Dr Jerry Tee Todd, MD | |
1300 Ridenour Blvd Nw Ste 300, Kennesaw, GA 30152-4402 | |
(770) 634-4215 | |
Not Available |
Full Name | Dr Jerry Tee Todd |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 13 Years |
Location | 1300 Ridenour Blvd Nw Ste 300, Kennesaw, Georgia |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699041863 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | MD.35302 (Alabama) | Secondary |
207L00000X | Anesthesiology | 76501 (Georgia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mak Anesthesia Holdings, Llc | 4284917204 | 170 |
Entity Name | Mountainside Anesthesia Consultants, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346327152 PECOS PAC ID: 2365430899 Enrollment ID: O20040504000685 |
Entity Name | Northlake Anesthesia Professionals,llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982637419 PECOS PAC ID: 2769471796 Enrollment ID: O20040506001031 |
Entity Name | Capitol Anesthesiology, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245287192 PECOS PAC ID: 5799774642 Enrollment ID: O20040507000216 |
Entity Name | Amsol Physicians Of Columbus Ga Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114010584 PECOS PAC ID: 2567427495 Enrollment ID: O20041119000765 |
Entity Name | Amsol Anesthetists Of Georgia, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649224775 PECOS PAC ID: 5193780955 Enrollment ID: O20041122000580 |
Entity Name | Amsol Physicians Of Georgia Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134350531 PECOS PAC ID: 1557496783 Enrollment ID: O20100312000866 |
Entity Name | Ambulatory Anesthesia Partners Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851799373 PECOS PAC ID: 9931401858 Enrollment ID: O20160111000407 |
Entity Name | Mak Anesthesia Holdings, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912452939 PECOS PAC ID: 4284917204 Enrollment ID: O20170216001563 |
Entity Name | Mak Anesthesia Northside Affiliates Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609390103 PECOS PAC ID: 7315203718 Enrollment ID: O20171116002499 |
Entity Name | Radius Anesthesia Of Georgia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861996225 PECOS PAC ID: 2567897127 Enrollment ID: O20200109000552 |
Entity Name | Anesthesia Dynamics Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073001012 PECOS PAC ID: 3779832530 Enrollment ID: O20200508002106 |
Mailing Address | Practice Location Address |
---|---|
Dr Jerry Tee Todd, MD 3999 Matty Dr Ne, Marietta, GA 30066-1113 Ph: (770) 634-4215 | Dr Jerry Tee Todd, MD 1300 Ridenour Blvd Nw Ste 300, Kennesaw, GA 30152-4402 Ph: (770) 634-4215 |
Russell H Blocker, PAAA Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1640 Airport Rd Nw, Ste. 110, Kennesaw, GA 30144 Phone: 678-202-2074 Fax: 678-290-0479 | |
Walter H Butler, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1640 Airport Rd Nw, Ste 110, Kennesaw, GA 30144 Phone: 678-202-2074 Fax: 770-590-1442 | |
Melody Bolton, Anesthesiology Medicare: May Accept Medicare Assignments Practice Location: 1300 Ridenour Blvd Nw Ste 300, Kennesaw, GA 30152 Phone: 985-722-7993 | |
Christopher W Stowell, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3450 Acworth Due West Rd Nw Ste 200, Kennesaw, GA 30144 Phone: 770-794-6643 Fax: 770-794-6683 | |
Henry Rachal Iii, M.D. Anesthesiology Medicare: May Accept Medicare Assignments Practice Location: 1300 Ridenour Blvd Nw Ste 300, Kennesaw, GA 30152 Phone: 770-693-0810 | |
Dr. Grant Adam Doornbos, M.D. Anesthesiology Medicare: May Accept Medicare Assignments Practice Location: 1300 Ridenour Blvd Nw Ste 300, Kennesaw, GA 30152 Phone: 770-702-1806 | |
James Michael Ditolla, D.O. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1275 Shiloh Rd Nw Ste 2120, Kennesaw, GA 30144 Phone: 631-671-1194 |