Laura Capalbo Ehteshami, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

6667 Issued in GA

Practice address

105 Collier Rd NW
Suite 5020
Atlanta, GA 30309-1710

Phone

(404) 351-7467

Fax

(404) 719-4113

NPI assigned

Dec 12, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Laura Susan Capalbo Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1355270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449187200000",
    "number": "1407191836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 COLLIER RD NW",
            "address_2": "SUITE 5020",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091710",
            "telephone_number": "404-351-7467",
            "fax_number": "404-719-4113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 COLLIER RD NW",
            "address_2": "SUITE 5020",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091710",
            "telephone_number": "404-351-7467",
            "fax_number": "404-719-4113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EHTESHAMI",
        "first_name": "LAURA",
        "middle_name": "CAPALBO",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-12",
        "last_updated": "2015-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "6667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "CAPALBO",
            "middle_name": "SUSAN",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tori Frances Ehrhardt, MD
• Jonathan S Ehrlich, M.D.
• Megan Ehrlich
• Seth J Ehrlich, PA-AA
• Syed Ramisa Ehsan, M.D
• Ronald A Eichel, DDS MSD
• Emily Eichenberger
• Hadley Warm Eichengreen
• Leah Eichholz, OTR/L, OTD
• Savannah Elizabeth Eichhorn

• Physician Assistant in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.