Shane A Latham, AA | |
5665 Peachtree Dunwoody Rd Ne, Atlanta, GA 30342-1764 | |
(404) 851-7324 | |
(404) 843-2627 |
Full Name | Shane A Latham |
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Gender | Male |
Speciality | Anesthesiology Assistant |
Experience | 16 Years |
Location | 5665 Peachtree Dunwoody Rd Ne, Atlanta, 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 |
---|---|---|---|
1144472838 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367H00000X | Anesthesiologist Assistant | 005398 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Saint Joseph's Hospital Of Atlanta, Inc | Atlanta, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Physician Specialists In Anesthesia, P.c. | 9830170059 | 87 |
Entity Name | Physician Specialists In Anesthesia, P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316968662 PECOS PAC ID: 9830170059 Enrollment ID: O20040525000912 |
Mailing Address | Practice Location Address |
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Shane A Latham, AA 5671 Peachtree Dunwoody Rd Ne, Suite 530, Atlanta, GA 30342-5000 Ph: (404) 257-1415 | Shane A Latham, AA 5665 Peachtree Dunwoody Rd Ne, Atlanta, GA 30342-1764 Ph: (404) 851-7324 |
Matthew Lewis, PAA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 1405 Clifton Rd Ne Fl 3, Atlanta, GA 30322 Phone: 404-785-6670 Fax: 404-785-1362 | |
Elizabeth Ikeda, Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 1365 Clifton Rd Ne, Atlanta, GA 30322 Phone: 404-778-8311 | |
Amar R Herndon, Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342 Phone: 770-645-9181 | |
Shelley S Staton, PAAA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 1000 Johnson Ferry Rd, Atlanta, GA 30342 Phone: 770-645-9181 Fax: 770-645-8455 | |
Mr. Grant Michael Mury, PAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 550 Peachtree St Ne, Atlanta, GA 30308 Phone: 404-778-3900 | |
Ashley Schade, PAAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 5665 Peachtree Dunwoody Rd, Atlanta, GA 30342 Phone: 706-543-3449 | |
Jiaqi Tracy Li, PAA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 1001 Johnson Fy Rd Ne, Atlanta, GA 30342 Phone: 404-785-2008 Fax: 404-785-4496 |