Atlanta Aesthetic and Reconstructive Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

060-437 Issued in GA

Legal business name

ATLANTA AESTHETIC AND RECONSTRUCTIVE SURGERY CENTER, LLC

Practice address

1 Baltimore PL NW Ste 400
Atlanta, GA 30308-2117

Phone

(404) 885-9675

Fax

(404) 875-4017

NPI assigned

Feb 8, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Frederick T Work II, M.D.NPI 1619941911

Title

Medical Director

Phone

(404) 885-9675

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Frederick Taylor Work, M.D.

  • Plastic Surgery Physician
  • Atlanta, GA
  • NPI 1619941911
  NPD Authorized official
• Florence R Lecraw, M.D

  • Anesthesiology Physician
  • Atlanta, GA
  • NPI 1588687289
  NPD
• Frank A Brown, CRNA

  • Certified Registered Nurse Anesthetist
  • Jacksonville, AL
  • NPI 1063418200
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1297123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301356800000",
    "number": "1013213016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 PIEDMONT AVE NE STE 320-359",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303082478",
            "telephone_number": "404-885-9675",
            "fax_number": "404-875-4017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BALTIMORE PL NW STE 400",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303082117",
            "telephone_number": "404-885-9675",
            "fax_number": "404-875-4017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTA AESTHETIC AND RECONSTRUCTIVE SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-08",
        "last_updated": "2011-03-29",
        "status": "A",
        "authorized_official_last_name": "WORK",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "404-885-9675",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "GA",
            "license": "060-437",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000685352F",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Atlanta Allergy & Asthma Clinic PA
• Atlanta Anesthesia Associates
• Atlanta Apc Plastic Surgery
• Atlanta Area Family Psychiatry Clinic
• Atlanta Area Home Care, LLC

• All providers in Atlanta, GA
• Ambulatory Surgical Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.