Zachary Alexander Gradolph, | |
2701 N Decatur Rd, Decatur, GA 30033-5918 | |
(404) 501-1000 | |
Not Available |
Full Name | Zachary Alexander Gradolph |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 6 Years |
Location | 2701 N Decatur Rd, Decatur, 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 |
---|---|---|---|
1649755372 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | RN227950 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Piedmont Hospital | Atlanta, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Piedmont Anesthesia Associates Llc | 3577457183 | 257 |
Entity Name | Piedmont Anesthesia Associates Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407856594 PECOS PAC ID: 3577457183 Enrollment ID: O20040212000604 |
Entity Name | American Anesthesiology Associates Of Georgia Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528068673 PECOS PAC ID: 7618934779 Enrollment ID: O20041210000442 |
Mailing Address | Practice Location Address |
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Zachary Alexander Gradolph, 255 Fairfield Cir, Fayetteville, GA 30214-3330 Ph: (404) 405-1423 | Zachary Alexander Gradolph, 2701 N Decatur Rd, Decatur, GA 30033-5918 Ph: (404) 501-1000 |
Samantha Wisner Valentini, RN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2551 Wilson Woods Dr, Decatur, GA 30033 Phone: 770-757-0131 | |
Sara Stelling Jones, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1670 Clairmont Rd, Decatur, GA 30033 Phone: 404-321-6111 | |
Ron I Mcdaniel, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2701 N Decatur Rd, Decatur, GA 30033 Phone: 678-514-1991 Fax: 678-514-1992 | |
Dorothy Blue Wright, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1670 Clairmont Rd, Decatur, GA 30033 Phone: 404-321-6111 | |
Christine Hoefling, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2701 N Decatur Rd, Decatur, GA 30033 Phone: 678-514-1991 Fax: 678-514-1992 | |
Oleg Giren, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2701 N Decatur Rd, Decatur, GA 30033 Phone: 678-514-1991 Fax: 678-514-1992 | |
Natacha Simon-christie, DNP, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 2701 N Decatur Rd, Decatur, GA 30033 Phone: 404-778-7408 Fax: 404-778-3238 |