SOUTHSIDE SURGICAL ASSISTANTS, LLC (NPI# 1609429935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609429935 |
| Entity Type | Organization |
| Organization Name | SOUTHSIDE SURGICAL ASSISTANTS, LLC |
| Practice Address |
135 N Park Pl Ste 101 Stockbridge GA 30281-7237 |
| Practice Telephone | 7708920273 |
| Practice Fax Number | 4708781495 |
| Mailing Telephone | 7708920273 |
| Mailing Fax Number | 4708781495 |
| Enumeration Date | 2019-07-16 |
| Last Update Date | 2019-07-16 |
| Authorized Official Name | PHILIP PLOSKA (PRESIDENT) |
| Authorized Official Telephone | 7708920273 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| Street Address |
135 N PARK PL STE 101 |
| City | STOCKBRIDGE |
| State | GA |
| Zip Code | 30281-7237 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356338313 | Philip G. Ploska | Orthopaedic Surgery | 135 N Park Pl Ste 101, Stockbridge, GA 30281-7237 | 2005-10-04 |
| 1205461670 | Alanna Marie Brooks | Physician Assistant | 135 N Park Pl Ste 101, Stockbridge, GA 30281-7237 | 2020-03-06 |
| 1558911552 | Christopher Lee Steele | Physical Therapist | 135 N Park Pl Ste 101, Stockbridge, GA 30281-7237 | 2019-09-12 |
| 1699335810 | Jennifer Monsrud | Registered Nurse | 135 N Park Pl Ste 101, Stockbridge, GA 30281-7237 | 2019-06-19 |
| 1205274800 | Fernando David Nussenbaum | Orthopaedic Surgery | 135 N Park Pl Ste 101, Stockbridge, GA 30281-7237 | 2013-06-05 |
| 1023307626 | Steven Peter Rayappa | Orthopaedic Surgery | 135 N Park Pl Ste 101, Stockbridge, GA 30281-7237 | 2011-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164039095 | Colette Alls | Social Worker | 447 Lakeshore Dr, Stockbridge, GA 30281 | 2020-09-24 |
| 1982216800 | Pediatric and Family Behavioral Health of Georgia | Counselor | 1004 Ulster Court, Stockbridge, GA 30281 | 2020-08-21 |
| 1518577659 | Qunique Taveka Toxey | Behavior Technician | 115 N Park Trail, Suite 123, Stockbridge, GA 30281 | 2020-08-04 |
| 1497377675 | Melanie Harvey | Pharmacist | 4467 North Henry Boulevard, Stockbridge, GA 30281 | 2020-05-11 |
| 1114550571 | Cecile Maria Dunkley Layne | Counselor | 255 Corporte Drive, Stockbridge, GA 30281 | 2020-02-13 |
| 1306407143 | Palliative Care of Georgia. LLC | Home Health | 275 Corporate Center Court Ste C, Stockbridge, GA 30281 | 2019-06-24 |
| 1154883791 | Aaliyah Nura Fardan-alexander | Nurse's Aide | 105 Singletree, Stockbridge, GA 30281 | 2019-04-02 |
| 1306306261 | Prosthetic Care, Inc. | Prosthetic/Orthotic Supplier | 150 County Club Drive, Suite 200, Stockbridge, GA 30281 | 2019-03-25 |
| 1356814172 | Kristina Louissaint | Nurse Practitioner | 650 Country Club Dr, Stockbridge, GA 30281 | 2019-01-03 |
| 1942789284 | Cameren Barnes | Physical Therapist | 5473 N Henry Blvd, Stockbridge, GA 30281 | 2018-08-08 |
| Find all providers in zip 30281 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487099313 | Qasim Hasan Zaidi | Orthopaedic Surgery | 135 N. Park Place, Suite 101, Stockbridge, GA 30281 | 2013-05-06 |
| 1497704274 | Michael A Burke | Orthopaedic Surgery | 145 Medical Blvd, Stockbridge, GA 30281-5083 | 2006-05-09 |
| 1356338313 | Philip G. Ploska | Orthopaedic Surgery | 135 N Park Pl Ste 101, Stockbridge, GA 30281-7237 | 2005-10-04 |
| 1821082025 | Neil Colvard Berry | Orthopaedic Surgery | 1050 Eagles Landing Pkwy, Ste 103, Stockbridge, GA 30281 | 2005-09-02 |
| 1457352601 | Charles H Kenny | Orthopaedic Surgery | 5 Meadow Road, Stockbridge, MA 01262 | 2005-08-09 |
| 1770937047 | Joseph Carl Sutton IIi | Orthopaedic Surgery | 145 Medical Blvd, Stockbridge, GA 30281-5083 | 2016-04-22 |
| 1568858231 | Regenerative Orthopaedics and Spine Institute, PC | Orthopaedic Surgery | 203 Medical Blvd, Stockbridge, GA 30281-7218 | 2015-04-09 |
| 1861807414 | Tobias Nikolaus Von Bergen | Orthopaedic Surgery | 1240 Eagles Landing Pkwy Ste 300, Stockbridge, GA 30281-5173 | 2014-06-23 |
| 1700075231 | Clayton Orthopedic Clinic | Orthopaedic Surgery | 1050 Eagles Landing Pkwy, Suite 103, Stockbridge, GA 30281-9020 | 2007-10-22 |
| 1881890820 | Gregory H. Lee | Orthopaedic Surgery | 1035 Southcrest Dr, Suite 100, Stockbridge, GA 30281-6118 | 2007-06-26 |
| Find all providers in STOCKBRIDGE | ||||
| City | STOCKBRIDGE |
| Zip Code | 30281 |
Please comment or provide details below to improve the information on SOUTHSIDE SURGICAL ASSISTANTS, LLC.
| 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.