TOM M FAZLOLLAH (CRNA) – Certified Registered Nurse Anesthetist, NPI 1942296660
Certified Registered Nurse Anesthetist
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for TOM M FAZLOLLAH (CRNA)
200, Mansell Court East, Roswell, Fulton County, Georgia, 30076, United States
ATTN: CREDENTIALING DEPT., SUITE 105
ROSWELL, GA 300764856
Phone: (770) 645-9181
Fax: (770) 645-8455
Type: Mailing
McDonald's, 1000, Johnson Ferry Road Northeast, Ridgeview Forest, Atlanta, Fulton County, Georgia, 30346, United States
ATLANTA, GA 303421606
Phone: (770) 645-9181
Fax: (770) 645-8455
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $16.
Total Amount is formed as General ($16) + Research ($0) + Ownership ($0) = $16.
Last reported payment date: 2024-02-02 • Largest payer in this snapshot: Boston Scientific Corporation ($16).
Total Amount
$16
General + Research + Ownership
Payments
1
Total payment records
General Amount
$16
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-02-02
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $16 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 30076)
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