Sandra Madariaga, AA

Primary specialty

Anesthesiologist AssistantTaxonomy code 367H00000X

License

002463 Issued in GA

Practice address

1984 Peachtree Rd NW
Suite 515
Atlanta, GA 30309-5219

Phone

(404) 351-1745

Fax

(404) 351-7121

NPI assigned

Jan 8, 2007

Last updated

Aug 29, 2013By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Associate of Arts

State licenses

Practice roles

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.

• Physician Specialists in Anesthesia, P.C.

  • Anesthesiology Physician
  • Atlanta, GA
  • NPI 1316968662

  Anesthesiologist Assistant

  NPD (past)

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377734400000",
    "number": "1760530265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1984 PEACHTREE RD NW",
            "address_2": "SUITE 515",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303095219",
            "telephone_number": "404-351-1745",
            "fax_number": "404-351-7121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1984 PEACHTREE RD NW",
            "address_2": "SUITE 515",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303095219",
            "telephone_number": "404-351-1745",
            "fax_number": "404-351-7121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADARIAGA",
        "first_name": "SANDRA",
        "credential": "AA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2013-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367H00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiologist Assistant",
            "state": "GA",
            "license": "002463",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00505755C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrew Macrae, PAA
• Rosemary Margaret Macuch
• Hannah Marie Maczka, CNM, DNP
• Kamyar Madani, M.D.
• Dorothy Madarang
• Manoj Venkat Maddali, MD
• Brittany A Madden, CRNA
• Christopher Jalen Madden
• Courtney Madden, RBT
• Ellen Patricia Madden, CPNP

• 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 Aug 29, 2013; 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.