Timothy Boozer, MD | |
4575 N Shallowford Rd, Dunwoody, GA 30338-6445 | |
(770) 454-4286 | |
(770) 454-4065 |
Full Name | Timothy Boozer |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 37 Years |
Location | 4575 N Shallowford Rd, 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 |
---|---|---|---|
1194770131 | NPI | - | NPPES |
000542748G | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 033237 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Emory University Hospital | Atlanta, GA | Hospital |
Emory Hillandale Hospital | Lithonia, GA | Hospital |
Emory Decatur Hospital | Decatur, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Emory Specialty Associates, Llc | 3476559782 | 435 |
The Emory Clinic, Inc | 8820901408 | 2729 |
Entity Name | The Emory Clinic Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396798229 PECOS PAC ID: 8820901408 Enrollment ID: O20031110000503 |
Entity Name | Emory Specialty Associates, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407864168 PECOS PAC ID: 3476559782 Enrollment ID: O20061010000447 |
Mailing Address | Practice Location Address |
---|---|
Timothy Boozer, MD Po Box 70128, Marietta, GA 30007-0128 Ph: (770) 578-1800 | Timothy Boozer, MD 4575 N Shallowford Rd, Dunwoody, GA 30338-6445 Ph: (770) 454-4286 |
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 | |
Kyriakos Tarasidis, MD Anesthesiology Medicare: Accepting Medicare Assignments 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 |