Academia of Endoscopic Surgery and Womens Health, LLC

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

055978 Issued in GA

Legal business name

ACADEMIA OF ENDOSCOPIC SURGERY AND WOMENS HEALTH, LLC

Doing business as

Academia of Women's Health and Endoscopic Surgery

Practice address

755 Mount Vernon Hwy
Suite 240
Atlanta, GA 30328-4274

Phone

(404) 549-3224

Fax

(404) 459-0995

NPI assigned

Dec 20, 2011

Last updated

Dec 20, 2011By 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

Dr. Assia A Stepanian, M.D.NPI 1073649885

Title

Sole Owner

Phone

(404) 549-3224

Specialties & licenses 1

Addresses

Other names 1

• Academia of Women's Health and Endoscopic Surgery Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

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.

• Assia A. Stepanian, M.D.

  • Gynecology Physician
  • Atlanta, GA
  • NPI 1073649885
  Medicare reassignment NPD Authorized official
• Anna Pollard, NURSE PRACTITIONER

  • Women's Health Nurse Practitioner
  • Honolulu, HI
  • NPI 1518346238
  NPD (past)

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

{
    "created_epoch": "1324339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324339200000",
    "number": "1730458829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 MOUNT VERNON HWY",
            "address_2": "SUITE 240",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303284274",
            "telephone_number": "404-549-3224",
            "fax_number": "404-459-0995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 MOUNT VERNON HWY",
            "address_2": "SUITE 240",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303284274",
            "telephone_number": "404-549-3224",
            "fax_number": "404-459-0995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACADEMIA OF ENDOSCOPIC SURGERY AND WOMENS HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-20",
        "last_updated": "2011-12-20",
        "status": "A",
        "authorized_official_last_name": "STEPANIAN",
        "authorized_official_first_name": "ASSIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "404-549-3224",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "GA",
            "license": "055978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Academia of Women's Health and Endoscopic Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.