Advanced Micro LLC

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

Legal business name

ADVANCED MICRO LLC

Practice address

1266 W Paces Ferry Rd NW Ste 231
Atlanta, GA 30327-2306

Phone

(443) 929-4050

NPI assigned

Feb 25, 2020

Last updated

Jul 21, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Pak Ho Samuel ShihNPI 1376696179

Title

President

Phone

(443) 939-4050

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, and the practitioner matching its NPPES authorized official.

• Pak Ho Samuel Shih, MD

  • Surgery Physician
  • Atlanta, GA
  • NPI 1376696179
  NPD Authorized official

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

{
    "created_epoch": "1582588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595289600000",
    "number": "1376177733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1266 W PACES FERRY RD NW STE 231",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303272306",
            "telephone_number": "443-939-4050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1266 W PACES FERRY RD NW STE 231",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303272306",
            "telephone_number": "443-929-4050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED MICRO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-25",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A",
        "authorized_official_last_name": "SHIH",
        "authorized_official_first_name": "PAK HO SAMUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "443-939-4050"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Plastic and Reconstructive Surgery Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Plastic and Reconstructive Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2020; 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.