MAK ANESTHESIA, LLC (NPI# 1386028744) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386028744 |
| Entity Type | Organization |
| Organization Name | MAK ANESTHESIA, LLC |
| Practice Address |
1621 N Roberts Rd Nw Ste 110 Kennesaw GA 30144-3640 |
| Mailing Address |
1635 Old 41 Hwy Nw Ste 112-328 Kennesaw GA 30152-4480 |
| Practice Telephone | 7707021806 |
| Mailing Telephone | 7707021806 |
| Enumeration Date | 2015-07-16 |
| Last Update Date | 2015-07-16 |
| Authorized Official Name | DR. PAMELA WEIGANDT (PRESIDENT AND CEO) |
| Authorized Official Telephone | 7707021806 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | OCC003663 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
1621 N ROBERTS RD NW STE 110 |
| City | KENNESAW |
| State | GA |
| Zip Code | 30144-3640 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992257943 | Mark Fouts | Anesthesiologist Assistant | 1621 N Roberts Rd Nw Ste 110, Kennesaw, GA 30144-3640 | 2016-10-25 |
| 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 | 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 |
|---|---|---|---|---|
| 1912452939 | Mak Anesthesia Holdings LLC | Anesthesiology | 1300 Ridenour Blvd., Ste. 300, Kennesaw, GA 30152 | 2016-08-19 |
| 1437579042 | James Michael Ditolla | Anesthesiology | 1275 Shiloh Rd Nw Ste 2120, Kennesaw, GA 30144-7199 | 2014-04-22 |
| 1558672782 | Isabella Zita Ricketts | Anesthesiology | 1300 Ridenour Blvd Nw, Mak Anesthesia, Kennesaw, GA 30152-4501 | 2010-06-22 |
| 1376785600 | Grant Adam Doornbos | Anesthesiology | 1300 Ridenour Blvd Nw Ste 300, Kennesaw, GA 30152-4402 | 2009-04-01 |
| 1609390103 | Mak Anesthesia Northside Affiliates, LLC | Anesthesiology | 1300 Ridenour Blvd Nw Ste 300, Kennesaw, GA 30152-4402 | 2017-07-27 |
| 1417402942 | Sculptrx Inc | Anesthesiology | 125 Townpark Dr Nw, Ste 300, Kennesaw, GA 30144-5803 | 2016-08-25 |
| 1245632660 | Wellstar Medical Group, LLC | Anesthesiology | 1180 Ernest W Barrett Pkwy Nw, Suite 100, Kennesaw, GA 30144-4534 | 2014-09-17 |
| 1699041863 | Jerry Tee Todd | Anesthesiology | 1300 Ridenour Blvd Nw Ste 300, Kennesaw, GA 30152-4402 | 2012-03-31 |
| 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 |
| Find all providers in KENNESAW | ||||
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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.