LTHW SURGICAL, LLC (NPI# 1447595806) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447595806 |
| Entity Type | Organization |
| Organization Name | LTHW SURGICAL, LLC |
| Practice Address |
110 Evans Mill Dr Suite 401 Dallas GA 30157-1622 |
| Practice Telephone | 6788402575 |
| Mailing Telephone | 6788402575 |
| Enumeration Date | 2012-12-11 |
| Last Update Date | 2012-12-11 |
| Authorized Official Name | DR. MICHAEL SHOTWELL (OPERATING MANAGER) |
| Authorized Official Telephone | 6788402575 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 053168 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
110 EVANS MILL DR SUITE 401 |
| City | DALLAS |
| State | GA |
| Zip Code | 30157-1622 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184795080 | Mark Stephen Wolfe | Marriage & Family Therapist | 110 Evans Mill Dr, Dallas, GA 30157-1622 | 2006-11-13 |
| 1669906228 | Odette Amanda Prince | Registered Nurse | 110 Evans Mill Dr, Dallas, GA 30157-1622 | 2017-04-20 |
| 1851836597 | Second Chance Or More Counseling Services | Community/Behavioral Health | 110 Evans Mill Dr, Suite 401, Dallas, GA 30157-1622 | 2017-01-05 |
| 1780032490 | Warren Smith | Chiropractor | 110 Evans Mill Dr, Suite 301, Dallas, GA 30157-1622 | 2016-06-03 |
| 1669820379 | Precision Chiropractic Corporation | Chiropractor | 110 Evans Mill Dr, Suie 301, Dallas, GA 30157-1622 | 2016-06-03 |
| 1245612191 | Ironwood Counseling LLC | Counselor | 110 Evans Mill Dr, Dallas, GA 30157-1622 | 2015-06-26 |
| 1215338652 | Diana Keys | Counselor | 110 Evans Mill Dr, Dallas, GA 30157-1622 | 2014-09-04 |
| 1316376890 | Kimdi Joy Fair | Chiropractor | 110 Evans Mill Dr, Suite 105, Dallas, GA 30157-1622 | 2013-11-05 |
| 1093144768 | Jeffrey Kilheffer | Chiropractor | 110 Evans Mill Dr, Dallas, GA 30157-1622 | 2013-11-04 |
| 1255767232 | Jno, Inc. | In Home Supportive Care | 110 Evans Mill Dr, Suite 801, Dallas, GA 30157-1622 | 2013-09-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922608629 | Harshadbhai Vinubhai Patel | Pharmacist | 3615 Marietta Highway, Dallas, GA 30157 | 2020-10-30 |
| 1043852627 | Lindsay Sheets | Dentist | 59 Hillside Trce Ste 105, Dallas, GA 30157 | 2019-10-15 |
| 1619459062 | Emily Nicole Koopman | Specialist/Technologist | 399 Powder Creek Way, Dallas, GA 30157 | 2018-09-02 |
| 1073969861 | Rachel Spencer | Physical Therapist | 99 Hillside Trace, Dallas, GA 30157 | 2016-05-11 |
| 1336514827 | Petal Shields | Community Health Worker | 121 Omega Ct, Dallas, GA 30157 | 2015-12-09 |
| 1851797294 | Annette Moncion | Nurse Practitioner | 32 Midland Lane, Dallas, GA 30157 | 2014-11-12 |
| 1003211079 | Melissa Brice | Lactation Consultant, Non-RN | 430 Parson Rd, Dallas, GA 30157 | 2014-11-03 |
| 1104101690 | Jared Alan Lott | Pharmacist | 303 Charlie Watts Blvd, Dallas, GA 30157 | 2011-10-15 |
| 1972888758 | Lisa Nicole Mcentire | Massage Therapist | 119 Fairview Oak Trace, Dallas, GA 30157 | 2011-10-12 |
| 1548570120 | Chad Stough | Physician Assistant | 2713 Marietta Highway, Suite 122, Dallas, GA 30157 | 2010-10-15 |
| Find all providers in zip 30157 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043824857 | Oasis Surgical Assistants LLC | Surgery | 170 Blackberry Run Dr, Dallas, GA 30132-1174 | 2020-08-31 |
| 1609381607 | Andy Hall | Surgery | 821 Peavy Rd, Dallas, TX 75218-2151 | 2017-12-12 |
| 1215389234 | Tayyaba Maqbool Malik | Surgery | Ut Southwestern Medical Center 5323 Blvd, Dallas, TX 75390-0001 | 2016-07-02 |
| 1629435516 | Premier Health Specialists | Surgery | 10740 N Central Expy Ste 710, #710, Dallas, TX 75231-2161 | 2016-01-22 |
| 1679948715 | Tiffany Horrigan | Surgery | 5323 Harry Hines Blvd # Mc9159, Dallas, TX 75390-7208 | 2015-12-01 |
| 1184007460 | Brandon Levy | Surgery | 2140 Medical District Dr, 2067, Dallas, TX 75235-8077 | 2015-07-03 |
| 1679951511 | Jamaal Louis Benjamin | Surgery | 751 S Cesar Chavez Blvd, Dallas, TX 75201-5821 | 2015-05-12 |
| 1114314655 | Rachel Cox | Surgery | 5323 Harry Hines Blvd Dept of Surgery, Dallas, TX 75390-7208 | 2015-04-22 |
| 1811304173 | Mirza Baig Md Pllc | Surgery | 9101 Lbj Freeway, Ste 710, Dallas, TX 75243-1912 | 2014-07-18 |
| 1861804973 | Michael Sutker, M.d., P.a. | Surgery | 7777 Forest Ln Ste A214, Dallas, TX 75230-2556 | 2014-05-22 |
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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.