Ida M Anderson (NPI# 1811934912, PAC ID# 6709843550) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1811934912 |
| PAC ID by PECOS | 6709843550 |
| Professional Enrollment ID | I20041214000495 |
| Full Name | Ida M Anderson |
| Organization Legal Name | PERIMETER ANESTHESIA LLC |
| Address |
505 Jenkins St Lagrange GA 30240-4225 |
| Phone Number | 7064070161 |
| Gender | M |
| Credential | CNA |
| Graduation Year | 1959 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 2567763048 |
| Number of Group Practice Members | 13 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 3193 Howell Mill Rd Nw, Suite 317, Atlanta, GA 30327-2100 | 6785965560 | PERIMETER ANESTHESIA LLC |
| 505 Jenkins St, Lagrange, GA 30240-4225 | 7064070161 | PERIMETER ANESTHESIA LLC |
| Organization Legal Name | PERIMETER ANESTHESIA LLC |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy Barton | Certified Registered Nurse Anesthetist (crna) | Perimeter Anesthesia LLC | 6114 Queens River Dr, Mableton, GA 30126-7257 |
| Timothy J Palmer | Certified Registered Nurse Anesthetist (crna) | Perimeter Anesthesia LLC | 403 Permian Way, Villa Rica, GA 30180-3226 |
| Damien C Mcmurray | Certified Registered Nurse Anesthetist (crna) | Perimeter Anesthesia LLC | 939 Bob Arnold Blvd, Suite G, Lithia Springs, GA 30122-3258 |
| Peter A Beverly | Certified Registered Nurse Anesthetist (crna) | Perimeter Anesthesia LLC | 3193 Howell Mill Rd Nw, Suite 317, Atlanta, GA 30327-2100 |
| Anthony B Schwendinger | Certified Registered Nurse Anesthetist (crna) | Perimeter Anesthesia LLC | 60 Peachtree Park Dr Ne, Atlanta, GA 30309-1304 |
| Pamela G Miller | Certified Registered Nurse Anesthetist (crna) | Perimeter Anesthesia LLC | 403 Permian Way, Villa Rica, GA 30180-3226 |
| Christopher Wayne Cox | Certified Registered Nurse Anesthetist (crna) | Perimeter Anesthesia LLC | 403 Permian Way, Suite D, Villa Rica, GA 30180-3226 |
| Felice Pete | Certified Registered Nurse Anesthetist (crna) | Perimeter Anesthesia LLC | 505 Jenkins St, Lagrange, GA 30240-4225 |
| Robert T. Eliason | Certified Registered Nurse Anesthetist (crna) | Perimeter Anesthesia LLC | 3193 Howell Mill Rd Nw, Suite 317, Atlanta, GA 30327-2100 |
| Street Address |
505 JENKINS ST |
| City | LAGRANGE |
| State | GA |
| Zip | 30240-4225 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Felice Pete | Certified Registered Nurse Anesthetist (crna) | Perimeter Anesthesia LLC | 505 Jenkins St, Lagrange, GA 30240-4225 |
| Angampally G Rajeev | Cardiovascular Disease (cardiology) | 505 Jenkins St, Lagrange, GA 30240-4225 | |
| Mac Bradley Davis | Certified Registered Nurse Anesthetist (crna) | First Source Anesthesia LLC | 505 Jenkins St, Lagrange, GA 30240-4225 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Swaroop N Nyshadham | General Practice | 1990 Lukken Industrial Dr W, Suite C, Lagrange, GA 30240-1404 | |
| James B Brown | Optometry | 803 New Franklin Rd, Lagrange, GA 30240-1843 | |
| Stephan M Langston | Chiropractic | 403 Ridley Ave, Lagrange, GA 30240-2231 | |
| Shannon K Dunlap | Psychologist, Clinical | 610 Ridley Ave, Lagrange, GA 30240-2236 | |
| Ashley Miller | Nurse Practitioner | Georgia Pain and Spine Care, Inc | 303 Smith St, Fl 2, Lagrange, GA 30240-2745 |
| Kent Remley | Interventional Radiology | Georgia Pain and Spine Care, Inc | 303 Smith St, Fl 2, Lagrange, GA 30240-2745 |
| Jerry M Overall | Optometry | 208 Smith St, Lagrange, GA 30240-2755 | |
| Margaret Darden Brown | Clinical Social Worker | 100 Smith St, Suite 1, Lagrange, GA 30240-2780 | |
| James R Aspinwall | Chiropractic | Aspinwall Chiropractic Clinic, L.L.C. | 302 S Greenwood St, Lagrange, GA 30240-3122 |
| David P Dresselhaus | Chiropractic | Aspinwall Chiropractic Clinic, L.L.C. | 302 S Greenwood St, Lagrange, GA 30240-3122 |
| Find all physicians in zip 30240 | |||
| City | LAGRANGE |
| Zip Code | 30240 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | LAGRANGE + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
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| 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.