DR. GREGORY PAUL KOLOVICH (NPI# 1376849877) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376849877 |
| Entity Type | Individual |
| Full Name | DR. GREGORY PAUL KOLOVICH |
| Credential | M.D. |
| Practice Address |
210 E Derenne Ave Savannah GA 31405-6736 |
| Mailing Address |
210 E Derenne Ave Savannah GA 31405 |
| Practice Telephone | 9126445300 |
| Practice Fax Number | 9126443369 |
| Mailing Telephone | 9126445300 |
| Mailing Fax Number | 9126445241 |
| Enumeration Date | 2011-01-31 |
| Last Update Date | 2019-10-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | 074286 | GA | Allopathic & Osteopathic Physicians |
| N | 207X00000X | Orthopaedic Surgery | 57.016594 | OH | Allopathic & Osteopathic Physicians |
| Y | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
074286 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 003165454A | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 101 W Mulberry Blvd, Ste 140, Pooler, GA 31322 | 9127485111 | 9127486699 |
| 166 Memorial Dr, Jesup, GA 315450101 | 9124270800 | 9124276029 |
| 810 Towne Park Dr Ste 200, Rincon, GA 313265167 | 9128262533 | 9128262572 |
| 16915 Highway 67 Ste A, Statesboro, GA 304585819 | 9126812500 | 9126812025 |
| 60 Exchange St Ste B1, Richmond Hill, GA 313247646 | 9127562273 | 9127563773 |
| 602 E Long St, Claxton, GA 304175914 | 9127393275 | 9124394011 |
| 8 N Williams St, Metter, GA 304394547 | 9126853550 | 9126853553 |
| 25 Hospital Center Blvd Ste 100, Hilton Head, SC 299262735 | 8008276536 | 9126445241 |
| 8201 Pinellas Dr, Bluffton, SC 29910 | 8437059401 | 8437059402 |
| Street Address |
210 E DERENNE AVE |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31405-6736 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477554509 | John T Hodges | Orthopaedic Surgery | 210 E Derenne Ave, Savannah, GA 31405-6736 | 2005-08-10 |
| 1639783418 | Jennifer Reilly | Occupational Therapist | 210 E Derenne Ave, Savannah, GA 31405-6736 | 2020-08-31 |
| 1710508494 | Stephen Benjamin Brown | Physician Assistant | 210 E Derenne Ave, Savannah, GA 31405-6736 | 2020-05-04 |
| 1922652791 | Kolbe May Seff | Physical Therapist | 210 E Derenne Ave, Savannah, GA 31405-6736 | 2019-07-30 |
| 1477118586 | Matthew Rockwell Roberts | Physician Assistant | 210 E Derenne Ave, Savannah, GA 31405-6736 | 2019-05-03 |
| 1780164590 | Amanda Lariscey | Physician Assistant | 210 E Derenne Ave, Savannah, GA 31405 | 2018-08-21 |
| 1245725969 | Brandon Cliatt | Physician Assistant | 210 E Derenne Ave, Savannah, GA 31405-6736 | 2018-06-25 |
| 1598282493 | Robert M. Cunningham | Physician Assistant | 210 E Derenne Ave, Savannah, GA 31405-6736 | 2017-08-23 |
| 1306375183 | Katelyn Michelle Brooker | Physician Assistant | 210 E Derenne Ave, Savannah, GA 31405-6736 | 2017-06-06 |
| 1720516834 | Gina Soule | Physician Assistant | 210 E Derenne Ave, Savannah, GA 31405-6736 | 2017-06-02 |
| Find all providers in the same location | ||||
| 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 | 207XS0106X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Hand Surgery |
| An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699875799 | Ronald H Levit | Orthopaedic Surgery | 4425 Paulsen St, Savannah, GA 31405-3637 | 2006-09-25 |
| 1780657726 | William E Kropp | Orthopaedic Surgery | 210 E Derenne Ave, Savannah, GA 31405-6736 | 2006-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265047005 | Orthoatlanta, LLC | Orthopaedic Surgery | 3929 Peachtree Rd Ne Ste 250, Brookhaven, GA 30319-3374 | 2020-09-09 |
| 1720350747 | Orthoatlanta, LLC | Orthopaedic Surgery | 620 Cherokee St Ne Ste 300, Marietta, GA 30060-7202 | 2012-02-07 |
| 1366734410 | Erika Lynn Templeton | Orthopaedic Surgery | 980 Johnson Ferry Rd Ste 1020, Atlanta, GA 30342-1609 | 2011-05-09 |
| 1497944565 | Michael S Shuler | Orthopaedic Surgery | 1765 Old West Broad Street, Building 2 Suite 200, Athens, GA 30606-2887 | 2007-10-15 |
| 1902963317 | Alain Arthur Czaykowsky | Orthopaedic Surgery | 920 River Centre Pl, Suite 100, Lawrenceville, GA 30043-7320 | 2007-01-03 |
| 1083723738 | T. Rex Orthopaedics, PC | Orthopaedic Surgery | 1014 Sycamore Dr Ste B, Decatur, GA 30030 | 2006-08-29 |
| 1982618294 | Orthoatlanta, LLC | Orthopaedic Surgery | 900 Circle 75 Pkwy Se, Suite 1700, Atlanta, GA 30339-3035 | 2006-07-29 |
| 1205857307 | Jim W Roderique | Orthopaedic Surgery | 955 Spring St Nw, Atlanta, GA 30309-3821 | 2006-07-22 |
| 1982620456 | John Seiler IIi | Orthopaedic Surgery | 2061 Peachtree Rd Ne Ste 500, Atlanta, GA 30309-1446 | 2006-07-15 |
| 1811913643 | S Houston Payne Jr. | Orthopaedic Surgery | 2061 Peachtree Rd. Ne, Suite 500, Atlanta, GA 30309-1446 | 2006-07-14 |
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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.