Daniel R Skinner (NPI# 1396083887, PAC ID# 7517111792) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1396083887 |
| PAC ID by PECOS | 7517111792 |
| Professional Enrollment ID | I20130218000285 |
| Full Name | Daniel R Skinner |
| Organization Legal Name | MAK ANESTHESIA HOLDINGS, LLC |
| Address |
601 S 8th St Griffin GA 30224-4213 |
| Phone Number | 7702282721 |
| Gender | M |
| Medical School | MERCER UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2012 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 4284917204 |
| Number of Group Practice Members | 164 |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110031 | WELLSTAR SPALDING REGIONAL HOSPITAL |
| 110135 | TAYLOR REGIONAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 303 Pkwy Dr Ne, Atlanta, GA 30312-1212 | 4042654000 | MAK ANESTHESIA HOLDINGS, LLC |
| 601 S 8th St, Griffin, GA 30224-4213 | 7702282721 | MAK ANESTHESIA HOLDINGS, LLC |
| 222 Perry Hwy, Hawkinsville, GA 31036-6748 | 4787830200 | NMDA ANESTHESIA LLC |
| Organization Legal Name | MAK ANESTHESIA HOLDINGS, LLC |
| Physicians | 144 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patti E. Landerfelt | Certified Registered Nurse Anesthetist (crna) | Mak Anesthesia Holdings, LLC | 1269 Wellbrook Cir Ne, Conyers, GA 30012-3873 |
| Jerry T Todd | Anesthesiology | Mak Anesthesia Holdings, LLC | 9930 Johnson Ferry Rd Ne, Suite 200, Atlanta, GA 30342 |
| Bhavik D Mehta | Anesthesiology Assistant | Mak Anesthesia Holdings, LLC | 3950 Austell Rd, Austell, GA 30106-1121 |
| Grant Doornbos | Anesthesiology | Mak Anesthesia Holdings, LLC | 2041 Mesa Valley Way, Suite 125, Austell, GA 30106-6828 |
| Maria M Earnhart | Anesthesiology Assistant | Mak Anesthesia Holdings, LLC | 895 Canton Rd Ne, Suite 300, Marietta, GA 30060-8934 |
| Frank W Demarino | Anesthesiology | Mak Anesthesia Holdings, LLC | 2550 Windy Hill Rd Se, Suite 218, Marietta, GA 30067-8654 |
| Reza H Mohammad | Anesthesiology Assistant | Mak Anesthesia Holdings, LLC | 3950 Austell Rd, Austell, GA 30106-1121 |
| Morgan T Maeger | Certified Registered Nurse Anesthetist (crna) | Mak Anesthesia Holdings, LLC | 3950 Austell Rd, Austell, GA 30106-1121 |
| Whitney A Wright | Anesthesiology Assistant | Mak Anesthesia Holdings, LLC | 3950 Austell Rd, Austell, GA 30106-1121 |
| Frankie Annette Hurst | Certified Registered Nurse Anesthetist (crna) | Mak Anesthesia Holdings, LLC | 3950 Austell Rd, Austell, GA 30106-1121 |
| Street Address |
601 S 8TH ST |
| City | GRIFFIN |
| State | GA |
| Zip | 30224-4213 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| May Y Choi | Emergency Medicine | Georgia Emergency Group LLC | 601 S 8th St, Griffin, GA 30224-4213 |
| Cyril Mark Anara | Hospitalist | Wellstar Medical Group, LLC | 601 S 8th St, Griffin, GA 30224-4213 |
| John Themistocles Chryssochoos | General Surgery | Wellstar Medical Group, LLC | 601 S 8th St, Griffin, GA 30224-4213 |
| Winston C Ugbajah | Hospitalist | Wellstar Medical Group, LLC | 601 S 8th St, Griffin, GA 30224-4213 |
| Kenneth Wayne Jones Jr | Internal Medicine | Georgia Hospitalists Group, LLC | 601 S 8th St, Griffin, GA 30224-4213 |
| Cherry L Tison | Nurse Practitioner | Georgia Hospitalists Group, LLC | 601 S 8th St, Griffin, GA 30224-4213 |
| Richard L Kuntz | Anesthesiology | Mak Anesthesia Holdings, LLC | 601 S 8th St, Griffin, GA 30224-4213 |
| Noah F Delone | Emergency Medicine | Georgia Emergency Group LLC | 601 S 8th St, Griffin, GA 30224-4213 |
| Carlos R Roman | Anesthesiology | Mak Anesthesia Holdings, LLC | 601 S 8th St, Griffin, GA 30224-4213 |
| Nilam Vaughan | Emergency Medicine | Georgia Emergency Group LLC | 601 S 8th St, Griffin, GA 30224-4213 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jolina Pamela C Santos | Nephrology | Peach State Nephrology | 619 S St, Suite 100, Griffin, GA 30224 |
| Sonu Singh | Nephrology | Peach State Nephrology | 619 S St, Suite 100, Griffin, GA 30224 |
| James J Clark | Optometry | 210 S 16th St, Griffin, GA 30224-2663 | |
| Angela Parker | Nurse Practitioner | Reliance Health and Home Physician Services, Inc | 625 Carver Rd, Griffin, GA 30224-3937 |
| Vicky E Mack | Nurse Practitioner | Reliance Health and Home Physician Services, Inc | 621 Carver Rd, Griffin, GA 30224-3937 |
| Nballu Goba | Nurse Practitioner | Reliance Health and Home Physician Services, Inc | 625 Carver Rd, Griffin, GA 30224-3937 |
| Carlena Plunkett | Nurse Practitioner | Reliance Health and Home Physician Services, Inc | 625 Carver Rd, Griffin, GA 30224-3937 |
| Latonia Michelle Trawick | Nurse Practitioner | Reliance Health and Home Physician Services, Inc | 625 Carver Rd, Griffin, GA 30224-3937 |
| Stephanie Nichole Van Dine | Nurse Practitioner | Middle Georgia Heart and Vascular Center, LLC | 321 S 9th St, Griffin, GA 30224-4111 |
| Dwayne L Watkins | Internal Medicine | Heartland Healthcare PC | 327 S 9th St, Griffin, GA 30224-4111 |
| Find all physicians in zip 30224 | |||
| City | GRIFFIN |
| Zip Code | 30224 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | GRIFFIN + 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.