DR. JACK MARLIN AMIE JR. (NPI# 1518034024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518034024 |
| Entity Type | Individual |
| Full Name | DR. JACK MARLIN AMIE JR. |
| Credential | M.D. |
| Practice Address |
2418 Parkwood Dr Brunswick GA 31520-4721 |
| Practice Telephone | 9122646362 |
| Practice Fax Number | 9122646352 |
| Mailing Telephone | 9122646362 |
| Mailing Fax Number | 9122646352 |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2019-09-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 014120 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00083861A | 05 |
| Street Address |
2418 PARKWOOD DR |
| City | BRUNSWICK |
| State | GA |
| Zip Code | 31520-4721 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467873984 | Glynn Urologists, PC | Clinic/Center | 2418 Parkwood Dr, Brunswick, GA 31520-4721 | 2013-12-31 |
| 1649338278 | Glynn Urologists, P.C. | Urology | 2418 Parkwood Dr, Brunswick, GA 31520-4721 | 2006-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760953434 | David S Deuser Md & Associates PC | Psychiatry & Neurology | 7 Saint Andrews Court, Brunswick, GA 31520 | 2018-12-06 |
| 1063961845 | Irene Limon | Licensed Practical Nurse | 2009 Ellis Street, Brunswick, GA 31520 | 2016-09-22 |
| 1770936551 | Elaine Latimer-tandy | Counselor | 1801 Gloucester St Ste E, Brunswick, GA 31520 | 2016-07-18 |
| 1710336326 | Giva, Inc. | Home Health | 8 St Andrews Court, Brunswick, GA 31520 | 2016-06-06 |
| 1447618525 | Parmelee Eye Care LLC | Point of Service | 1909 Gloucester St, Brunswick, GA 31520 | 2016-02-04 |
| 1578947800 | Holly Diskin Kinsey | Nurse Practitioner | 3400 Parkwood Drive, Brunswick, GA 31520 | 2015-07-16 |
| 1679976419 | Miriam Hosey | Registered Nurse | 2747 Fourth Street, Glynn County Health Dept., Brunswick, GA 31520 | 2014-10-08 |
| 1558779348 | Tracey Renee Price | Internal Medicine | 3025 Shrine Rd Ste 290, Brunswick, GA 31520 | 2014-07-24 |
| 1770901951 | Candace Shepherd | Social Worker | 707 F Street, Brunswick, GA 31520 | 2014-04-03 |
| 1699193599 | Enrique Martinez, M.d., P.C. | Internal Medicine | 3114 A Shrine Road, Brunswick, GA 31520 | 2014-03-29 |
| Find all providers in zip 31520 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285692392 | James W Ross | Urology | 85 Baribeau Drive, Brunswick, ME 04011 | 2006-05-01 |
| 1033258074 | Matthew D Katz | Urology | 2500 Starling Street, Suite 602, Brunswick, GA 31520 | 2007-02-06 |
| 1205995651 | John F Mcgeough, Md | Urology | 85 Baribeau Dr, Brunswick, ME 04011-3249 | 2006-12-08 |
| 1073692174 | Joseph Anthony Lanzone Jr. | Urology | 2500 Starling St, Suite 406, Brunswick, GA 31520-4265 | 2006-11-02 |
| 1801975990 | Southeast Georgia Urology Associates PC | Urology | 2500 Starling St, Suite 406, Brunswick, GA 31520-4265 | 2006-11-02 |
| 1679652762 | James Morris Muse Jr. | Urology | 2500 Starling St, Suite 406, Brunswick, GA 31520-4265 | 2006-11-02 |
| 1518051481 | Michael R Curtis | Urology | 121 Medical Center Dr, Brunswick, ME 04011-2653 | 2006-10-03 |
| 1104932177 | John Francis Mcgeough | Urology | 85 Baribeau Dr, Brunswick, ME 04011-3249 | 2006-08-22 |
| 1659394112 | Craig A Hawkins | Urology | 81 Medical Center Dr, Suite 2350, Brunswick, ME 04011-2764 | 2006-07-25 |
| 1326094335 | Samuel B Broaddus | Urology | 81 Medical Center Dr, Suite 2350, Brunswick, ME 04011-2764 | 2006-05-25 |
| Find all providers in BRUNSWICK | ||||
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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.