SOUTHEAST GEORGIA UROLOGY ASSOCIATES PC (NPI# 1801975990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801975990 |
| Entity Type | Organization |
| Organization Name | SOUTHEAST GEORGIA UROLOGY ASSOCIATES PC |
| Practice Address |
2500 Starling St Suite 406 Brunswick GA 31520-4265 |
| Practice Telephone | 9122610447 |
| Practice Fax Number | 9122611847 |
| Mailing Telephone | 9122610447 |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2013-08-15 |
| Authorized Official Name | KERRY SHEA LANZONE (TREASURER) |
| Authorized Official Telephone | 9122610447 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| Street Address |
2500 STARLING ST SUITE 406 |
| City | BRUNSWICK |
| State | GA |
| Zip Code | 31520-4265 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851387310 | Coleman David Sudduth Jr. | Internal Medicine | 2500 Starling St, Suite 504, Brunswick, GA 31520-4265 | 2005-09-21 |
| 1811401854 | Sarah Renee Mobbs | Registered Nurse | 2500 Starling St, Brunswick, GA 31520 | 2017-11-29 |
| 1366987844 | Kristin Stenzel Orendorf | Nurse Practitioner | 2500 Starling St, Suite 501, Brunswick, GA 31520-4265 | 2016-12-20 |
| 1124576616 | Julie Small | Nurse Practitioner | 2500 Starling St, Suite 107, Brunswick, GA 31520-4265 | 2016-09-14 |
| 1083083547 | Laura Winkelman | Nurse Practitioner | 2500 Starling St, Suite 601, Brunswick, GA 31520-4265 | 2015-09-15 |
| 1215305305 | Ahmed Elsharkawi, Md LLC | Internal Medicine | 2500 Starling St, Suite 601, Brunswick, GA 31520-4265 | 2015-09-08 |
| 1619344223 | Elizabeth Blair Coleman | Physician Assistant | 2500 Starling St, Ste 403, Brunswick, GA 31520-4265 | 2015-08-31 |
| 1982967709 | Genesis Dme, Inc. | Durable Medical Equipment & Medical Supplies | 2500 Starling St, Suite 105 Seghs, Brunswick, GA 31520-4265 | 2012-06-18 |
| 1801166749 | Marion E Alston | Nurse Practitioner | 2500 Starling St, Suite 503, Brunswick, GA 31520-4265 | 2012-01-10 |
| 1376853507 | John F. Ellenberg, M.d., P.C. | Obstetrics & Gynecology | 2500 Starling St, 406, Brunswick, GA 31520-4265 | 2010-10-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760953434 | David S Deuser Md & Associates PC | Psychiatry & Neurology | 7 Saint Andrews Court, Brunswick, GA 31520 | 2018-12-06 |
| 1063961845 | Irene Limon | Licensed Practical Nurse | 2009 Ellis Street, Brunswick, GA 31520 | 2016-09-22 |
| 1770936551 | Elaine Latimer-tandy | Counselor | 1801 Gloucester St Ste E, Brunswick, GA 31520 | 2016-07-18 |
| 1710336326 | Giva, Inc. | Home Health | 8 St Andrews Court, Brunswick, GA 31520 | 2016-06-06 |
| 1447618525 | Parmelee Eye Care LLC | Point of Service | 1909 Gloucester St, Brunswick, GA 31520 | 2016-02-04 |
| 1578947800 | Holly Diskin Kinsey | Nurse Practitioner | 3400 Parkwood Drive, Brunswick, GA 31520 | 2015-07-16 |
| 1679976419 | Miriam Hosey | Registered Nurse | 2747 Fourth Street, Glynn County Health Dept., Brunswick, GA 31520 | 2014-10-08 |
| 1558779348 | Tracey Renee Price | Internal Medicine | 3025 Shrine Rd Ste 290, Brunswick, GA 31520 | 2014-07-24 |
| 1770901951 | Candace Shepherd | Social Worker | 707 F Street, Brunswick, GA 31520 | 2014-04-03 |
| 1699193599 | Enrique Martinez, M.d., P.C. | Internal Medicine | 3114 A Shrine Road, Brunswick, GA 31520 | 2014-03-29 |
| Find all providers in zip 31520 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518034024 | Jack Marlin Amie Jr. | Urology | 2418 Parkwood Dr, Brunswick, GA 31520-4721 | 2006-11-29 |
| 1285692392 | James W Ross | Urology | 85 Baribeau Drive, Brunswick, ME 04011 | 2006-05-01 |
| 1033258074 | Matthew D Katz | Urology | 2500 Starling Street, Suite 602, Brunswick, GA 31520 | 2007-02-06 |
| 1205995651 | John F Mcgeough, Md | Urology | 85 Baribeau Dr, Brunswick, ME 04011-3249 | 2006-12-08 |
| 1073692174 | Joseph Anthony Lanzone Jr. | Urology | 2500 Starling St, Suite 406, Brunswick, GA 31520-4265 | 2006-11-02 |
| 1679652762 | James Morris Muse Jr. | Urology | 2500 Starling St, Suite 406, Brunswick, GA 31520-4265 | 2006-11-02 |
| 1518051481 | Michael R Curtis | Urology | 121 Medical Center Dr, Brunswick, ME 04011-2653 | 2006-10-03 |
| 1104932177 | John Francis Mcgeough | Urology | 85 Baribeau Dr, Brunswick, ME 04011-3249 | 2006-08-22 |
| 1659394112 | Craig A Hawkins | Urology | 81 Medical Center Dr, Suite 2350, Brunswick, ME 04011-2764 | 2006-07-25 |
| 1326094335 | Samuel B Broaddus | Urology | 81 Medical Center Dr, Suite 2350, Brunswick, ME 04011-2764 | 2006-05-25 |
| Find all providers in BRUNSWICK | ||||
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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.