Active NPI
Mak Anesthesia Ewsc LLC
- Anesthesiology Physician
- Austell, GA
National Provider Identifier
1821369448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Legal business name
- MAK ANESTHESIA EWSC LLC
- Practice address
- 2041 Mesa Valley Way
Ste 125
Austell, GA 30106-6828 - Phone
- (678) 309-8100
- NPI assigned
- Jan 13, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Pamela A Weigandt, MD
- Title
- President
- Phone
- (770) 702-1806
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | Primary |
Addresses
Primary practice location
2041 Mesa Valley Way
Ste 125
Austell, GA 30106-6828
Mailing address
1635 Old 41 Highway NW, Suite 112-328
Kennesaw, GA 30152
Phone (770) 702-1806
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Anesthesiology Physician
- Austell, GA
- NPI 1811003213
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326412800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1477958400000",
"number": "1821369448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1635 OLD 41 HIGHWAY NW, SUITE 112-328",
"city": "KENNESAW",
"state": "GA",
"postal_code": "30152",
"telephone_number": "770-702-1806",
"fax_number": "770-693-0810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2041 MESA VALLEY WAY",
"address_2": "STE 125",
"city": "AUSTELL",
"state": "GA",
"postal_code": "301066828",
"telephone_number": "678-309-8100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAK ANESTHESIA EWSC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-01-13",
"last_updated": "2016-11-01",
"status": "A",
"authorized_official_last_name": "WEIGANDT",
"authorized_official_first_name": "PAMELA",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "770-702-1806",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austell, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.