Oral Surgery Anesthesia Associates LLC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

ORAL SURGERY ANESTHESIA ASSOCIATES LLC

Practice address

5825 Glenridge Drive
Building 3, Suite 101, #123
Atlanta, GA 30328

Phone

(404) 242-6360

Fax

(404) 902-5716

NPI assigned

Jan 15, 2020

Organization subpart

Yes

Parent organization

TECHNICAL ANESTHESIA STRATEGIES AND SOLUTIONS LLCAs reported in NPPES

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

Authorized official

Name

Dr. Stanford R. Plavin, MDNPI 1285621110

Title

Physician/Owner

Phone

(404) 242-6360

Specialties & licenses 4

Addresses

Electronic endpoints 1

Practitioners 1

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

• Stanford R. Plavin, MD

  • Anesthesiology Physician
  • Atlanta, GA
  • NPI 1285621110
  NPD Authorized official

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

{
    "created_epoch": "1579046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624924800000",
    "number": "1316587652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "438 TARA TRL",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303274926",
            "telephone_number": "404-242-6360",
            "fax_number": "404-549-2853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5825 GLENRIDGE DRIVE",
            "address_2": "BUILDING 3, SUITE 101, #123",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30328",
            "telephone_number": "404-242-6360",
            "fax_number": "404-902-5716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORAL SURGERY ANESTHESIA ASSOCIATES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TECHNICAL ANESTHESIA STRATEGIES AND SOLUTIONS LLC",
        "enumeration_date": "2020-01-15",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A",
        "authorized_official_last_name": "PLAVIN",
        "authorized_official_first_name": "STANFORD",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "404-242-6360",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "1223D0004X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Dental Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207LP3000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pediatric Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Atlanta",
            "affiliation": "N",
            "endpointDescription": "office",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5825 Glenridge Drive",
            "address_2": "Building 3, Suite 101, #123",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "30328",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Oral Surgery Specialists of Atlanta, LLC
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• Orchid Community Living Inc
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• Anesthesiology Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Anesthesiology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2021; 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.