=====================================================
General NPI Number Information
=====================================================
NPI Number | 1558733139
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | EHI ANESTHESIA SERVICES, LLC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/22/2015
-----------------------------------------------------
Last Update Date | 04/12/2019
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 900 CIRCLE 75 PKWY SE STE 900
-----------------------------------------------------
City | ATLANTA
-----------------------------------------------------
State | GA
-----------------------------------------------------
Zip | 30339-3084
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 678-426-2171
-----------------------------------------------------
Fax | 404-446-1957
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 900 CIRCLE 75 PKWY SE STE 900
-----------------------------------------------------
City | ATLANTA
-----------------------------------------------------
State | GA
-----------------------------------------------------
Zip | 30339-3084
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 678-426-2171
-----------------------------------------------------
Fax | 404-446-1957
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | C.E.O.
-----------------------------------------------------
Name | DAVID N HELFMAN
-----------------------------------------------------
Credential | D.P.M.
-----------------------------------------------------
Telephone | 678-426-2171
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207L00000X
-----------------------------------------------------
Taxonomy Name | Anesthesiology Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------