ISMARY OJEDA DECASTRO (NPI# 1962697730) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962697730 |
| Entity Type | Individual |
| Full Name | ISMARY OJEDA DECASTRO |
| Credential | MD |
| Practice Address |
4750 Waters Ave Ste 452 Savannah GA 31404 |
| Mailing Address |
4750 Waters Ave Ste 452 Savannah GA 31404-6235 |
| Practice Telephone | 9123505909 |
| Practice Fax Number | 9123505914 |
| Mailing Telephone | 9123505909 |
| Mailing Fax Number | 9123505914 |
| Enumeration Date | 2007-09-13 |
| Last Update Date | 2018-08-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
067555 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | RAILROAD MEDICARE | P01048149 | 01 |
| GA | 003122748A | 05 |
| Street Address |
4750 WATERS AVE STE 452 |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821037706 | Kaveh Ehsanipoor | Internal Medicine | 4750 Waters Ave Ste 452, Savannah, GA 31404 | 2006-06-06 |
| 1801116942 | Kelly C. Stegall | Nurse Practitioner | 4750 Waters Ave Ste 452, Savannah, GA 31404 | 2010-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043864580 | Carli A Boatright | Registered Nurse | 4750 Waters Ave Suite 206, Savannah, GA 31404 | 2019-08-01 |
| 1619530573 | Morgan Johnson | Student in an Organized Health Care Education/Training Program | Memorial Health University Medical Center, 4700 Waters Ave, Savannah, GA 31404 | 2019-04-17 |
| 1477050243 | Kevin Timperman | Student in an Organized Health Care Education/Training Program | 4700 Waters Avenus, Surgery Residency Program, Mhumc, Savannah, GA 31404 | 2018-04-09 |
| 1376048959 | Nina Jo Paletta | Student in an Organized Health Care Education/Training Program | Memorial University Medical Center, 4700 Waters Ave., Savannah, GA 31404 | 2018-03-27 |
| 1972036200 | Jose Adrian Lara Gonzalez | Student in an Organized Health Care Education/Training Program | 4700 Waters Ave, Memorial University Medical Center, Internal Medicine Residency Program, Savannah, GA 31404 | 2017-04-04 |
| 1407210396 | Lexie Hester Vaughn | Student in an Organized Health Care Education/Training Program | 1250 East 66th St, Savannah, GA 31404 | 2016-04-07 |
| 1336503291 | Miles Love | Student in an Organized Health Care Education/Training Program | 1250 East 66th Street, Savannah, GA 31404 | 2016-04-07 |
| 1134536881 | David Patch | Specialist/Technologist | Pediatric Residency Program, Memorial University, Medical Center 4700 Waters Avenue, Savannah, GA 31404 | 2014-07-15 |
| 1962846683 | Alan Danilo Zevallos | Internal Medicine | 4700 Waters Avenue, University Medical Center, Internal Medicine Residency Program, Memorial Health, Savannah, GA 31404 | 2013-04-24 |
| 1730446394 | Joshua Ryan Fann | Prosthetist | 3840 Waters Ave, Savannah, GA 31404 | 2012-04-19 |
| Find all providers in zip 31404 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| 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 |
|---|---|---|---|---|
| 1215953583 | The Endocrine Clinic, P.C. | Internal Medicine | 705 East 70 Street, Savannah, GA 31405 | 2006-07-13 |
| 1679515894 | James A Stoever | Internal Medicine | 705 E 70th St, Savannah, GA 31405-4810 | 2006-06-12 |
| 1821037706 | Kaveh Ehsanipoor | Internal Medicine | 4750 Waters Ave Ste 452, Savannah, GA 31404 | 2006-06-06 |
| 1285021626 | Carolyn Nelson | Internal Medicine | 4849 Paulsen Street, Suite 105, Savannah, GA 31405 | 2015-04-23 |
| 1326106857 | Joseph W Dehaven | Internal Medicine | 7001 Hodgson Memorial Dr, Suite 2, Savannah, GA 31406-2549 | 2006-12-05 |
| 1629155676 | Douglas Granville Gresham | Internal Medicine | 340 Eisenhower Dr, 1600, Savannah, GA 31406-1600 | 2006-11-01 |
| 1689666075 | Joseph W Dehaven Md PC | Internal Medicine | 7001 Hodgson Memorial Dr, St 2, Savannah, GA 31406-2549 | 2005-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427606847 | Ann W Edmundson | Internal Medicine | 15685 Rowe Rd, Milton, GA 30004-2628 | 2019-08-28 |
| 1831758846 | Diabetes and Endocrinology Associates East | Internal Medicine | 1380 Milstead Ave Ne Ste H, Conyers, GA 30012-3864 | 2019-06-12 |
| 1629453428 | Ghada Mohamed Sami Ahmed K Elshimy | Internal Medicine | 1120 15th St # Hb-5025, Augusta, GA 30912-0004 | 2015-07-22 |
| 1639552920 | Shahzeena Hafeez | Internal Medicine | 550 W Peachtree St Nw, Atlanta, GA 30308 | 2015-07-03 |
| 1295122745 | Thaer Idrees | Internal Medicine | 69 Jesse Hill Jr Dr Se Ste 200, Atlanta, GA 30303-3033 | 2015-04-22 |
| 1386056372 | Camille Frances Stanback | Internal Medicine | 550 Peachtree St Ne Ste 1950, Atlanta, GA 30308-2247 | 2014-05-23 |
| 1518377654 | John Gregory Zora | Internal Medicine | 975 Johnson Ferry Rd Ste 400, Atlanta, GA 30342-4736 | 2014-04-29 |
| 1538588249 | Wedad Rahman | Internal Medicine | 1301 Sigman Rd Ne Ste 280, Conyers, GA 30012-3947 | 2014-04-09 |
| 1427493709 | Senior Medical Systems, LLC | Internal Medicine | 220 Hills Creek Rd, Taylorsville, GA 30178-2068 | 2013-05-01 |
| 1437411592 | David Antonio Reyes Umpierrez | Internal Medicine | 550 Peachtree St Ne Fl Mot19, Atlanta, GA 30308-2247 | 2012-06-13 |
| Find all providers with the same taxonomy | ||||
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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.