Randall W Krizan, AA

Primary specialty

Anesthesiologist AssistantTaxonomy code 367H00000X

License

005149 Issued in GA

Practice address

1365 Clifton Rd NE
Suite Bt209
Atlanta, GA 30322-1013

Phone

(404) 778-4040

Fax

(404) 778-5059

NPI assigned

Sep 18, 2007

Last updated

May 16, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Associate of Arts

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Children's Anesthesia Services, LLC

  • Pediatric Anesthesiology Physician
  • Brookhaven, GA
  • NPI 1437203098

  Anesthesiologist Assistant

  Medicare reassignment NPD
• Premier Anesthesia of Georgia LLC

  • Anesthesiology Physician
  • Snellville, GA
  • NPI 1811403207

  Anesthesiologist Assistant

  Medicare reassignment NPD

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

{
    "created_epoch": "1190073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337126400000",
    "number": "1720274301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 26TH ST NW",
            "address_2": "APT 2203",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1365 CLIFTON RD NE",
            "address_2": "SUITE BT209",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303221013",
            "telephone_number": "404-778-4040",
            "fax_number": "404-778-5059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRIZAN",
        "first_name": "RANDALL",
        "middle_name": "W",
        "credential": "AA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-18",
        "last_updated": "2012-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367H00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiologist Assistant",
            "state": "GA",
            "license": "005149",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "222812602A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Taylor Kristan
• Kristen Albritton, LLC (Wilde Counseling, LLC)
• Kieran Allen Kristensen, MD
• Tyler Joseph Kristoff
• Kristy H Jackson MD PC
• Julie Berryman Krochonis, NP
• Andrew Cameron Kroh, M.D.
• Benjamin Sydney Krohn, AA-C
• Edward Gerard Krolikowski, D.C.
• Jerry Stephen Kroll, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.