SIDNEY JEFFERSON BOLCH III (NPI# 1639177595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639177595 |
| Entity Type | Individual |
| Full Name | SIDNEY JEFFERSON BOLCH III |
| Credential | M.D. |
| Practice Address |
1326 Eisenhower Dr Bldg. 2 Savannah GA 31406-3928 |
| Practice Telephone | 9125275300 |
| Practice Fax Number | 9125275149 |
| Mailing Telephone | 9125275300 |
| Mailing Fax Number | 9125275149 |
| Enumeration Date | 2005-07-13 |
| Last Update Date | 2008-06-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
016876 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000176712Z | 05 | |
| GA | BCBS | 082552 | 01 |
| GA | 000176712AA | 05 | |
| GA | 000932412B | 05 | |
| GA | 000176712R | 05 | |
| GA | 000176712C | 05 | |
| GA | 000932412A | 05 | |
| GA | RR MEDICARE | 060065859 | 01 |
| SC | G16876 | 05 |
| Street Address |
1326 EISENHOWER DR BLDG. 2 |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31406-3928 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295738086 | Pamela Boland | Radiology | 1326 Eisenhower Dr, Savannah, GA 31406-3928 | 2005-05-24 |
| 1578016895 | Ashley Mcbride | Nurse Practitioner | 1326 Eisenhower Dr, Bldg 2, Savannah, GA 31406-3928 | 2016-08-03 |
| 1245694496 | Sj Sc Cardiology LLC | Internal Medicine | 1326 Eisenhower Dr, Bldg 2, Savannah, GA 31406-3928 | 2016-04-13 |
| 1346604873 | Sjc Electrophysiology, LLC | Internal Medicine | 1326 Eisenhower Dr, Bldg 2, Savannah, GA 31406-3928 | 2016-04-11 |
| 1629449285 | Dawn A Mace | Nurse Practitioner | 1326 Eisenhower Dr, Savannah, GA 31406-3928 | 2015-10-08 |
| 1821466392 | Courtney Morton | Nurse Practitioner | 1326 Eisenhower Dr, Savannah, GA 31406-3928 | 2015-09-14 |
| 1750776720 | Susan G. Brown | Nurse Practitioner | 1326 Eisenhower Dr, Savannah, GA 31406-3928 | 2015-04-06 |
| 1346678802 | Vi Nguyen | Dietitian, Registered | 1326 Eisenhower Dr, Savannah, GA 31406-3928 | 2013-10-21 |
| 1326476110 | Rachel Mcgalliard | Pharmacist | 1326 Eisenhower Dr, Savannah, GA 31406-3928 | 2013-10-15 |
| 1053756379 | Idris Pasha Ali | Nurse Practitioner | 1326 Eisenhower Dr, Savannah, GA 31406-3928 | 2013-04-30 |
| Find all providers in the same location | ||||
| 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 | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780673921 | Randy Kyle Bottner | Internal Medicine | 6301 Abercorn St, Savannah, GA 31405-5701 | 2005-10-20 |
| 1245224948 | Cardio-analysis Inc | Internal Medicine | 52 Runabout Ln, Savannah, GA 31410-1638 | 2005-09-08 |
| 1245694496 | Sj Sc Cardiology LLC | Internal Medicine | 1326 Eisenhower Dr, Bldg 2, Savannah, GA 31406-3928 | 2016-04-13 |
| 1003298688 | Memorial Savannah Cardiology | Internal Medicine | 6301 Abercorn St, Savannah, GA 31405-5701 | 2015-06-19 |
| 1437530144 | Memorial Cardiovascular Consultants LLC | Internal Medicine | 4700 Waters Ave Ste 400, Savannah, GA 31404-6220 | 2015-06-18 |
| 1619216058 | St. Joseph's Cardiology Group, LLC | Internal Medicine | 11700 Mercy Blvd., Plaza D #6, Savannah, GA 31419 | 2013-02-05 |
| 1598058703 | Akinniran Adedamola Abisogun | Internal Medicine | 1326 Eisenhower Dr Bldg 2, Savannah, GA 31406-3928 | 2011-05-20 |
| 1750607222 | Gunkel Cardiology Group, LLC | Internal Medicine | 11702 Mercy Blvd, Suite 2d, Savannah, GA 31419-1750 | 2010-04-08 |
| 1740514280 | Steven Roth | Internal Medicine | 310 Eisenhower Dr, Suite 5, Savannah, GA 31406-2632 | 2009-10-01 |
| 1518102219 | William Alexander Crosland | Internal Medicine | 11700 Mercy Blvd, Plaza D #6, Savannah, GA 31419 | 2008-12-09 |
| Find all providers in SAVANNAH | ||||
Please comment or provide details below to improve the information on SIDNEY JEFFERSON BOLCH III.
| 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.