JENNIFER ANN HALES (NPI# 1285241265) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1285241265 |
Entity Type | Individual |
Full Name | JENNIFER ANN HALES |
Credential | NP-C #F05200177 |
Practice Address |
11090 Mcauley Suite 100 2a Savannah GA 31419 |
Mailing Address |
4315 Courthouse Rd Guyton GA 31312-5437 |
Practice Telephone | 9123548331 |
Mailing Telephone | 9124146034 |
Enumeration Date | 2020-09-24 |
Last Update Date | 2020-09-24 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
RN196020 | GA | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447472261 | Jennifer Jane Hales | Occupational Therapy Assistant | 100 East Carroll Street, Salisbury, MD 21801 | 2007-05-02 |
Street Address |
11090 MCAULEY SUITE 100 2A |
City | SAVANNAH |
State | GA |
Zip Code | 31419 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255932653 | Loving Hands Adult Care | Home Health Aide | 101 St. Goerge Blvd, 6t, Savannah, GA 31419 | 2020-11-03 |
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 |
1851751754 | Rosemary Cross | Non-emergency Medical Transport (VAN) | 804 Tavern Road, Savannah, GA 31419 | 2016-03-04 |
Find all providers in zip 31419 |
Taxonomy Code | 2086S0129X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Vascular Surgery |
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023517505 | Antioch Vascular Center, LLC | Surgery | 9104 Middleground Road, Suite 2, Savannah, GA 31406 | 2018-02-09 |
1114924677 | Michael Steven Dahn | Surgery | 4750 Waters Ave Ste 500, Savannah, GA 31404-6261 | 2005-06-30 |
1528326667 | Gregory Taylor Ellison Jr. | Surgery | 4750 Waters Ave Ste 500, Savannah, GA 31404 | 2012-04-26 |
1528365723 | Justin B Brown | Surgery | 4750 Waters Ave Ste 500, Savannah, GA 31404 | 2011-02-24 |
1396076162 | Coastal Vein Solutions LLC | Surgery | 11550 Abercorn St, Savannah, GA 31419-1902 | 2010-01-19 |
1043455306 | Davis Sungwhan Moon | Surgery | 4750 Waters Ave Ste 500, Savannah, GA 31404-6261 | 2008-12-15 |
1043247232 | Edward J Cohn Jr. | Surgery | 4750 Waters Ave, Suite 500, Savannah, GA 31404 | 2006-06-26 |
1306873518 | Anthony M. Sussman | Surgery | 4750 Waters Ave, Suite 500, Savannah, GA 31404-6200 | 2006-06-26 |
1407882582 | Christopher L. Wixon | Surgery | 4750 Waters Ave, Suite 500, Savannah, GA 31404-6200 | 2006-06-23 |
1790721546 | Christopher E. Walls | Surgery | 4750 Waters Ave, Suite 500, Savannah, GA 31404 | 2006-06-21 |
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.