ANN SIMONIN (NPI# 1093078107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093078107 |
| Entity Type | Individual |
| Full Name | ANN SIMONIN |
| Credential | M.D. |
| Practice Address |
4750 Waters Ave Ste 206 Savannah GA 31404 |
| Mailing Address |
4750 Waters Ave Ste 206 Savannah GA 31404-6278 |
| Practice Telephone | 9123505915 |
| Practice Fax Number | 9123505930 |
| Mailing Telephone | 9123505915 |
| Mailing Fax Number | 9123505930 |
| Enumeration Date | 2012-06-22 |
| Last Update Date | 2018-07-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | LL34821 | SC | Allopathic & Osteopathic Physicians |
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
74912 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
4750 WATERS AVE STE 206 |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477750818 | Angela Marie Fagiana | Pediatrics | 4750 Waters Ave Ste 206, Savannah, GA 31404-6278 | 2007-06-29 |
| 1942714274 | Kimberly Kay Miller | Nurse Practitioner | 4750 Waters Ave Ste 206, Savannah, GA 31404-6278 | 2017-11-22 |
| 1124346325 | Andrea Mikol Heuser | Pediatrics | 4750 Waters Ave Ste 206, Savannah, GA 31404-6278 | 2010-05-12 |
| 1669663878 | Benjamin Mackowiak | Pediatrics | 4750 Waters Ave Ste 206, Savannah, GA 31404-6278 | 2007-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043864580 | Carli A Boatright | Registered Nurse | 4750 Waters Ave Suite 206, Savannah, GA 31404 | 2019-08-01 |
| 1619530573 | Morgan Johnson | Student in an Organized Health Care Education/Training Program | Memorial Health University Medical Center, 4700 Waters Ave, Savannah, GA 31404 | 2019-04-17 |
| 1477050243 | Kevin Timperman | Student in an Organized Health Care Education/Training Program | 4700 Waters Avenus, Surgery Residency Program, Mhumc, Savannah, GA 31404 | 2018-04-09 |
| 1376048959 | Nina Jo Paletta | Student in an Organized Health Care Education/Training Program | Memorial University Medical Center, 4700 Waters Ave., Savannah, GA 31404 | 2018-03-27 |
| 1972036200 | Jose Adrian Lara Gonzalez | Student in an Organized Health Care Education/Training Program | 4700 Waters Ave, Memorial University Medical Center, Internal Medicine Residency Program, Savannah, GA 31404 | 2017-04-04 |
| 1407210396 | Lexie Hester Vaughn | Student in an Organized Health Care Education/Training Program | 1250 East 66th St, Savannah, GA 31404 | 2016-04-07 |
| 1336503291 | Miles Love | Student in an Organized Health Care Education/Training Program | 1250 East 66th Street, Savannah, GA 31404 | 2016-04-07 |
| 1134536881 | David Patch | Specialist/Technologist | Pediatric Residency Program, Memorial University, Medical Center 4700 Waters Avenue, Savannah, GA 31404 | 2014-07-15 |
| 1962846683 | Alan Danilo Zevallos | Internal Medicine | 4700 Waters Avenue, University Medical Center, Internal Medicine Residency Program, Memorial Health, Savannah, GA 31404 | 2013-04-24 |
| 1730446394 | Joshua Ryan Fann | Prosthetist | 3840 Waters Ave, Savannah, GA 31404 | 2012-04-19 |
| Find all providers in zip 31404 | ||||
| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| 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 Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477750818 | Angela Marie Fagiana | Pediatrics | 4750 Waters Ave Ste 206, Savannah, GA 31404-6278 | 2007-06-29 |
| 1669663878 | Benjamin Mackowiak | Pediatrics | 4750 Waters Ave Ste 206, Savannah, GA 31404-6278 | 2007-08-05 |
| 1457557605 | Leep Koon Teo | Pediatrics | 5353 Reynolds St, Savannah, GA 31405-6015 | 2007-06-25 |
| 1437206240 | Palmer Johnston | Pediatrics | 4700 Waters Ave, Savannah, GA 31404-6220 | 2007-01-04 |
| 1679672711 | Daniel Leonard Sandler | Pediatrics | 4750 Waters Avenue, Suite 206, Savannah, GA 31404 | 2006-09-22 |
| 1639132376 | Eleanor Eades | Pediatrics | 4750 Waters Ave, Suite 206, Savannah, GA 31404-6200 | 2006-04-11 |
| 1720041064 | Nancy Beth Shull | Pediatrics | 4750 Waters Ave, Suite 206, Savannah, GA 31404-6200 | 2006-04-08 |
| 1780647297 | Linda Mann Sacks | Pediatrics | 4750 Waters Ave, Suite 206, Savannah, GA 31404-6200 | 2006-04-07 |
| 1518929173 | Patricia Ann Turner | Pediatrics | 4750 Waters Ave, Suite 206, Savannah, GA 31404-6200 | 2006-04-06 |
| 1568424224 | Mark Steven Wright | Pediatrics | 4750 Waters Ave, Suite 206, Savannah, GA 31404-6200 | 2006-04-06 |
| 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.