Mak Anesthesia, LLC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

OCC003663 Issued in GA

Legal business name

MAK ANESTHESIA, LLC

Practice address

1621 N Roberts Rd NW Ste 110
Kennesaw, GA 30144-3640

Phone

(770) 702-1806

NPI assigned

Jul 16, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Pamela Weigandt, M.D.

Title

President and Ceo

Phone

(770) 702-1806

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1437004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437004800000",
    "number": "1386028744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1635 OLD 41 HWY NW STE 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": "1621 N ROBERTS RD NW STE 110",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301443640",
            "telephone_number": "770-702-1806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAK ANESTHESIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-16",
        "last_updated": "2015-07-16",
        "status": "A",
        "authorized_official_last_name": "WEIGANDT",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "770-702-1806",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "GA",
            "license": "OCC003663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Main Street Pharmacy
• Arlette Mairesse, OT003810
• Shibani Maitra
• Mak Anesthesia Georgia, LLC
• Mak Anesthesia Holdings LLC
• Lana Makarenko, MS
• Brian Z. Makhuli, M.D.
• Anila Asghar Malik, PH.D,LPC,NCC
• Kimberley Malone
• Conrad C Manayan, DO

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2015; 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.