AESTHETIC LASER & SURGERY FACILITY (NPI# 1841361052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1841361052 |
Entity Type | Organization |
Organization Name | AESTHETIC LASER & SURGERY FACILITY |
Practice Address |
416 Gordon Ave Thomasville GA 31792-6644 |
Practice Telephone | 2292287200 |
Practice Fax Number | 2292285193 |
Mailing Telephone | 2292287200 |
Mailing Fax Number | 2292285193 |
Enumeration Date | 2006-11-10 |
Last Update Date | 2020-08-22 |
Authorized Official Name | DR. G. COURTNEY HOUSTON (MEDICAL DIRECTOR) |
Authorized Official Telephone | 2292287200 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
136-113 | GA | Ambulatory Health Care Facilities |
Street Address |
416 GORDON AVE |
City | THOMASVILLE |
State | GA |
Zip Code | 31792-6644 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295805570 | G. Courtney Houston | Specialist | 416 Gordon Ave, Thomasville, GA 31792-6644 | 2006-11-08 |
1710267703 | Aesthetic Plastic Surgery Center | Specialist | 416 Gordon Ave, Thomasville, GA 31792-6644 | 2011-08-22 |
1730399650 | Doctors Anesthesia | Anesthesiology | 416 Gordon Ave, Thomasville, GA 31792-6644 | 2007-05-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245739879 | Georgia Pines Community Service Board | Community/Behavioral Health | 407 Cloverdale Drive, Thomasville, GA 31792 | 2018-02-09 |
1932613551 | Diana Diaz | Physician Assistant | 2705 E Pinetree Blvd Ste A, Thomasville, GA 31792 | 2017-11-17 |
1194249425 | Bobbie Frazier | Contractor | 400 Cloverdale Dr, Thomasville, GA 31792 | 2017-07-28 |
1598132292 | Southern Scripts, LLC | Pharmacy | 501 Gordon Avenue, Thomasville, GA 31792 | 2015-08-28 |
1508248915 | Elizabeth Nicole Keen | Behavioral Analyst | 121 Covington Ave Apt 9, Thomasville, GA 31792 | 2015-06-22 |
1417341579 | Sheila L Stanley | Counselor | 301 Summercreek Cove, Thomasville, GA 31792 | 2015-03-26 |
1457749301 | Ashley Lamb | Speech-Language Pathologist | 1203 East Jackson Street, Thomasville, GA 31792 | 2014-12-30 |
1831403880 | Somnoquest | Durable Medical Equipment & Medical Supplies | 556 Hall Road, Thomasville, GA 31792 | 2010-08-02 |
1508000183 | Kashyap B Choksi | Internal Medicine | 100 Mimosa Drive 2nd Floor, Thomasville, GA 31792 | 2009-04-27 |
1205008786 | Mark J Glaccum | Chiropractor | 415 Gordon Avenue, Thomasville, GA 31792 | 2008-03-25 |
Find all providers in zip 31792 |
Taxonomy Code | 261QA1903X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Ambulatory Surgical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407016561 | Thomasville Surgery Center, Inc. | Clinic/Center | 2282 East Pinetree Blvd, Thomasville, GA 31792-4807 | 2008-06-12 |
1881704773 | The Urology Institute Ambulatory Surgery Center | Clinic/Center | 817 Smith Avenue, Thomasville, GA 31792 | 2006-08-30 |
1487090452 | Digestive Health Specialists, Pa | Clinic/Center | 137 Mount Calvary Rd, Suite A, Thomasville, NC 27360-3467 | 2013-05-17 |
1437183365 | Thomasville Surgery Center, Inc. | Clinic/Center | 2282 E Pinetree Blvd, Suite B, Thomasville, GA 31792-4807 | 2006-07-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598372963 | Alliance Surgery Center At Peachtree City LLC | Clinic/Center | 1975 Highway 54 W Ste 105, Peachtree City, GA 30269-4794 | 2020-09-29 |
1518579903 | Amin Surgery Center for Women LLC | Clinic/Center | 1150b Kirkland Ln, Douglas, GA 31533-2044 | 2020-08-18 |
1801413174 | Pa-c Surgical Assist, LLC | Clinic/Center | 520 W Ponce Leon Ave #1706, Decatur, GA 30030 | 2020-07-02 |
1720602683 | Georgia Eye Surgery LLC | Clinic/Center | 1620 Prince Ave Ste B, Athens, GA 30606-6008 | 2020-06-05 |
1750905618 | Rsps Fayetteville Asc Lllp | Clinic/Center | 874 Lanier Ave W Ste 270, Fayetteville, GA 30214-7617 | 2020-06-05 |
1699395541 | Medici Surgical Center Gwinnett, LLC | Clinic/Center | 2220 Wisteria Dr Ste 100, Snellville, GA 30078-4604 | 2020-04-21 |
1114552338 | Georgia Interventional Pain - G, LLC | Clinic/Center | 1504 N Thornton Ave Ste 104, Dalton, GA 30720-8394 | 2020-03-09 |
1700424322 | Georgia Interventional Pain - F, LLC | Clinic/Center | 1357 Hembree Rd Ste 230, Roswell, GA 30076-5725 | 2019-12-13 |
1699328369 | Georgia Urology, Pa | Clinic/Center | 1670 Scott Blvd Ste 204k, Decatur, GA 30033-5645 | 2019-07-22 |
1912563941 | Commerce Ambulatory Surgery Center, Inc. | Clinic/Center | 417 Pottery Factory Dr, Commerce, GA 30529-6682 | 2019-05-15 |
Find all providers with the same taxonomy |
City | THOMASVILLE |
Zip Code | 31792 |
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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.