Patti E. Landerfelt (NPI# 1437184603, PAC ID# 9032458823) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1437184603 |
| PAC ID by PECOS | 9032458823 |
| Professional Enrollment ID | I20190221001731 |
| Full Name | Patti E. Landerfelt |
| Organization Legal Name | MAK ANESTHESIA HOLDINGS, LLC |
| Address |
1269 Wellbrook Cir Ne Conyers GA 30012-3873 |
| Phone Number | 7707021806209 |
| Gender | F |
| Graduation Year | 2011 |
| 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 |
|---|---|
| 110143 | WELLSTAR COBB HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3950 Austell Rd, Austell, GA 30106-1121 | 7707021806 | MAK ANESTHESIA HOLDINGS, LLC |
| 1269 Wellbrook Cir Ne, Conyers, GA 30012-3873 | 7707021806209 | MAK ANESTHESIA HOLDINGS, LLC |
| Organization Legal Name | MAK ANESTHESIA HOLDINGS, LLC |
| Physicians | 144 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| 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 |
| Khushbu Modi | Certified Registered Nurse Anesthetist (crna) | Mak Anesthesia Holdings, LLC | 3950 Austell Rd, Austell, GA 30106-1121 |
| Street Address |
1269 WELLBROOK CIR NE |
| City | CONYERS |
| State | GA |
| Zip | 30012-3873 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven T Wilder | Chiropractic | 1091 W Ave Sw, Conyers, GA 30012 | |
| Sitharam Chowdary Nandigam | Nephrology | Eastside Premier Nephrology and Hypertension PC | 1612 Milstead Rd, Suite A, Conyers, GA 30012-3738 |
| Ekundayo A Falase | Nephrology | Eastside Premier Nephrology and Hypertension PC | 1612 Milstead Rd, Suite A, Conyers, GA 30012-3738 |
| Yilikal Tassew Kassa | Nephrology | Eastside Premier Nephrology and Hypertension PC | 1612 Milstead Rd, Suite A, Conyers, GA 30012-3738 |
| Nardos Ketema Belayneh | Nephrology | Eastside Premier Nephrology and Hypertension PC | 1612 Milstead Rd, Suite A, Conyers, GA 30012-3738 |
| Neil A Trossevin | Physician Assistant | Georgia Urology, Pa | 1301 Sigman Rd Ne, Suite 250a, Conyers, GA 30012-3812 |
| Allen A Futral | Urology | Georgia Urology, Pa | 1301 Sigman Rd Ne, Suite 250a, Conyers, GA 30012-3812 |
| Bert T Chen | Urology | Georgia Urology, Pa | 1301 Sigman Rd Ne, Suite 250a, Conyers, GA 30012-3812 |
| Froylan C Gonzales | Urology | Georgia Urology, Pa | 1301 Sigman Rd Ne, Suite 250a, Conyers, GA 30012-3812 |
| Kisha Adderley | Nurse Practitioner | Rockdale Physician Practices LLC | 1301 Sigman Rd Ne, Suite 125, Conyers, GA 30012-3812 |
| Find all physicians in zip 30012 | |||
| City | CONYERS |
| Zip Code | 30012 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | CONYERS + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on Patti E. Landerfelt.
| 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.