Wayne L Ambroze, MD
Colon & Rectal Surgery in Atlanta, GA. Individual provider (NPI-1).
NPI number1972561405
StatusActive
Last updated in NPPESOct 19, 2020
Details
- NPI
- 1972561405
- Entity type
- Individual (NPI-1)
- Name
- Wayne L Ambroze
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 3, 2006
- Certification date
- Oct 19, 2020
- Last updated
- Oct 19, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - COLORECTAL SURGERY (PROCTOLOGY)
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208C00000X | Colon & Rectal Surgery | 033019 | GA | Yes |
Practice location
5445 Meridian Marks RdSuite 180
Atlanta, GA 30342-4763
Phone 770-277-4277 · Fax 404-252-5745
Mailing address
5445 Meridian Marks RdSuite 180
Atlanta, GA 30342-4763
Phone 770-277-4277 · Fax 404-252-5745
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