Christian Patrick Gruta, | |
215 Treadstone Overlook, Johns Creek, GA 30024-1532 | |
(404) 966-6078 | |
Not Available |
Full Name | Christian Patrick Gruta |
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Gender | Male |
Speciality | Anesthesiologist Assistant |
Location | 215 Treadstone Overlook, Johns Creek, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740734813 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367H00000X | Anesthesiologist Assistant | (* (Not Available)) | Primary |
Entity Name | North Atlanta Anesthesia Professionals, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982349296 PECOS PAC ID: 5496134348 Enrollment ID: O20220623000371 |
Mailing Address | Practice Location Address |
---|---|
Christian Patrick Gruta, 215 Treadstone Overlook, Johns Creek, GA 30024-1532 Ph: (404) 966-6078 | Christian Patrick Gruta, 215 Treadstone Overlook, Johns Creek, GA 30024-1532 Ph: (404) 966-6078 |
Elyssa Marie Liwanag Junio, CAA Anesthesiologist Assistant Medicare: Not Enrolled in Medicare Practice Location: 6325 Hospital Pkwy, Johns Creek, GA 30097 Phone: 678-474-7000 | |
Kelly Jocelyn-houchin Scott, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 6325 Hospital Parkway, Johns Creek, GA 30097 Phone: 404-778-8311 Fax: 770-495-1585 | |
Melissa E Leray, AA Anesthesiologist Assistant Medicare: May Accept Medicare Assignments Practice Location: 6325 Hospital Pkwy, Johns Creek, GA 30097 Phone: 404-778-8311 Fax: 770-495-1585 | |
Cheryl Nuclo, A.A. Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 6335 Hospital Pkwy, Johns Creek, GA 30097 Phone: 404-778-8311 | |
Ghazal Motakef, Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 365 Victorian Ln, Johns Creek, GA 30097 Phone: 678-551-0442 |