MR. TIMOTHY JAY DARE JR. (NPI# 1538132857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538132857 |
| Entity Type | Individual |
| Full Name | MR. TIMOTHY JAY DARE JR. |
| Credential | PA-C |
| Practice Address |
505 Eisenhower Dr Savannah GA 31406-2668 |
| Practice Telephone | 9123546190 |
| Mailing Telephone | 9123546190 |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2012-12-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
003559 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 360301582A | 05 | |
| GA | DEA | MD1002788 | 01 |
| GA | NCCPA | 10448572 | 01 |
| GA | STATE LICENSE | 003559 | 01 |
| Street Address |
505 EISENHOWER DR |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31406-2668 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700239720 | Elizabeth Paige Bonin | Physician Assistant | 505 Eisenhower Dr, Savannah, GA 31406-2668 | 2016-07-14 |
| 1992742845 | Coastal Allergy & Asthma PC | Allergy & Immunology | 505 Eisenhower Dr, Savannah, GA 31406-2668 | 2006-06-01 |
| 1407816432 | Brad Henry Goodman | Allergy & Immunology | 505 Eisenhower Dr, Savannah, GA 31406-2668 | 2006-03-24 |
| 1255390829 | Monica Rama Kenney | Allergy & Immunology | 505 Eisenhower Dr, Savannah, GA 31406-2668 | 2006-03-21 |
| 1972562668 | Bruce Daniel Finkel | Allergy & Immunology | 505 Eisenhower Dr, Savannah, GA 31406-2668 | 2006-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891324042 | Magnolia Home Health, LLC Dba Home Instead Senior Care | Homemaker | 6709 Forest Park Drive, Suite B, Savannah, GA 31406 | 2020-04-08 |
| 1831737949 | Sumona Mitchell | Specialist | 1100 Eisenhower Drive 15, Suite 7, Savannah, GA 31406 | 2019-12-19 |
| 1295373090 | Gateway Behavioral Health Services | Community/Behavioral Health | 2121 East Derenne Ave, Savannah, GA 31406 | 2019-12-12 |
| 1114578820 | Kenya Burns | Technician | 6 Castle Ct, Savannah, GA 31406 | 2019-09-24 |
| 1841755287 | Southside Emergency Dental Center LLC | Dentist | 10515 White Bluff Rd., Savannah, GA 31406 | 2019-02-08 |
| 1639651003 | Rachael Putman | Physical Therapist | 37 W Fairmont Ave Suite 323, Savannah, GA 31406 | 2018-09-03 |
| 1417439852 | Happy Kids Therapies, LLC | Physical Therapist | 37 W. Fairmont Avenue Suite 102, Savannah, GA 31406 | 2018-09-01 |
| 1487146619 | Georgia Occmed LLC | Clinic/Center | 310 Eisenhower Dr Bldg 12 Ste C, Savannah, GA 31406 | 2018-06-04 |
| 1023517505 | Antioch Vascular Center, LLC | Surgery | 9104 Middleground Road, Suite 2, Savannah, GA 31406 | 2018-02-09 |
| 1518496116 | Janay C Russell | Counselor | 6711 Forest Park Drive, Savannah, GA 31406 | 2017-06-07 |
| Find all providers in zip 31406 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245643030 | Meagan Bender | Physician Assistant | 11909 Mcauley Dr Ste D, Savannah, GA 31419-1794 | 2014-06-09 |
| 1174852149 | Michael Patrick Whitledge | Physician Assistant | 1510 Marlborough Way, Savannah, GA 31406-5048 | 2009-12-21 |
| 1376786566 | Amy B Millsap | Physician Assistant | 639a Stephenson Ave, Savannah, GA 31405-5970 | 2009-04-17 |
| 1447405477 | Nicole Hope Degennaro | Physician Assistant | 720 E 71st St, Savannah, GA 31405-4907 | 2008-11-18 |
| 1649321654 | Patricia Lucille Emfinger | Physician Assistant | 225 Candler Dr Ste 300, Savannah, GA 31405-6091 | 2007-01-16 |
| 1427126812 | Thomas P Kennane | Physician Assistant | 101 Saint George Blvd Apt 10i, Savannah, GA 31419-9351 | 2006-12-01 |
| 1932219672 | Christopher Edgerton | Physician Assistant | 42 Medical Arts Ctr, Savannah, GA 31405-4415 | 2006-08-30 |
| 1669586137 | Susan Fetter | Physician Assistant | 44 Medical Arts Ctr, Savannah, GA 31405-4415 | 2006-08-19 |
| 1689689523 | William Michael Grabowski | Physician Assistant | 8 Wheeler St, Savannah, GA 31405-5710 | 2006-07-29 |
| 1861481418 | Christopher Laframboise | Physician Assistant | 1297 N Lightning Rd, Savannah, GA 31409-4703 | 2005-10-17 |
| 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.