ALTA ANESTHESIA ASSOCIATES OF GEORGIA, PC (NPI# 1275504771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275504771 |
| Entity Type | Organization |
| Organization Name | ALTA ANESTHESIA ASSOCIATES OF GEORGIA, PC |
| Other Organization Name | SOUTHEAST GEORGIA REGIONAL |
| Practice Address |
3100 Kemble Ave Brunswick GA 31520-4211 |
| Mailing Address |
4 Saint Andrews Ct Brunswick GA 31520-6764 |
| Practice Telephone | 9122640014 |
| Practice Fax Number | 9122645003 |
| Mailing Telephone | 9122640014 |
| Mailing Fax Number | 9122645003 |
| Enumeration Date | 2006-02-01 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | RICH OTT (ADMINISTRATOR/MANAGER) |
| Authorized Official Telephone | 9122640014 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | ========= | GA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 367500000X | Nurse Anesthetist, Certified Registered | ========= | GA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 367H00000X | Anesthesiologist Assistant | ========= | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 207L00000X | Anesthesiology | ========= | GA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Southeast Georgia Regional | Other Name - Individual/Organization |
| Street Address |
3100 KEMBLE AVE |
| City | BRUNSWICK |
| State | GA |
| Zip Code | 31520-4211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154970564 | Adam Wesley Harper | Nurse Anesthetist, Certified Registered | 3100 Kemble Ave, Brunswick, GA 31520-4211 | 2019-09-09 |
| 1801353081 | Mallory B Harris | Nurse Anesthetist, Certified Registered | 3100 Kemble Ave, Brunswick, GA 31520-4211 | 2019-02-25 |
| 1093055501 | John D Porzio V | Nurse Anesthetist, Certified Registered | 3100 Kemble Ave, Brunswick, GA 31520-4211 | 2013-02-20 |
| 1699076463 | Christina E Squires | Nurse Anesthetist, Certified Registered | 3100 Kemble Ave, Brunswick, GA 31520-4211 | 2010-11-10 |
| 1689901282 | Michelle Denise Mann | Anesthesiologist Assistant | 3100 Kemble Ave, Brunswick, GA 31520-4211 | 2009-11-03 |
| 1679719397 | Zachery A Barr | Nurse Anesthetist, Certified Registered | 3100 Kemble Ave, Brunswick, GA 31520-4211 | 2008-12-30 |
| 1235382185 | Timothy W Miller | Anesthesiologist Assistant | 3100 Kemble Ave, Brunswick, GA 31520-4211 | 2008-10-23 |
| 1750549085 | Carol F Elliott | Anesthesiologist Assistant | 3100 Kemble Ave, Brunswick, GA 31520-4211 | 2008-05-22 |
| 1255524138 | Allan Smith | Nurse Anesthetist, Certified Registered | 3100 Kemble Ave, Brunswick, GA 31520-4211 | 2007-08-23 |
| 1144342767 | Sandra E Deschaine | Nurse Anesthetist, Certified Registered | 3100 Kemble Ave, Brunswick, GA 31520-4211 | 2007-04-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760953434 | David S Deuser Md & Associates PC | Psychiatry & Neurology | 7 Saint Andrews Court, Brunswick, GA 31520 | 2018-12-06 |
| 1063961845 | Irene Limon | Licensed Practical Nurse | 2009 Ellis Street, Brunswick, GA 31520 | 2016-09-22 |
| 1770936551 | Elaine Latimer-tandy | Counselor | 1801 Gloucester St Ste E, Brunswick, GA 31520 | 2016-07-18 |
| 1710336326 | Giva, Inc. | Home Health | 8 St Andrews Court, Brunswick, GA 31520 | 2016-06-06 |
| 1447618525 | Parmelee Eye Care LLC | Point of Service | 1909 Gloucester St, Brunswick, GA 31520 | 2016-02-04 |
| 1578947800 | Holly Diskin Kinsey | Nurse Practitioner | 3400 Parkwood Drive, Brunswick, GA 31520 | 2015-07-16 |
| 1679976419 | Miriam Hosey | Registered Nurse | 2747 Fourth Street, Glynn County Health Dept., Brunswick, GA 31520 | 2014-10-08 |
| 1558779348 | Tracey Renee Price | Internal Medicine | 3025 Shrine Rd Ste 290, Brunswick, GA 31520 | 2014-07-24 |
| 1770901951 | Candace Shepherd | Social Worker | 707 F Street, Brunswick, GA 31520 | 2014-04-03 |
| 1699193599 | Enrique Martinez, M.d., P.C. | Internal Medicine | 3114 A Shrine Road, Brunswick, GA 31520 | 2014-03-29 |
| Find all providers in zip 31520 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588817696 | John R Rentz | Anesthesiology | 3100 Kemble Ave., Brunswick, GA 31520-4211 | 2008-11-03 |
| 1053412031 | W Kate Heberle | Anesthesiology | 2301 Parkwood Dr, Brunswick, GA 31520-4720 | 2006-09-25 |
| 1902852130 | Consultants In Pain Medicine LLC | Anesthesiology | 3221 Glynn Ave, Brunswick, GA 31520-4851 | 2006-05-26 |
| 1477537660 | Anthony Mcpherson | Anesthesiology | 1111 Glynco Pkwy Ste 300, Brunswick, GA 31525-7933 | 2005-12-01 |
| 1285019018 | Guensley Ralph Delva | Anesthesiology | 1111 Glynco Pkwy Ste 300, Brunswick, GA 31525-7933 | 2015-07-22 |
| 1659575371 | Maine Coast Anesthesia | Anesthesiology | 329 Maine St, Brunswick, ME 04011-3310 | 2007-06-14 |
| 1225107980 | Byron P Hathcock | Anesthesiology | 123 Medical Center Dr, Brunswick, ME 04011-2652 | 2006-11-07 |
| 1497835912 | Mid Coast Anesthesia, Pa | Anesthesiology | 123 Medical Center Dr, Brunswick, ME 04011-2652 | 2006-10-17 |
| 1023198496 | Andrew L Rabinowitz | Anesthesiology | 123 Medical Center Dr, Brunswick, ME 04011-2652 | 2006-10-17 |
| 1184704561 | Anna Katarina Sawtelle | Anesthesiology | 123 Medical Center Dr, Brunswick, ME 04011-2652 | 2006-10-17 |
| Find all providers in BRUNSWICK | ||||
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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.