SOUTH EAST SPONE CARE & PAIN MGMT (NPI# 1194068478) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194068478 |
| Entity Type | Organization |
| Organization Name | SOUTH EAST SPONE CARE & PAIN MGMT |
| Practice Address |
7450 Skidaway Rd Suite B Savannah GA 31406 |
| Practice Telephone | 9122336811 |
| Practice Fax Number | 9125440864 |
| Mailing Telephone | 9122336811 |
| Mailing Fax Number | 9125440864 |
| Enumeration Date | 2013-04-04 |
| Last Update Date | 2013-04-04 |
| Authorized Official Name | ORTELIO BOSCH (OWNER) |
| Authorized Official Telephone | 9122336811 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | SOUTEAST SPINE CARE AND PAIN MANAGEMENT |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
GA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000966139D | 05 |
| Street Address |
7450 SKIDAWAY RD SUITE B |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629046842 | Ortelio Bosch | Anesthesiology | 7450 Skidaway Rd, Savannah, GA 31406-6446 | 2006-03-14 |
| 1881170264 | Comfort Anesthesilogy | Clinic/Center | 7450 Skidaway Rd, Savannah, GA 31406-6446 | 2018-07-18 |
| 1902250764 | Kathryn Mori | Nurse Practitioner | 7450 Skidaway Rd, Savannah, GA 31406-6446 | 2016-04-19 |
| 1407284425 | Stephanie Rachel Landing | Nurse Practitioner | 7450 Skidaway Rd, Savannah, GA 31406-6446 | 2013-10-30 |
| 1982044707 | Southeast Spine Center, LLC | Clinic/Center | 7450 Skidaway Rd, Savannah, GA 31406-6446 | 2013-06-25 |
| 1922232719 | Southeast Spine Care and Pain Management | Pain Medicine | 7450 Skidaway Rd, Savannah, GA 31406-6446 | 2009-05-07 |
| 1699890715 | Lynne Baheyeah Williams | Physician Assistant | 7450 Skidaway Rd, Savannah, GA 31406-6446 | 2007-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891324042 | Magnolia Home Health, LLC Dba Home Instead Senior Care | Homemaker | 6709 Forest Park Drive, Suite B, Savannah, GA 31406 | 2020-04-08 |
| 1831737949 | Sumona Mitchell | Specialist | 1100 Eisenhower Drive 15, Suite 7, Savannah, GA 31406 | 2019-12-19 |
| 1295373090 | Gateway Behavioral Health Services | Community/Behavioral Health | 2121 East Derenne Ave, Savannah, GA 31406 | 2019-12-12 |
| 1114578820 | Kenya Burns | Technician | 6 Castle Ct, Savannah, GA 31406 | 2019-09-24 |
| 1841755287 | Southside Emergency Dental Center LLC | Dentist | 10515 White Bluff Rd., Savannah, GA 31406 | 2019-02-08 |
| 1639651003 | Rachael Putman | Physical Therapist | 37 W Fairmont Ave Suite 323, Savannah, GA 31406 | 2018-09-03 |
| 1417439852 | Happy Kids Therapies, LLC | Physical Therapist | 37 W. Fairmont Avenue Suite 102, Savannah, GA 31406 | 2018-09-01 |
| 1487146619 | Georgia Occmed LLC | Clinic/Center | 310 Eisenhower Dr Bldg 12 Ste C, Savannah, GA 31406 | 2018-06-04 |
| 1023517505 | Antioch Vascular Center, LLC | Surgery | 9104 Middleground Road, Suite 2, Savannah, GA 31406 | 2018-02-09 |
| 1518496116 | Janay C Russell | Counselor | 6711 Forest Park Drive, Savannah, GA 31406 | 2017-06-07 |
| Find all providers in zip 31406 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326549676 | Chatham Orthopaedic Asc, LLC | Clinic/Center | 4425 Paulsen St Bldg B2nd, Savannah, GA 31405-3662 | 2018-02-22 |
| 1184976599 | Savannah Foot and Ankle Surgery Center LLC | Clinic/Center | 310 Eisenhower Dr Ste 7, Savannah, GA 31406-2632 | 2012-10-09 |
| 1679792931 | Georgette Backus Bragg | Clinic/Center | 101 Egret Pt, Savannah, GA 31405-8111 | 2007-04-25 |
| 1437242211 | Georgia Center for Digestive Diseases, LLC | Clinic/Center | 501 Eisenhower Dr, Savannah, GA 31406-2668 | 2006-10-02 |
| 1730170564 | Savannah Partners, LLC | Clinic/Center | 13040 Abercorn Street, Suite 2, Savannah, GA 31419 | 2005-11-01 |
| 1508864463 | Savannah Outpatient Foot and Ankle Surgery Center, LLC | Clinic/Center | 310 Eisenhower Dr, Suite 7b, Savannah, GA 31406-2632 | 2005-07-13 |
| 1457892986 | Savannah Endoscopy Center, LLC | Clinic/Center | 1139 Lexington Ave, Suite B, Savannah, GA 31404-5502 | 2017-03-16 |
| 1851796908 | Savannah F&a Asc LLC | Clinic/Center | 310 Eisenhower Dr, Building 7, Savannah, GA 31406-2632 | 2014-10-31 |
| 1982044707 | Southeast Spine Center, LLC | Clinic/Center | 7450 Skidaway Rd, Savannah, GA 31406-6446 | 2013-06-25 |
| 1417217183 | Paulsen Street Sugery Center LLC | Clinic/Center | 4425 Paulsen St, Fl 2, Savannah, GA 31405-3662 | 2012-05-29 |
| Find all providers in SAVANNAH | ||||
Please comment or provide details below to improve the information on SOUTH EAST SPONE CARE & PAIN MGMT.
| 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.