Organization Active NPI

Lithotripsy Management Associates

  • Surgical Oncology Physician
  • Atlanta, GA
National Provider Identifier
1639161557
Registry record updated Jul 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Oncology PhysicianTaxonomy code 2086X0206X
Legal business name
LITHOTRIPSY MANAGEMENT ASSOCIATES
Practice address
750 Hammond Dr NE
Atlanta, GA 30328-5532
Phone
(404) 255-9300
NPI assigned
Aug 17, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2008

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

Authorized official

Name
Mrs. Tracy M Stolanski
Title
President
Phone
(404) 255-9300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086X0206X Primary

Addresses

Primary practice location

750 Hammond Dr NE
Atlanta, GA 30328-5532

Mailing address

750 Hammond Dr NE
BLDG 18 Ste 100
Atlanta, GA 30328-5532
Phone (404) 255-9300

National Provider Directory

National Provider Directory

Locations

750 Hammond Dr
Sandy Springs, GA 30328
Phone (404) 255-9300

NPI Registry JSON

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

{
    "created_epoch": "1124236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217462400000",
    "number": "1639161557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 HAMMOND DR NE",
            "address_2": "BLDG 18 STE 100",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303285532",
            "telephone_number": "404-255-9300",
            "fax_number": "404-255-9311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 HAMMOND DR NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303285532",
            "telephone_number": "404-255-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITHOTRIPSY MANAGEMENT ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-17",
        "last_updated": "2008-07-31",
        "status": "A",
        "authorized_official_last_name": "STOLANSKI",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-255-9300",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2086X0206X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Surgical Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2008; 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.