1134778939 | Kaeli Surilla Mcdermott | Anesthesiologist Assistant | 1300 Ridenour Blvd Nw Ste 300, Kennesaw, GA 30152-4402 | 2019-09-05 |
| 1992257943 | Mark Fouts | Anesthesiologist Assistant | 1621 N Roberts Rd Nw Ste 110, Kennesaw, GA 30144-3640 | 2016-10-25 |
| 1346465127 | Gary P Jones | Anesthesiologist Assistant | 1640 Airport Rd Nw, Ste 110, Kennesaw, GA 30144-7038 | 2007-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639784119 | Caroline N/a Guan | Anesthesiologist Assistant | 1377 Dresden Dr Ne Apt 5117, Brookhaven, GA 30319-3457 | 2020-09-11 |
| 1841815925 | Ghazal Motakef | Anesthesiologist Assistant | 365 Victorian Ln, Johns Creek, GA 30097-5769 | 2020-06-14 |
| 1801446455 | Mednax | Anesthesiologist Assistant | 770 Pine St Ste L40, Macon, GA 31201-7521 | 2019-09-16 |
| 1114570553 | Diana Ansley Berry | Anesthesiologist Assistant | 531 Roselane St Nw Ste 830, Marietta, GA 30060-6979 | 2019-07-23 |
| 1346703758 | Alexander Lee | Anesthesiologist Assistant | 1228 Christiana Xing, Lawrenceville, GA 30043-7007 | 2019-04-11 |
| 1710449897 | Salman Noorali Dewani | Anesthesiologist Assistant | 6371 Crestgate Ln, Tucker, GA 30084-8458 | 2019-04-05 |
| 1316432537 | Heather Mcintyre | Anesthesiologist Assistant | 57 Executive Park S Ste 300, Atlanta, GA 30329-2287 | 2018-06-29 |
| 1699292235 | Robin Spierer | Anesthesiologist Assistant | 80 Jesse Hill Jr Dr Se # 6d028, Atlanta, GA 30303-3031 | 2017-08-24 |
| 1821512401 | Stephen Chaussinand | Anesthesiologist Assistant | 5673 Peachtree Dunwoody Rd Ste 490, Atlanta, GA 30342-1775 | 2017-07-26 |
| 1790206381 | Andres Felipe Hernandez | Anesthesiologist Assistant | 80 Jesse Hill Jr Dr Se Ste 6d028, Atlanta, GA 30303-3031 | 2017-07-05 |
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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.