Mak Anesthesia Westside LLC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

MAK ANESTHESIA WESTSIDE LLC

Practice address

1269 Wellbrook Cir NE
Conyers, GA 30012-3873

Phone

(770) 922-0505

Fax

(770) 922-1870

NPI assigned

Jan 12, 2012

Organization subpart

No

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

Authorized official

Name

Pamela A Weigandt, MD

Title

President

Phone

(770) 702-1806

Specialties & licenses 1

Addresses

Practitioners 1

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

• Nabeel A Khan, MD

  • Anesthesiology Physician
  • Austell, GA
  • NPI 1811003213
  NPD (past)

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

{
    "created_epoch": "1326326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477958400000",
    "number": "1063782696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1635 OLD 41 HIGHWAY NW, SUITE 112-328",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "30152",
            "telephone_number": "770-702-1806",
            "fax_number": "770-693-0810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1269 WELLBROOK CIR NE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300123873",
            "telephone_number": "770-922-0505",
            "fax_number": "770-922-1870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAK ANESTHESIA WESTSIDE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-12",
        "last_updated": "2016-11-01",
        "status": "A",
        "authorized_official_last_name": "WEIGANDT",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-702-1806",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariny Margaret Mahabee-Harris, PH.D.
• Ritika Mahajan, M.D.
• Rajendra Maharaj, NP
• Casey Maher
• William Bernard Mahoney, M.D.
• Noah Beech Malone, CAA
• Quindel Malone, RBT
• Mackenzie Erin Manley, PAC
• Michael Joseph Manning, M.D.
• Kelly Marchman, RBT

• Anesthesiology Physician in Conyers, GA
• Providers in Conyers, GA by specialty
• Anesthesiology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2016; 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.