| Alexis D Tashima, MD | |
| 5461 Meridian Mark Rd Ste 200, Atlanta, GA 30342-4014 | |
| (404) 785-5437 | |
| (404) 785-3706 | 
| Full Name | Alexis D Tashima | 
|---|---|
| Gender | Female | 
| Speciality | Surgery - Plastic And Reconstructive Surgery | 
| Location | 5461 Meridian Mark Rd Ste 200, Atlanta, Georgia | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1710373279 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2086S0120X | Surgery - Pediatric Surgery | 89638 (Georgia) | Secondary | 
| 2086S0122X | Surgery - Plastic And Reconstructive Surgery | E-15742 (Arkansas) | Primary | 
| Entity Name | University Of Arkansas For Medical Sciences | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1588654016 PECOS PAC ID: 4082528955 Enrollment ID: O20031219000706 | 
| Entity Name | University Of Arkansas For Medical Sciences | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1346230968 PECOS PAC ID: 4082528955 Enrollment ID: O20040115000431 | 
| Entity Name | Arkansas Childrens Hospital | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1598773079 PECOS PAC ID: 2769477744 Enrollment ID: O20040419000796 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Alexis D Tashima, MD 1 Childrens Way # 653, Little Rock, AR 72202-3500 Ph: (501) 364-1100 | Alexis D Tashima, MD 5461 Meridian Mark Rd Ste 200, Atlanta, GA 30342-4014 Ph: (404) 785-5437 | 
| Dr. Dominic Joseph Papandria, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 550 Peachtree St Ne, Atlanta, GA 30308 Phone: 404-686-4411 | |
| John Sweeney, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1365a Clifton Rd Ne, Suite 3300, Atlanta, GA 30322 Phone: 404-778-3712 Fax: 404-778-5033 | |
| Marlieke E Nussenbaum, M.D. Surgery Medicare: May Accept Medicare Assignments Practice Location: 1015 Boulevard Se Apt 629, Atlanta, GA 30312 Phone: 919-360-5327 | |
| Samantha Courtney Thomas, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 69 Jesse Hill Jr Drive, Glenn Memorial Building, 3rd Floor, Atlanta, GA 30303 Phone: 404-251-8915 Fax: 404-523-3931 | |
| Vanessa Arientyl, MD Surgery Medicare: Medicare Enrolled Practice Location: 69 Jesse Hill Jr. Drive Southeast, Glenn Memorial Building, 3rd Floor, Atlanta, GA 30303 Phone: 404-251-8915 Fax: 404-523-3931 | |
| Mr. Barrie Douglas Lowman, P.A. Surgery Medicare: Not Enrolled in Medicare Practice Location: 5669 Peachtree Dunwoody Rd Ne, Suite 100, Atlanta, GA 30342 Phone: 404-256-0404 Fax: 404-847-0423 | |
| Ryon Lamont Arrington, MD, MBA Surgery Medicare: Medicare Enrolled Practice Location: 100 Woodruff Cir Ne, Atlanta, GA 30322 Phone: 404-727-4018 |