LENA A MARK (NPI# 1265495592) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265495592 |
| Entity Type | Individual |
| Full Name | LENA A MARK |
| Credential | PAAA |
| Practice Address |
2540 Windy Hill Rd Se Marietta GA 30067-8605 |
| Mailing Address |
Po Box 155 Austell GA 30168-1002 |
| Practice Telephone | 7706441274 |
| Mailing Telephone | 7707323649 |
| Mailing Fax Number | 7707323648 |
| Enumeration Date | 2006-04-08 |
| Last Update Date | 2019-10-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367H00000X | Anesthesiologist Assistant | 003507 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 096995311A | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3950 Austell Road, Austell, GA 30106 | 7707323649 | 7707323648 |
| Street Address |
2540 WINDY HILL RD SE |
| City | MARIETTA |
| State | GA |
| Zip Code | 30067-8605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144202318 | Christopher Riddell | Psychiatry & Neurology | 2540 Windy Hill Rd Se, Marietta, GA 30067-8605 | 2005-11-15 |
| 1861091159 | Kristian Hope Henson | Specialist/Technologist, Other | 2540 Windy Hill Rd Se, Marietta, GA 30067-8605 | 2020-10-19 |
| 1427662451 | Amber Lenee Johnston | Specialist/Technologist, Other | 2540 Windy Hill Rd Se, Marietta, GA 30067-8605 | 2020-09-08 |
| 1063056760 | Kelly W Gladden | Specialist/Technologist, Other | 2540 Windy Hill Rd Se, Marietta, GA 30067-8605 | 2019-11-05 |
| 1700438009 | Wendy N Smith | Specialist/Technologist, Other | 2540 Windy Hill Rd Se, Marietta, GA 30067-8605 | 2019-07-16 |
| 1497307417 | Thomas Howell Arrington | Specialist/Technologist, Other | 2540 Windy Hill Rd Se, Marietta, GA 30067-8605 | 2019-07-10 |
| 1083274799 | Byron P Jamerson | Specialist/Technologist, Other | 2540 Windy Hill Rd Se, Marietta, GA 30067-8605 | 2019-06-14 |
| 1598240822 | Maima Fortune | Nurse Practitioner | 2540 Windy Hill Rd Se, Marietta, GA 30067-8605 | 2018-10-02 |
| 1295275949 | Tanya Camiela Dunkley | Nurse Practitioner | 2540 Windy Hill Rd Se, Marietta, GA 30067-8605 | 2017-02-28 |
| 1508314790 | Carolyn Ann Mauro | Anesthesiologist Assistant | 2540 Windy Hill Rd Se, Marietta, GA 30067-8605 | 2016-09-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689140022 | Sherry Wilson King | Marriage & Family Therapist | 1640 Powers Ferry Rd Blg 7, Ste 300, Marietta, GA 30067 | 2018-10-23 |
| 1053886861 | Precious Angel Home Care Services Inc | Adult Companion | 2470 Windy Hill Road, Marietta, Suite 253, Marietta, GA 30067 | 2018-10-08 |
| 1194206466 | Joshua P Moree | Chiropractor | 860 Franklin Gtwy Se Apt 111, Marietta, GA 30067 | 2018-08-24 |
| 1841778081 | Sun Pediatrics LLC | Pediatrics | 2520 Windy Hill Rd Se Ste 104, Marietta, GA 30067 | 2018-07-31 |
| 1508358714 | Mbs Wellness Group, LLC | Durable Medical Equipment & Medical Supplies | 62 Shawnee Trail Se, Marietta, GA 30067 | 2018-06-04 |
| 1497254213 | Allison M Jancik | Chiropractor | 1355 Terrell Mill Road Se, Bldg 1474, Ste 150, Marietta, GA 30067 | 2018-02-07 |
| 1801304969 | Danielle Ann Dietrich | Chiropractor | 805 Winterset Pkwy Se, Marietta, GA 30067 | 2018-01-11 |
| 1740794866 | Jessica Lofgren | Chiropractor | 1130 Northchase Pkwy Se Ste 125, Marietta, GA 30067 | 2017-11-28 |
| 1871026393 | Rhonda Dawes Milner | Counselor | 1640 Powers Ferry Rd Bldg 16, Suite 100, Marietta, GA 30067 | 2017-04-11 |
| 1457894537 | Carcelia Delk | Counselor | 1110 Augusta Dr Se, Marietta, GA 30067 | 2016-11-22 |
| Find all providers in zip 30067 | ||||
| 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 |
|---|---|---|---|---|
| 1114570553 | Diana Ansley Berry | Anesthesiologist Assistant | 531 Roselane St Nw Ste 830, Marietta, GA 30060-6979 | 2019-07-23 |
| 1346638616 | Sowjanya Thalanki Krishna Murthy | Anesthesiologist Assistant | 3440 River Heights Xing Se, Marietta, GA 30067-4500 | 2015-01-08 |
| 1437417250 | Vivian To | Anesthesiologist Assistant | 2204 Whitehall Dr Ne, Marietta, GA 30066-7202 | 2012-04-30 |
| 1053507129 | Adrianne Humphries | Anesthesiologist Assistant | 531 Roselane St Nw Ste 750, Marietta, GA 30060-6975 | 2007-09-21 |
| 1295818250 | Fleet Lester | Anesthesiologist Assistant | 1288 Sweet Bottom Ct Sw, Sw, Marietta, GA 30064-5222 | 2006-10-23 |
| 1730195348 | Thang Thai | Anesthesiologist Assistant | 531 Roselane Street Nw, Suite 750, Marietta, GA 30060-6975 | 2006-08-01 |
| 1346868908 | Megan Grace Zimmerman | Anesthesiologist Assistant | 677 Church St Ne, Marietta, GA 30060-1101 | 2020-07-10 |
| 1578180535 | Devon Potler-jack | Anesthesiologist Assistant | 677 Church St Ne, Marietta, GA 30060-1101 | 2020-06-25 |
| 1740802032 | Noelle Shaw | Anesthesiologist Assistant | 677 Church St Ne, Marietta, GA 30060-1101 | 2020-05-11 |
| 1417506304 | Jake Lane | Anesthesiologist Assistant | 677 Church St Ne, Marietta, GA 30060-1101 | 2019-09-04 |
| Find all providers in MARIETTA | ||||
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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.