DR. JOHN LECRAW MIKELL (NPI# 1023335726) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023335726 |
| Entity Type | Individual |
| Full Name | DR. JOHN LECRAW MIKELL |
| Credential | MD |
| Practice Address |
225 Candler Dr Ste 100 Savannah GA 31405-6093 |
| Practice Telephone | 9123521700 |
| Practice Fax Number | 9123548545 |
| Mailing Telephone | 9123521700 |
| Mailing Fax Number | 9123548545 |
| Enumeration Date | 2010-04-21 |
| Last Update Date | 2015-06-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
073346 | GA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 003160249A | 05 |
| Street Address |
225 CANDLER DR STE 100 |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31405-6093 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447457593 | Veronica Maddox Buckovich | Nurse Practitioner | 225 Candler Dr Ste 100, Savannah, GA 31405-6093 | 2007-07-02 |
| 1568977908 | Kelsey Joann Kanters | Nurse Practitioner | 225 Candler Dr Ste 100, Savannah, GA 31405 | 2017-12-07 |
| 1013383876 | Tracy O Cobb | Nurse Practitioner | 225 Candler Dr Ste 100, Savannah, GA 31405-6093 | 2015-08-17 |
| 1134485766 | John Cramer Schuler | Radiology | 225 Candler Dr Ste 100, Savannah, GA 31405-6093 | 2012-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053918441 | Nicole Marie Tetro | Anesthesiology | Candler Hospital, 5353 Reynolds St, Savannah, GA 31405 | 2020-10-08 |
| 1154983880 | Nickes Medical Supply, LLC. | Durable Medical Equipment & Medical Supplies | 6020 Halsey St, Savannah, GA 31405 | 2019-07-02 |
| 1215593025 | Lee Ann Ryle | Nurse Practitioner | 5223 Paulsen St., Savannah, GA 31405 | 2019-05-16 |
| 1942765334 | Raegan Epps | Behavior Technician | 613 Stephenson Ave Ste 205, Savannah, GA 31405 | 2019-02-10 |
| 1679050454 | Phenomenal Nursing Service | Registered Nurse | 604 South St., 604 South St, Savannah, GA 31405 | 2018-07-24 |
| 1275029472 | Chelsea Amanda Keedy | Pharmacist | 836 E. 65th St., Medical Arts #4, Savannah, GA 31405 | 2018-07-11 |
| 1265933840 | Dwc-p LLC | Dentist | 5209 Paulsen Street, Savannah, GA 31405 | 2018-02-28 |
| 1386153005 | Aaron Shaw | Hearing Instrument Specialist | 5501 Abercorn St Ste E, Savannah, GA 31405 | 2017-09-26 |
| 1063946028 | Elizabeth Bentley Bruhn-danello | Dietitian, Registered | 836 East 65th Street, Medical Arts #4, Savannah, GA 31405 | 2017-04-17 |
| 1396278230 | Theresa Lynn George | Health Educator | 836 East 65 Th Street, Medical Arts #4, Savannah, GA 31405 | 2017-04-07 |
| Find all providers in zip 31405 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003903352 | John Joseph Ptacek | Radiology | 61 Hemingway Circle, Savannah, GA 31411 | 2006-10-06 |
| 1083971683 | Matthew H Bertke | Radiology | 4700 Waters Ave, Savannah, GA 31404-6220 | 2012-04-19 |
| 1134485766 | John Cramer Schuler | Radiology | 225 Candler Dr Ste 100, Savannah, GA 31405-6093 | 2012-04-09 |
| 1205104783 | Coastal Cancer Care, LLC | Radiology | 4700 Waters Ave, Savannah, GA 31404-6220 | 2011-12-12 |
| 1528229788 | Joshua Terry Mckenzie | Radiology | 225 Candler Dr, Suite 100, Savannah, GA 31405-6023 | 2008-06-20 |
| 1770741928 | Michael D Hasselle | Radiology | 4700 Waters Ave, Savannah, GA 31404-6220 | 2008-05-23 |
| 1326211459 | Aaron Watson Pederson | Radiology | 4700 Waters Ave, Savannah, GA 31404 | 2008-04-09 |
| 1790961100 | Savannah Radiation Cancer Care, PC | Radiology | 4700 Waters Ave, Savannah, GA 31404-6220 | 2008-01-16 |
| 1831237148 | John A Pablo | Radiology | 225 Candler Rd, Suite 100, Savannah, GA 31405-6023 | 2007-02-01 |
| 1588702872 | Morris Roy Geffen | Radiology | 225 Candler Rd, Suite 100, Savannah, GA 31405-6023 | 2007-02-01 |
| 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.