JOHN A SHALLAL (NPI# 1598886277) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1598886277 |
Entity Type | Individual |
Full Name | JOHN A SHALLAL |
Credential | M.D. |
Practice Address |
5354 Reynolds Street Suite 206 Savannah GA 31405-6009 |
Practice Telephone | 9123540392 |
Practice Fax Number | 9123521842 |
Mailing Telephone | 9123540392 |
Mailing Fax Number | 9123521842 |
Enumeration Date | 2007-04-02 |
Last Update Date | 2007-07-09 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 22638 | GA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | 002-207-56B | 05 |
Street Address |
5354 REYNOLDS STREET SUITE 206 |
City | SAVANNAH |
State | GA |
Zip Code | 31405-6009 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831162767 | Andrew Tucker | Obstetrics & Gynecology | 5354 Reynolds Street, Suite 422, Savannah, GA 31405 | 2006-02-10 |
1548578479 | Chatham Ob Gyn | Specialist | 5354 Reynolds Street, Suite # 304, Savannah, GA 31405-6011 | 2010-09-14 |
1164657219 | Melanie L Brainard | Nurse Practitioner | 5354 Reynolds Street, Suite 422, Savannah, GA 31405 | 2009-05-19 |
1871684027 | Charles E Drake | Internal Medicine | 5354 Reynolds Street, Suite 303, Savannah, GA 31405 | 2006-09-27 |
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 | 208G00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134407075 | Robert A Hall Md LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 10 Longfield Ct, Savannah, GA 31410-3513 | 2011-07-26 |
1124183926 | Cardiothoracic Surgery of Savannah PC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 11806 Mercy Blvd, Savannah, GA 31419 | 2006-12-22 |
1609801810 | Brian Marcus Bailey | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 5354 Reynolds St Ste 102, Savannah, GA 31405-6008 | 2006-07-12 |
1558325845 | David V Capallo | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 900 Mohawk Street Ste E, Savannah, GA 31419 | 2006-04-13 |
1952391864 | Robert E. Jones | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 602 E 72nd St, Savannah, GA 31405-4913 | 2005-10-24 |
1568805505 | Andrew Robert Papoy | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 11700 Mercy Blvd, Plaza D Bldg. 1 Suite A, Savannah, GA 31419 | 2013-04-09 |
1750635579 | St. Joseph's Medical Group, LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 11700 Mercy Blvd, Plaza D Suite A, Savannah, GA 31419 | 2012-10-31 |
1073737656 | Chadwick William Stouffer | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4700 Waters Ave Ste 400, Savannah, GA 31404 | 2007-04-13 |
1932253762 | Mppg, Inc. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4700 Waters Ave, Suite 403, Savannah, GA 31404-6220 | 2007-01-22 |
1770644841 | Mppg, Inc. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4750 Waters Ave, Suite 452, Savannah, GA 31404-6200 | 2006-12-13 |
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.