Provider Demographics
NPI:1851799373
Name:AMBULATORY ANESTHESIA PARTNERS LLC
Entity Type:Organization
Organization Name:AMBULATORY ANESTHESIA PARTNERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STANFORD
Authorized Official - Middle Name:R
Authorized Official - Last Name:PLAVIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:404-242-6360
Mailing Address - Street 1:PO BOX 76295
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30358-1295
Mailing Address - Country:US
Mailing Address - Phone:404-242-6360
Mailing Address - Fax:404-549-2853
Practice Address - Street 1:438 TARA TRL
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30327-4926
Practice Address - Country:US
Practice Address - Phone:404-242-6360
Practice Address - Fax:404-549-2853
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TECHNICAL ANESTHESIA STRATEGIES AND SOLUTIONS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-12-16
Last Update Date:2021-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA039201207L00000X, 367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty
No367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Single Specialty