DR. JOHN DAVID NORTHUP (NPI# 1023232527) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023232527 |
| Entity Type | Individual |
| Full Name | DR. JOHN DAVID NORTHUP |
| Credential | M.D. |
| Practice Address |
12345 Mercy Blvd Savannah GA 31419-3436 |
| Practice Telephone | 9129273046 |
| Practice Fax Number | 9129250597 |
| Mailing Telephone | 9129273046 |
| Mailing Fax Number | 9129250597 |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2014-01-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
016651 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000018092A | 05 | |
| GA | RAILROAD MEDICARE | 110164346 | 01 |
| GA | UNITED HEALTHCARE | 581263266 | 01 |
| Street Address |
12345 MERCY BLVD |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31419-3436 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548267438 | Savannah Diagnostic Assoc PC | Specialist | 12345 Mercy Blvd, Savannah, GA 31419-3436 | 2005-07-07 |
| 1760046452 | Dannyel Smith | Nurse Practitioner | 12345 Mercy Blvd, Savannah, GA 31419-3436 | 2019-04-28 |
| 1518466556 | Katherine Ireland Klick | Nurse Practitioner | 12345 Mercy Blvd, Savannah, GA 31419-3436 | 2018-02-05 |
| 1700308509 | Tiffany Lee Boulanger | Nurse Practitioner | 12345 Mercy Blvd, Savannah, GA 31419-3436 | 2017-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255932653 | Loving Hands Adult Care | Home Health Aide | 101 St. Goerge Blvd, 6t, Savannah, GA 31419 | 2020-11-03 |
| 1285241265 | Jennifer Ann Hales | Surgery | 11090 Mcauley, Suite 100 2a, Savannah, GA 31419 | 2020-09-24 |
| 1699318139 | Jessica Kaitlyn Matthewson | Nurse Practitioner | 11700 Mercy Blvd Plaza D, Bldg #5, Savannah, GA 31419 | 2019-10-28 |
| 1679133219 | Rebecca Denise Brown-tuyishimire | Counselor | Savannah Outpatient Clinic, 1170 Shawnee Street, Savannah, GA 31419 | 2019-06-17 |
| 1356900856 | Julio Roberto Castellanos Jr. | Behavior Technician | 785 King George Blvd Ste 103, Savannah, GA 31419 | 2019-06-07 |
| 1669941761 | Paul-david Arthur Cooper | Peer Specialist | 117 Shawnee Street, Va Savannah Clinic, Savannah, GA 31419 | 2018-11-19 |
| 1326538521 | Jay Carter Jr. | Social Worker | 1170 Shawnee St., Savannah, GA 31419 | 2018-05-14 |
| 1245771070 | Emily Robertson | Nurse Practitioner | 11133 Abercorm Street, Suite 10, Savannah, GA 31419 | 2017-03-13 |
| 1760833750 | Cady-jo Steidle | Behavioral Analyst | 143 Sugar Mill Cir, Savannah, GA 31419 | 2016-06-30 |
| 1265881189 | Mallory Williams | Physician Assistant | 11909 D. Mcauley Drive, Savannah, GA 31419 | 2016-06-10 |
| Find all providers in zip 31419 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780755637 | Center for Digestive and Liver Health LLC | Internal Medicine | 1139 Lexington Ave Ste A, Savannah, GA 31404-5502 | 2006-11-13 |
| 1467477232 | Ronald Richard Fagin | Internal Medicine | 4750 Waters Avenue, Suite 311, Savannah, GA 31404 | 2006-07-13 |
| 1952386898 | Steven Lee Carpenter | Internal Medicine | 1139 Lexington Ave, Savannah, GA 31404-5502 | 2005-12-14 |
| 1093717985 | Branden S Hunter | Internal Medicine | 519 Stephenson Ave, Savannah, GA 31405-5969 | 2005-08-11 |
| 1689676553 | John Erich Schweistris IIi | Internal Medicine | 2148 Grove Point Rd, Savannah, GA 31419-9701 | 2005-08-11 |
| 1528229267 | George C Aragon | Internal Medicine | 1139 Lexington Ave, Savannah, GA 31404-5502 | 2008-06-24 |
| 1326170028 | Alan Ira Miller | Internal Medicine | 765 Florence Rd, Savannah, TN 38372-3101 | 2007-03-09 |
| 1548303340 | Georgia Gastroenterology Group,pc | Internal Medicine | 501 Eisenhower Dr, Savannah, GA 31406-2668 | 2007-02-14 |
| 1386791234 | Ansley S Tharpe | Internal Medicine | 519 Stephenson Ave, Savannah, GA 31405-5969 | 2007-01-04 |
| 1447205695 | Mark R Nyce | Internal Medicine | 1139 Lexington Ave, Savannah, GA 31404-5502 | 2006-05-24 |
| Find all providers in SAVANNAH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.