Liza Tanghal, PA C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

003108 Issued in GA

Practice address

1700 Tree Lane Rd
Ste 320
Snellville, GA 30078-2211

Phone

(770) 985-6233

Fax

(770) 985-6864

NPI assigned

Jun 8, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lizatanghal@entassocia.allscriptsdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ear, Nose & Throat Associates, PC

  • Specialist
  • Snellville, GA
  • NPI 1962540898
  NPD

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

{
    "created_epoch": "1118188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463616000000",
    "number": "1093719072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 TREE LANE RD",
            "address_2": "STE 320",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300782211",
            "telephone_number": "770-985-6233",
            "fax_number": "770-985-6864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 TREE LANE RD",
            "address_2": "STE 320",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300782211",
            "telephone_number": "770-985-6233",
            "fax_number": "770-985-6864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANGHAL",
        "first_name": "LIZA",
        "credential": "PA C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-08",
        "last_updated": "2016-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "003108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sy Dentistry DMD PC
• Badar H Syed, MD
• Synapse Emg Services, LLC
• T&D Health Network
• Tangerine Behavioral Consulting LLC
• Sriharsha S Tanguturi, M.D.
• Sara Beth Bryan Tanjuatco, M.S, CCC-SLP
• Amarech Worku Tarekegn
• Carla Tate
• Dustin M Tate, ATC

• Medical Physician Assistant in Snellville, GA
• Providers in Snellville, GA by specialty
• Medical Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.