KALUM LEIBA


Address: 450 Northside Cherokee Blvd, Canton, GA 30115-8015
Phone: 7702241000

KALUM LEIBA (NPI# 1336751494) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1336751494
Entity Type Individual
Full Name KALUM LEIBA
Credential CAA
Practice Address 450 Northside Cherokee Blvd
Canton
GA 30115-8015
Mailing Address 4708 Ardmore Ln
Hoschton
GA 30548-6227
Practice Telephone 7702241000
Mailing Telephone 4045632645
Enumeration Date 2020-08-20
Last Update Date 2020-08-20
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 367H00000X Anesthesiologist Assistant GA Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
1000 Johnson Fy Rd Ne, Atlanta, GA 303421606 4048518000

Office Location

Street Address 450 NORTHSIDE CHEROKEE BLVD
City CANTON
State GA
Zip Code 30115-8015

Providers in the same location

NPI Name Taxonomy Address Enumeration
1295732600 Paul J Hyler Internal Medicine 450 Northside Cherokee Blvd, Canton, GA 30115-8015 2005-06-30
1790390706 Bradley Louis Mccoul Pharmacist 450 Northside Cherokee Blvd, Canton, GA 30115-8015 2020-09-15
1164035747 Candice Caroline Bramlett Pharmacist 450 Northside Cherokee Blvd, Canton, GA 30115-8015 2020-08-25
1093339533 Tara Talbott Oberman Pharmacist 450 Northside Cherokee Blvd, Canton, GA 30115-8015 2020-06-01
1568085157 Ross W Devantier Specialist/Technologist, Other 450 Northside Cherokee Blvd, Canton, GA 30115-8015 2020-05-19
1427679034 Joseph Liverman Specialist/Technologist, Other 450 Northside Cherokee Blvd, Canton, GA 30115-8015 2020-05-05
1518595503 Erica D Burns Pharmacist 450 Northside Cherokee Blvd, Canton, GA 30115-8015 2020-03-27
1093346066 Emily Beecher Pharmacist 450 Northside Cherokee Blvd, Canton, GA 30115-8015 2020-01-29
1497393268 Stephanie Knight Ellis Pharmacist 450 Northside Cherokee Blvd, Canton, GA 30115-8015 2019-12-12
1326680620 Ginika Ozor Pharmacist 450 Northside Cherokee Blvd, Canton, GA 30115-8015 2019-10-08
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1497364806 Amanda Arbogast Speech-Language Pathologist 610 Royal Crest Court, Canton, GA 30115 2020-07-31
1033754163 Kelly Marie Shirley Nurse Practitioner 450 Northside Cherokee Blvd., Radiology Dept., Canton, GA 30115 2019-11-13
1700394319 Jennifer Lynn Davenport Nurse Practitioner 684 Sixes Rd Ste 125, Holly Springs, GA 30115 2018-01-17
1851717961 Wal-mart Stores East, Lp Technician/Technologist 2200 Holly Springs Pkey, Holly Springs, GA 30115 2014-03-13
1194148502 Julia Bedingfield Reid Pharmacist 450 Northside Cherokee Blvd Ste T20, Canton, GA 30115 2014-01-22
1447597992 America's Best Contacts & Eyeglasses Technician/Technologist 2030 Cumming Highway, Suite 106, Canton, GA 30115 2013-01-03
1679821193 Jill M Decorso Speech-Language Pathologist 4280 Hickory Flat Hwy, Ste 108, Canton, GA 30115 2012-08-15
1306113378 Sidney Boyd Collier IIi Pharmacist 6111 Hickory Flat Highway, Canton, GA 30115 2011-11-18
1174804702 Rayllensons Itacy Physician Assistant 2020 Cumming Highway, Suite 102, Canton, GA 30115 2011-09-09
1245534346 Kim M. Mcmillan Counselor 154 Lakeside Drive, Canton, GA 30115 2011-01-04
Find all providers in zip 30115

Taxonomy Information

Taxonomy Code 367H00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Anesthesiologist Assistant

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1669082772 Cynthia Marie Colt Anesthesiologist Assistant 1320 Mercy Dr Nw, Canton, OH 44708-2614 2020-08-04
1386267573 Jenna Staikoff Anesthesiologist Assistant 1320 Mercy Dr Nw, Canton, OH 44708-2641 2020-05-21
1396389755 Mark Tatum Anesthesiologist Assistant 1320 Mercy Dr Nw, Canton, OH 44708-2641 2019-10-29
1902465883 Samantha L Prochaska Anesthesiologist Assistant 4665 Douglas Cir Nw Ste 100, Canton, OH 44718-3673 2019-06-13
1588141261 Olesya Rabosyuk Anesthesiologist Assistant 1320 Mercy Dr Nw, Canton, OH 44708-2614 2018-07-25
1972936730 Claire E. Stansbury Anesthesiologist Assistant 1320 Mercy Dr Nw, Canton, OH 44708-2614 2013-08-15
1922368208 Carol Lynn Stith Anesthesiologist Assistant 4665 Douglas Cir Nw Ste 100, Canton, OH 44718-3673 2012-05-21
1598048159 Benjamin W. Falkenberg Anesthesiologist Assistant 4665 Douglas Cir Nw, Suite 100, Canton, OH 44718-3673 2011-09-21
1528394285 Colleen R Robson Anesthesiologist Assistant 1320 Mercy Dr Nw, Canton, OH 44708-2614 2009-10-30
1386873826 Jonathan S Eberlein Anesthesiologist Assistant 4665 Douglas Cir Nw Ste 100, Canton, OH 44718-3673 2009-07-06
Find all providers in CANTON

Competitor

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City CANTON
Zip Code 30115

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Dataset Information

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.

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