Kyriakos Tarasidis, MD | |
4575 North Shallowford Road, Dunwoody, GA 30338 | |
(770) 454-4286 | |
(770) 454-4065 |
Full Name | Kyriakos Tarasidis |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 28 Years |
Location | 4575 North Shallowford Road, Dunwoody, Georgia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568417715 | NPI | - | NPPES |
812683459A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 046916 (Georgia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Providence Anesthesiology Associates Pa | 3971566761 | 238 |
Entity Name | Providence Anesthesiology Associates Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396739884 PECOS PAC ID: 3971566761 Enrollment ID: O20041111000930 |
Mailing Address | Practice Location Address |
---|---|
Kyriakos Tarasidis, MD 344 Rolling Hill Rd, Ste 102, Mooresville, NC 28117-6865 Ph: (770) 578-1800 | Kyriakos Tarasidis, MD 4575 North Shallowford Road, Dunwoody, GA 30338 Ph: (770) 454-4286 |
Timothy Boozer, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 4575 N Shallowford Rd, Dunwoody, GA 30338 Phone: 770-454-4286 Fax: 770-454-4065 | |
Richard A Shmerling, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 4575 North Shallowford Road, Dunwoody, GA 30338 Phone: 770-454-4286 Fax: 770-454-4065 | |
Keith Harlan, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 4575 North Shallowford Road, Dunwoody, GA 30338 Phone: 770-454-4286 Fax: 770-454-4065 | |
Sidney M Simpkins, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 4575 North Shallowford Road, Dunwoody, GA 30338 Phone: 770-454-4286 Fax: 770-454-4065 | |
James E Hinkle, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 4575 North Shallowford Road, Dunwoody, GA 30338 Phone: 770-454-4286 Fax: 770-454-4065 | |
Tyrone Baines Ii, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 4575 North Shallowford Road, Dunwoody, GA 30338 Phone: 770-454-4286 Fax: 770-454-4065 |