SILVYA A. PRASETIO


Address: 5353 Reynolds St, Savannah, GA 31405
Phone: 9126635548

SILVYA A. PRASETIO (NPI# 1528312295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1528312295
Entity Type Individual
Full Name SILVYA A. PRASETIO
Credential AA
Practice Address 5353 Reynolds St
Savannah
GA 31405
Mailing Address 208 Grand Central Blvd Ste 100
Pooler
GA 31322-0526
Practice Telephone 9126635548
Mailing Telephone 9127049760
Enumeration Date 2012-11-02
Last Update Date 2019-06-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 367H00000X Anesthesiologist Assistant 6620 GA Physician Assistants & Advanced Practice Nursing Providers
N 367H00000X Anesthesiologist Assistant 1456 TX Physician Assistants & Advanced Practice Nursing Providers
N 367H00000X Anesthesiologist Assistant Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
2412 50th St, Lubbock, TX 794122504 8067447223

Office Location

Street Address 5353 REYNOLDS ST
City SAVANNAH
State GA
Zip Code 31405

Providers in the same location

NPI Name Taxonomy Address Enumeration
1487657151 Carolyn Kleeman Williams Pharmacist 5353 Reynolds St, Savannah, GA 31405-6015 2005-05-24
1851998017 Elyssa Whitley Anesthesiologist Assistant 5353 Reynolds St, Savannah, GA 31405-6015 2020-10-01
1851905020 Sherry Yvette Smith Nurse Practitioner 5353 Reynolds St, Savannah, GA 31405-6015 2020-09-03
1558970657 Julia Ann Gainey Anesthesiologist Assistant 5353 Reynolds St, Savannah, GA 31405-6015 2020-07-24
1457973232 Morgan E Fink Dietitian, Registered 5353 Reynolds St, Savannah, GA 31405-6015 2020-05-14
1750917563 Catherine Morrison Registered Nurse 5353 Reynolds St, Savannah, GA 31405-6015 2020-03-13
1568006534 Courtney Brue Registered Nurse 5353 Reynolds St, Savannah, GA 31405-6015 2019-11-03
1013561281 Megan Boyd Family Medicine 5353 Reynolds St, Savannah, GA 31405-6015 2019-07-26
1760958979 Virginia Claiborne Stuber Anesthesiologist Assistant 5353 Reynolds St, Savannah, GA 31405-6015 2018-10-16
1437633328 Zachary Emanuel Madramootoo Nurse Practitioner 5353 Reynolds St, Savannah, GA 31405-6015 2018-09-18
Find all providers in the same location

Providers in the same zip code

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 Information

Taxonomy Code 367H00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Anesthesiologist Assistant

Taxonomy Definition

An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1942759014 Tatsiana Shakhmuts Anesthesiologist Assistant 435 Habersham St, Savannah, GA 31401-5632 2016-09-29
1669818258 Christa Marie Baker Anesthesiologist Assistant 111 Radick Dr, Savannah, GA 31406-3230 2013-05-22
1386681492 John W Sieber II Anesthesiologist Assistant 18 Half Penny Cir, Savannah, GA 31411-2706 2006-05-31
1255938288 Mckenna Maria Valencia Anesthesiologist Assistant 4700 Waters Ave, Savannah, GA 31404-6220 2020-10-02
1851998017 Elyssa Whitley Anesthesiologist Assistant 5353 Reynolds St, Savannah, GA 31405-6015 2020-10-01
1184239451 Avery Thomas Helms Anesthesiologist Assistant 4700 Waters Ave, Savannah, GA 31404-6220 2020-09-13
1619580800 Matthew Shannon Anesthesiologist Assistant 4700 Waters Ave, Savannah, GA 31404-6220 2020-08-26
1679184840 Anna Tincher Anesthesiologist Assistant 4700 Waters Ave, Savannah, GA 31404-6220 2020-08-12
1669083168 Christie Vernon Klinginsmith Anesthesiologist Assistant 4700 Waters Ave, Savannah, GA 31404-6220 2020-08-10
1396355004 Noah Radjenovic Anesthesiologist Assistant 4700 Waters Ave, Savannah, GA 31404-6220 2020-08-06
Find all providers in SAVANNAH

Competitor

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City SAVANNAH
Zip Code 31405

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Dataset Information

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.

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