Mak Anesthesia Direct Services LLC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

051609 Issued in GA

Legal business name

MAK ANESTHESIA DIRECT SERVICES LLC

Practice address

11681 Haynes Bridge Rd
Suite 110
Alpharetta, GA 30009-2133

Phone

(770) 702-1806

NPI assigned

Apr 1, 2016

Last updated

Apr 1, 2016By the provider in NPPES

Organization subpart

Yes

Parent organization

MAK ANESTHESIA PROVIDERS LLCAs reported in NPPES

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

Authorized official

Name

Dr. Pamela Weigandt, MD

Title

President/Owner

Phone

(770) 702-1806

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1459468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459468800000",
    "number": "1275996787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1635 OLD 41 HWY NW",
            "address_2": "SUITE 112-328",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301524480",
            "telephone_number": "770-702-1806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11681 HAYNES BRIDGE RD",
            "address_2": "SUITE 110",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300092133",
            "telephone_number": "770-702-1806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAK ANESTHESIA DIRECT SERVICES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MAK ANESTHESIA PROVIDERS LLC",
        "enumeration_date": "2016-04-01",
        "last_updated": "2016-04-01",
        "status": "A",
        "authorized_official_last_name": "WEIGANDT",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "770-702-1806",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "GA",
            "license": "051609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

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