CANDLER MEDICAL GROUP-CENTRAL PARK (NPI# 1669400263) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669400263 |
| Entity Type | Organization |
| Organization Name | CANDLER MEDICAL GROUP-CENTRAL PARK |
| Practice Address |
527 Eisenhower Drive Savannah GA 31406-1612 |
| Mailing Address |
602 E 72nd Street Savannah GA 31405 |
| Practice Telephone | 9128199100 |
| Practice Fax Number | 9128199101 |
| Mailing Telephone | 9128197878 |
| Mailing Fax Number | 9128197850 |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2008-08-01 |
| Authorized Official Name | PAUL P HINCHEY (PRESIDENT/CEO) |
| Authorized Official Telephone | 9128196001 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | MEDICARE GROUP # | GAP5684 | 01 |
| Street Address |
527 EISENHOWER DRIVE |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31406-1612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447568597 | Russell Herbert Pacquette | Internal Medicine | 527 Eisenhower Drive, Savannah, GA 31406-1612 | 2010-09-22 |
| 1184788812 | Lawrence F Zottoli | Family Medicine | 527 Eisenhower Drive, Savannah, GA 31406-1612 | 2006-12-20 |
| 1205858750 | Felicia M Carr | Family Medicine | 527 Eisenhower Drive, Savannah, GA 31406-1612 | 2006-07-24 |
| 1518989078 | Jaqueline Margaret Davis | Nurse Practitioner | 527 Eisenhower Drive, Savannah, GA 31406 | 2006-07-24 |
| 1912928912 | Lorraine M Mcrae | Family Medicine | 527 Eisenhower Drive, Savannah, GA 31406 | 2006-07-22 |
| 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 | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1518351857 | R & R Fitness,llc | Internal Medicine | 400 Mall Blvd Ste C, Savannah, GA 31406-4873 | 2015-03-25 |
| 1962846683 | Alan Danilo Zevallos | Internal Medicine | 4700 Waters Avenue, University Medical Center, Internal Medicine Residency Program, Memorial Health, Savannah, GA 31404 | 2013-04-24 |
| 1144516162 | Charles Adam Mccoy | Internal Medicine | 11700 Mercy Blvd Ste 5, Savannah, GA 31419-1753 | 2011-06-28 |
| 1114245529 | Elizabeth Sue Neufeld | Internal Medicine | 1 Castlebrook Retreat, Savannah, GA 31411 | 2010-05-10 |
| 1336466366 | Walter Bowden Jr. | Internal Medicine | 6510 Seawright Dr, Savannah, GA 31406-2752 | 2010-04-30 |
| 1922235548 | Frederick Debele Maner | Internal Medicine | 308 Bradley Point Rd, Savannah, GA 31410-3507 | 2009-06-22 |
| 1295969228 | Kurt Singh Kang | Internal Medicine | 101 W Mulberry Blvd Ste 100, Savannah, GA 31407 | 2009-05-05 |
| 1508017542 | Healthy Family PC | Internal Medicine | 705 E 65th St, Savannah, GA 31405-4408 | 2008-10-08 |
| 1851586747 | Georg Laemmerhirt | Internal Medicine | 800 E 68th St, Savannah, GA 31405-4710 | 2007-09-13 |
| 1487849253 | Ne Win | Internal Medicine | 4700 Waters Ave S, Mhumc Memorial Health Im Edu, Savannah, GA 31404 | 2007-09-13 |
| 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.