Ana C Asis, MD
Individual provider Active NPI Anesthesiology Physician · Dacula, GA
NPI 1336109552 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1336109552
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- ME72195 (FL)
- Practice address
- 3343 Mill Grove Ter
Dacula, GA 30019-5013 - Phone
- (770) 614-5376
- Fax
- (770) 614-5376
- NPI assigned
- Mar 23, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME72195 | FL | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesco North Broward LLC | Anesthesiology | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | ME72195 | FL | Yes |
Addresses
Primary practice location
3343 Mill Grove Ter
Dacula, GA 30019-5013
Mailing address
3343 Mill Grove Ter
Dacula, GA 30019-5013
Phone (770) 614-5376
Other providers in Dacula, GA
- Leona Beth Arnold
- Amaka Gloria Asaije
- Jade Asante-Selby
- Jordan Ashford
- Lyna Ashu
- Atlanta Wound Care Specialist, LLC
- Atlanta'S Elite Home Care LLC
- Attending to Your Home Care
- Deborah L. Augst
- Laetitia Badio
All providers in Dacula, GA · Anesthesiology Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.