DR. LIDA BAUCAGE-PEREZ (NPI# 1114957446) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114957446 |
| Entity Type | Individual |
| Full Name | DR. LIDA BAUCAGE-PEREZ |
| Credential | MD. |
| Practice Address |
1170 Shawnee St Savannah GA 31419-1618 |
| Practice Telephone | 9129200214 |
| Mailing Telephone | 9129200214 |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2017-11-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 13777 | PR | Allopathic & Osteopathic Physicians |
| Street Address |
1170 SHAWNEE ST |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31419-1618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750385662 | Osabuohien Sunday Usifo | Internal Medicine | 1170 Shawnee St, Savannah, GA 31419-1618 | 2005-06-08 |
| 1295353860 | John David Cummings | Peer Specialist | 1170 Shawnee St, Savannah, GA 31419-1618 | 2020-07-10 |
| 1023665486 | Katherine Lynn Twitty | Physical Therapist | 1170 Shawnee St, Savannah, GA 31419-1618 | 2019-08-21 |
| 1588210348 | Clayton Bakewell Crosley | Specialist/Technologist | 1170 Shawnee St, Savannah, GA 31419-1618 | 2019-08-16 |
| 1619533056 | Melissa Morgan | Social Worker | 1170 Shawnee St, Savannah, GA 31419-1618 | 2019-05-10 |
| 1316404478 | Camille Swan | Dietitian, Registered | 1170 Shawnee St, Savannah, GA 31419 | 2019-02-25 |
| 1922570720 | Chanel Jackson Inyang | Social Worker | 1170 Shawnee St, Savannah, GA 31419-1618 | 2018-12-19 |
| 1285115915 | Devin Lanier Jordan | Psychologist | 1170 Shawnee St, Savannah, GA 31419-1618 | 2018-08-21 |
| 1790229854 | Kimberly Merklinger | Physical Therapist | 1170 Shawnee St, Savannah, GA 31419-1618 | 2016-12-08 |
| 1033651021 | Ryan Scott Creech | Psychologist | 1170 Shawnee St, Savannah, GA 31419-1618 | 2016-11-08 |
| Find all providers in the same location | ||||
| 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 | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427513217 | Cherica Jones | General Practice | 7805 Waters Ave Ste 3b, Savannah, GA 31406-2443 | 2019-02-05 |
| 1740706449 | Stacy Jane Slaght | General Practice | 151 Three Mast Ct, Savannah, GA 31410 | 2017-08-15 |
| 1649691338 | Philip Joseph Keating | General Practice | 25 W Perry St, Savannah, GA 31401-3951 | 2013-12-23 |
| 1902157902 | Donald Lyle Gates | General Practice | 6602 Abercorn Street, Suite 102, Savannah, GA 31405 | 2012-10-01 |
| 1205152311 | Lori Danielle Lynch | General Practice | 3 Johnston St, Savannah, GA 31405-5502 | 2010-04-14 |
| 1487887154 | Donald Hosford Bailey | General Practice | 463 Johnny Mercer Blvd, Suite B7 #331, Savannah, GA 31410-2167 | 2009-08-28 |
| 1174705073 | First Choice Wellness and Physical Medicine | General Practice | 340 Eisenhower Dr Ste 610, Savannah, GA 31406-1616 | 2007-12-03 |
| 1578779054 | Myra Mccoy Pope | General Practice | 2507 Little John Ct, Savannah, GA 31406-4124 | 2007-05-14 |
| 1518984194 | Michael Lewis Smith | General Practice | 255 Wayne Rd Ste B, Savannah, TN 38372-1948 | 2006-07-17 |
| 1790718898 | River City Convenient Care | General Practice | 1960 Pickwick St, Savannah, TN 38372-5309 | 2006-07-09 |
| 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.