RYAN STEPHEN POLSINELLI (NPI# 1437649738) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437649738 |
| Entity Type | Individual |
| Full Name | RYAN STEPHEN POLSINELLI |
| Credential | PA-C |
| Practice Address |
4425 Paulsen St Savannah GA 31405-3662 |
| Practice Telephone | 9123556615 |
| Practice Fax Number | 9123510645 |
| Mailing Telephone | 9123556615 |
| Mailing Fax Number | 9123510645 |
| Enumeration Date | 2018-05-14 |
| Last Update Date | 2019-05-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4425a Paulsen St Fl 2, Savannah, GA 314053637 | 9123545100 | 9123545300 |
| 1326 Eisenhower Dr Bldg 1, Savannah, GA 314063928 | 9123556615 | 9123510645 |
| 1203 Gandy Dancer, Richmond Hill, GA 313248895 | 9123556615 | 9123510645 |
| 11702 Mercy Blvd Ste 2d, Savannah, GA 314191777 | 9123556615 | 9123510645 |
| 1000 Towne Center Blvd Ste 602, Pooler, GA 313224071 | 9123556615 | 9123510645 |
| 613 Towne Park Dr W Ste 303-304, Rincon, GA 313265182 | 9123556615 | 9123510645 |
| 459 Highway 119 S, Springfield, GA 313293021 | 9123556615 | 9123510645 |
| 101 St Josephs Candler Dr, Pooler, GA 313229579 | 9123556615 | 9123510645 |
| Street Address |
4425 PAULSEN ST |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31405-3662 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588658363 | Jennifer S Green | Physician Assistant | 4425 Paulsen St, Savannah, GA 31405-3637 | 2005-09-07 |
| 1760028658 | Kelsey Byrd | Physician Assistant | 4425 Paulsen St, Savannah, GA 31405-3662 | 2019-11-26 |
| 1093243545 | Michael Mcewen | Physician Assistant | 4425 Paulsen St, Savannah, GA 31405-3662 | 2017-05-30 |
| 1023544111 | Jason Miller | Physician Assistant | 4425 Paulsen St, Savannah, GA 31405-3662 | 2017-05-10 |
| 1669846812 | Alex M Gardner | Nurse Practitioner | 4425 Paulsen St, Savannah, GA 31405 | 2015-11-25 |
| 1184097313 | Epix Anesthesia of Georgia PC | Nurse Anesthetist, Certified Registered | 4425 Paulsen St, Savannah, GA 31405-3662 | 2015-11-10 |
| 1285003251 | Lindsay Blake Sharpe | Occupational Therapist | 4425 Paulsen St, Savannah, GA 31405-3662 | 2015-09-21 |
| 1730572587 | Timothy Czarnecki | Physical Therapist | 4425 Paulsen St, Savannah, GA 31405-3662 | 2015-03-17 |
| 1023410586 | Charmaine Quirimit Pham | Nurse Practitioner | 4425 Paulsen St, Savannah, GA 31405 | 2014-09-16 |
| 1407276306 | Mims Gage Ochsner IIi | Orthopaedic Surgery | 4425 Paulsen St, Savannah, GA 31405-3662 | 2014-04-18 |
| 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 | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306476965 | Alyssa Joyce Trenaman | Physician Assistant | 216 Lyman Hall, Savannah, GA 31410-1045 | 2020-01-23 |
| 1407311012 | Kia Elon Burch | Physician Assistant | 1004 Memorial Ln Ste 200, Savannah, GA 31410-1255 | 2019-02-07 |
| 1316430978 | Dawn Obrien | Physician Assistant | 4717 Hwy 80 E Ste H-1, Savannah, GA 31410-2943 | 2018-06-08 |
| 1265881189 | Mallory Williams | Physician Assistant | 11909 D. Mcauley Drive, Savannah, GA 31419 | 2016-06-10 |
| 1659727634 | Andrea L Yates | Physician Assistant | 10 Country Club Dr, Savannah, GA 31410-3406 | 2016-05-10 |
| 1861878233 | Roksana Grozeva | Physician Assistant | 900 Mohawk St Ste A, Savannah, GA 31419-1772 | 2015-08-07 |
| 1053791434 | Robert Earnest Sikes Jr. | Physician Assistant | 112 Steeplechase Rd, Savannah, GA 31405-1049 | 2015-06-01 |
| 1497160121 | Meredith Grace Lenichek | Physician Assistant | 4717 Us Highway 80 E, Savannah, GA 31410-2943 | 2014-06-20 |
| 1215364120 | Zachary K Johannesen | Physician Assistant | 5353 Reynolds Reynolds Street, Savannah, GA 31405-6015 | 2013-10-09 |
| 1588003651 | Brittany R. Tice | Physician Assistant | 509 Foundation Dr, Savannah, GA 31408-2215 | 2013-06-21 |
| 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.