MISS BENITA MERIN MATHEW


Address: 575 Professional Dr, #165, Lawrenceville, GA 30046-3333
Phone: 7702773056

MISS BENITA MERIN MATHEW (NPI# 1992161624) 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) 1992161624
Entity Type Individual
Full Name MISS BENITA MERIN MATHEW
Credential CAA
Practice Address 575 Professional Dr
#165
Lawrenceville
GA 30046-3333
Practice Telephone 7702773056
Mailing Telephone 7702773056
Enumeration Date 2016-01-11
Last Update Date 2016-01-11
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 367H00000X Anesthesiologist Assistant 7853 GA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 575 PROFESSIONAL DR
#165
City LAWRENCEVILLE
State GA
Zip Code 30046-3333

Providers in the same location

NPI Name Taxonomy Address Enumeration
1669478830 Kenneth Jay Sobel Internal Medicine 575 Professional Dr, Ste 510, Lawrenceville, GA 30045-3336 2005-06-22
1992241913 Jemimah Miriam Varghese Registered Nurse 575 Professional Dr, Suite 165, Lawrenceville, GA 30046-3333 2017-01-14
1811370737 Gregg Snider Anesthesiologist Assistant 575 Professional Dr, Lawrenceville, GA 30046-3333 2015-07-09
1316293350 Carolyn Lovejoy Stegall Nurse Practitioner 575 Professional Dr, #510, Lawrenceville, GA 30046-3333 2012-07-27
1487974853 Mehdi Kazemzadeh, Optometrist, P C Optometrist 575 Professional Dr, 100, Lawrenceville, GA 30046-3333 2010-06-08
1033370762 Bennett H. Bruckner,m.d., P.C. Internal Medicine 575 Professional Dr, Suite 290, Lawrenceville, GA 30045-3333 2008-06-25
1134390487 Adult Primary Care Associates of Greater Gwinnett, LLC Internal Medicine 575 Professional Dr, Suite 510, Lawrenceville, GA 30045-3333 2008-03-14
1073716908 Sleep Health Diagnostics, LLC. Clinic/Center 575 Professional Dr, Suite 260, Lawrenceville, GA 30046-3333 2007-06-07
1891902714 Robert Emerson Ayer Neurological Surgery 575 Professional Dr, Suite 350, Lawrenceville, GA 30046-3333 2007-05-17
1194947630 Mia M Mathewson Anesthesiology 575 Professional Dr, Ste 165, Lawrenceville, GA 30046-3333 2007-05-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1063023174 Alpha & Omega Hearing Centers Hearing Instrument Specialist Alpha & Omega Hearing Centers, 250 Langley Drive, Suite 1106, Lawrenceville, GA 30046 2020-08-12
1285259846 Mesun Health Services, Inc Clinical Nurse Specialist 88 Johnson Rd Building # 1-b, Lawrenceville, GA 30046 2020-06-10
1215550264 Mesun Health Services, Inc Skilled Nursing Facility 88 Johnson Rd. Building #2, Lawrenceville, GA 30046 2020-05-26
1306499785 Bryan Acosta Chiropractor 471 Scenic Hwy South, Lawrenceville, GA 30046 2019-07-24
1205308616 Belle Lumiere Cosmetics LLC Dermatology 753 Old Norcross Road, Lawrenceville, GA 30046 2018-12-24
1548730179 Alexis Nicole Robinson Nurse Anesthetist, Certified Registered 1000 Medical Center Boulevard, Lawrenceville, GA 30046 2018-11-27
1679060388 Christopher Puckett Student in an Organized Health Care Education/Training Program 665 Duluth Hwy Suite 501, Lawrenceville, GA 30046 2018-04-18
1457851255 Advanced Urology Institute of Georgia Urology 501 Crown Point Way, Lawrenceville, GA 30046 2018-02-19
1013447044 Pharmacy Investments of Lawrenceville, LLC Pharmacy 738 Old Norcross Road, Ste A, Lawrenceville, GA 30046 2017-06-13
1225577000 Priority Housecalls LLC Clinic/Center 225 Scenic Hwy, Ste 200, Lawrenceville, GA 30046 2017-02-14
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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
1346703758 Alexander Lee Anesthesiologist Assistant 1228 Christiana Xing, Lawrenceville, GA 30043-7007 2019-04-11
1194252379 Manuela Botero Anesthesiologist Assistant 1209 Lochshyre Ct, Lawrenceville, GA 30043-4474 2017-05-18
1699962738 Ndidi O Walker Anesthesiologist Assistant 575 Profession Drive, Ste. 165, Lawrenceville, GA 30046-3333 2007-10-03
1780298356 Jennifer Nicole Venable Anesthesiologist Assistant 1000 Medical Center Blvd, Lawrenceville, GA 30046-7694 2020-09-01
1639782378 Tehzeeb Babwani Anesthesiologist Assistant 1000 Medical Center Blvd, Lawrenceville, GA 30046-7694 2020-08-24
1508400078 Eui Jong Anesthesiologist Assistant 1000 Medical Center Blvd, Lawrenceville, GA 30046-7694 2019-10-29
1326533266 Moon Young Jung Anesthesiologist Assistant 1000 Medical Center Blvd, Lawrenceville, GA 30046 2018-06-23
1831607142 Betsy Eleane Cuenca Anesthesiologist Assistant 1000 Medical Center Blvd, Lawrenceville, GA 30046-7694 2018-01-21
1093263899 Lin Thi Bui Anesthesiologist Assistant 1000 Medical Center Blvd, Lawrenceville, GA 30046-7694 2016-09-21
1811370737 Gregg Snider Anesthesiologist Assistant 575 Professional Dr, Lawrenceville, GA 30046-3333 2015-07-09
Find all providers in LAWRENCEVILLE

Competitor

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City LAWRENCEVILLE
Zip Code 30046

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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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