Traci L Gables (NPI# 1043767437, PAC ID# 6103106240) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ANESTHESIOLOGY ASSISTANT.
| Nation Provider ID (NPI) | 1043767437 |
| PAC ID by PECOS | 6103106240 |
| Professional Enrollment ID | I20161207002742 |
| Full Name | Traci L Gables |
| Organization Legal Name | NORTHSIDE ANESTHESIOLOGY CONSULTANTS, LLC |
| Address |
320 Hospital Rd Suite B Canton GA 30114-2432 |
| Phone Number | 7704795535 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | ANESTHESIOLOGY ASSISTANT |
| Group Practice PAC ID | 7012801277 |
| Number of Group Practice Members | 258 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110008 | NORTHSIDE HOSPITAL CHEROKEE |
| Address | Phone | Organization |
|---|---|---|
| 1000 Johnson Ferry Rd, Atlanta, GA 30342-1606 | 7706459181 | NORTHSIDE ANESTHESIOLOGY CONSULTANTS, LLC |
| 320 Hospital Rd, Suite B, Canton, GA 30114-2432 | 7704795535 | NORTHSIDE ANESTHESIOLOGY CONSULTANTS, LLC |
| Organization Legal Name | NORTHSIDE ANESTHESIOLOGY CONSULTANTS, LLC |
| Physicians | 278 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shelley S Staton | Anesthesiology Assistant | Northside Anesthesiology Consultants, LLC | 1340 Upper Hembree Rd, Suite A, Roswell, GA 30076-0927 |
| Hess A Panjeton | Anesthesiology | Northside Anesthesiology Consultants, LLC | 1100 Johnson Ferry Rd, Suite 180, Sandy Springs, GA 30342-1795 |
| Amar R Herndon | Anesthesiology Assistant | Northside Anesthesiology Consultants, LLC | 1000 Johnson Ferry Rd, Atlanta, GA 30342-1606 |
| Mishana L Mogelnicki | Anesthesiology Assistant | Northside Anesthesiology Consultants, LLC | 1055 Haw Creek Pkwy, Cumming, GA 30041-6564 |
| Sarah M Von Thaer | Anesthesiology | Northside Anesthesiology Consultants, LLC | 1000 Johnson Ferry Rd, Atlanta, GA 30342-1606 |
| Susan C Osgood | Certified Registered Nurse Anesthetist (crna) | Northside Anesthesiology Consultants, LLC | 1000 Johnson Ferry Rd, Atlanta, GA 30342-1606 |
| Dana Erickson | Certified Registered Nurse Anesthetist (crna) | Northside Anesthesiology Consultants, LLC | 1000 Johnson Ferry Rd, Atlanta, GA 30342-1606 |
| Erica Addison | Anesthesiology Assistant | Northside Anesthesiology Consultants, LLC | 1000 Johnson Ferry Rd, Atlanta, GA 30342-1606 |
| Allyson B Richmond | Anesthesiology Assistant | Northside Anesthesiology Consultants, LLC | 1000 Johnson Ferry Rd, Atlanta, GA 30342-1606 |
| Stephen C Grice | Anesthesiology | Northside Anesthesiology Consultants, LLC | 1055 Haw Creek Pkwy, Cumming, GA 30041-6564 |
| Street Address |
320 HOSPITAL RD SUITE B |
| City | CANTON |
| State | GA |
| Zip | 30114-2432 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lakeisha Blair-watson | Family Medicine | Medical Associates Professional Services, LLC | 320 Hospital Rd, Canton, GA 30114-2432 |
| Geobila Dangoh | Anesthesiology Assistant | Northside Anesthesiology Consultants, LLC | 320 Hospital Rd, Suite B, Canton, GA 30114-2432 |
| Salvatore A Bruni | Family Medicine | Medical Associates Professional Services, LLC | 320 Hospital Rd, Canton, GA 30114-2432 |
| Christopher R Wade | Anesthesiology Assistant | Northside Anesthesiology Consultants, LLC | 320 Hospital Rd, Suite B, Canton, GA 30114-2432 |
| Sheryl S Dickman | Anesthesiology | Northside Anesthesiology Consultants, LLC | 320 Hospital Rd, Suite B, Canton, GA 30114-2432 |
| Victor W Chen | Rheumatology | Medical Associates Professional Services, LLC | 320 Hospital Rd, Canton, GA 30114-2432 |
| Nonna R Livits | Family Medicine | Medical Associates Professional Services, LLC | 320 Hospital Rd, Canton, GA 30114-2432 |
| Sharron Smith | Anesthesiology | Northside Anesthesiology Consultants, LLC | 320 Hospital Rd, Suite B, Canton, GA 30114-2432 |
| Avanthi Doppalapudi | Infectious Disease | Medical Associates Professional Services, LLC | 320 Hospital Rd, Canton, GA 30114-2432 |
| Ruby B Thomas | Certified Registered Nurse Anesthetist (crna) | Northside Anesthesiology Consultants, LLC | 320 Hospital Rd, Suite B, Canton, GA 30114-2432 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ryan Hudson Fitzgerald | Podiatry | Village Podiatry Group, LLC. | 132 Riverstone Ter, Suite 101, Canton, GA 30114-1703 |
| Mitchell P Hilsen | Podiatry | Village Podiatry Group, LLC. | 132 Riverstone Ter, Suite 101, Canton, GA 30114-1703 |
| Elizabeth C Mccaw | Occupational Therapy | The Weston Group Inc | 1100 Reinhardt College Pkwy, Canton, GA 30114-2011 |
| Kevin F Goodgame | Physical Therapy | The Weston Group Inc | 1100 Reinhardt College Pkwy, Canton, GA 30114-2011 |
| Sara B Keeley | Nurse Practitioner | Piedmont Professional Services, LLC | 120 Marietta Hwy, Canton, GA 30114-2303 |
| Charlotte A Howell | Nurse Practitioner | Piedmont Professional Services, LLC | 120 Marietta Hwy, Canton, GA 30114-2303 |
| Sarah E Britt | Nurse Practitioner | Piedmont Professional Services, LLC | 120 Marietta Hwy, Canton, GA 30114-2303 |
| Elizabeth D Green | Clinical Social Worker | 59 Anderson Ave, Apt 308, Canton, GA 30114-2343 | |
| Dinesh K Bhatia | Nephrology | Dinesh K Bhatia Md PC | 260 B Hospital Rd, Canton, GA 30114-2409 |
| Alexander Kessler | Internal Medicine | 50 Medical Ln, Canton, GA 30114-2417 | |
| Find all physicians in zip 30114 | |||
| City | CANTON |
| Zip Code | 30114 |
| Specialty | ANESTHESIOLOGY ASSISTANT |
| City + Specialty | CANTON + ANESTHESIOLOGY ASSISTANT |
Please comment or provide details below to improve the information on Traci L Gables.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.