MRS. AMANDA LAUREN MALDONADO (NPI# 1063711380) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063711380 |
| Entity Type | Individual |
| Full Name | MRS. AMANDA LAUREN MALDONADO |
| Credential | RT |
| Practice Address |
230 Duncan Dr Bldg 1440 Department of Radiology Savannah GA 31409-5107 |
| Mailing Address |
105 Summer Hill Way Richmond Hill GA 31324-4530 |
| Practice Telephone | 9123156464 |
| Practice Fax Number | 9133155397 |
| Mailing Telephone | 9123423663 |
| Enumeration Date | 2011-03-25 |
| Last Update Date | 2014-09-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2471C3401X |
Radiologic Technologist Specialization: Computed Tomography |
435024 | Technologists, Technicians & Other Technical Service Providers | |
| Y | 2471C3402X |
Radiologic Technologist Specialization: Radiography |
435024 | GA | Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720602675 | Amanda Graciela Maldonado | Psychologist | 1909 Calle Orquidea, San Juan, PR 00927-6714 | 2020-06-05 |
| 1841714821 | Amanda Christine Maldonado | Specialist/Technologist | 504 Grosbeak St., Laredo, TX 78045-7804 | 2017-08-01 |
| 1184194698 | Amanda Marie Maldonado | Social Worker | 151 Burrs Ln, Dix Hills, NY 11746-6052 | 2018-11-27 |
| Street Address |
230 DUNCAN DR BLDG 1440 DEPARTMENT OF RADIOLOGY |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31409-5107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710970777 | Joyce Corpuz Gulle | General Practice | 230 Duncan Dr Bldg 1440, Savannah, GA 31409-5107 | 2005-08-25 |
| 1780037473 | Andre Lamar Young | Dental Hygienist | 230 Duncan Dr Bldg 1440, Savannah, GA 31409-5107 | 2016-07-18 |
| 1427459676 | Lafaedra Harvey | Pharmacy Technician | 230 Duncan Dr Bldg 1440, Rm C154, Savannah, GA 31409-5107 | 2014-09-08 |
| 1861805616 | Winn-third Party Insurance | Military/U.S. Coast Guard Pharmacy | 230 Duncan Dr Bldg 1440, Tuttle Army Health Clinic, Savannah, GA 31409-5107 | 2014-06-10 |
| 1487725180 | Sandra Eileen Bone | Physician Assistant | 230 Duncan Dr Bldg 1440, Savannah, GA 31409-5102 | 2006-11-13 |
| 1265470074 | Marcella Bursi Henderson | Social Worker | 230 Duncan Dr Bldg 1440, Ranger Hall, Savannah, GA 31409-5107 | 2006-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003135542 | E Delores Hughes | Counselor | 6400 Waters Avenue, Savannah, GA 31409 | 2010-05-24 |
| 1790875029 | Winn-third Party Insurance | Military/U.S. Coast Guard Pharmacy | Hunter Af Bldg, Bldg 1450, Savannah, GA 31409 | 2006-10-16 |
| 1174587042 | David Pressman | Psychologist | 230 Duncan Dr., Bldg. 1440 - Tahc Behavioral Health, Savannah, GA 31409 | 2006-04-17 |
| 1841277605 | Patrick John Rockwell | Military Health Care Provider | Us Coast Guard Airstation Savannah, 1297 North Lightning Road Hunter Army Airfield, Savannah, GA 31409 | 2005-12-22 |
| 1376526681 | John Wayne Bruce | Pharmacist | Tuttle Army Health Clinic, Hunter Army Airfield, Savannah, GA 31409 | 2005-11-22 |
| 1578556346 | Byron Lewis Cannaday Jr. | Physician Assistant | 230 Duncan Drive Hunter Army Airfield, Tuttle Army Health Clinic, Savannah, GA 31409 | 2005-08-26 |
| 1447761432 | Lynn Marie Rivas | Registered Nurse | Tuttle Army Health Clinic, 230 Duncan Dr., Bldg. 1440, Haaf, GA 31409 | 2017-10-17 |
| 1417906736 | Francisco Ruiz | Dentist | 230 Duncan Drive, Bldg. 1440 Suite C121, Hunter Army Airfield, GA 31409 | 2006-05-06 |
| 1639159130 | Lasundra Walker Hursey | Social Worker | Tuttle Army Health Clinic, Hunter Army Airfield, GA 31409 | 2006-01-19 |
| 1306816749 | Peter T. Bulatao | Pharmacist | 230 Duncan Dr Bldg #1440, Tuttle Health Clinic, Hunter Army Airfield, GA 31409-0000 | 2006-01-26 |
| Find all providers in zip 31409 | ||||
| Taxonomy Code | 2471C3402X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| Specialization | Radiography |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700432267 | Amira Karriem | Radiologic Technologist | 256 Valley View Cir, Dallas, GA 30132-9806 | 2019-08-12 |
| 1902077415 | Mary Celeste Wade | Radiologic Technologist | 1029 Travelers Trl Nw, Kennesaw, GA 30144-2870 | 2008-03-12 |
| 1568655991 | Monique Fawn Towns | Radiologic Technologist | 3703 Brightwater Dr, Douglasville, GA 30135-3011 | 2007-08-20 |
| 1265639504 | Stephen Jay Tarr | Radiologic Technologist | 200 Arizona Ave Ne, Suite 200, Atlanta, GA 30307-2299 | 2007-06-29 |
| 1760527766 | Jamie S Carpenter | Radiologic Technologist | 113 Fairview Park Dr # A, Dublin, GA 31021-2501 | 2007-02-20 |
| 1801947387 | Michelle Amanda Stringfield | Radiologic Technologist | 3974 Annistown Rd Ste 304, Snellville, GA 30039-8468 | 2007-01-13 |
| 1144670340 | Zipporaha Sherette Gober | Radiologic Technologist | 5665 Peachtree Dunwoody Rd, Atlanta, GA 30342-1764 | 2016-06-17 |
| 1316340870 | Alan Jurisich | Radiologic Technologist | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2014-09-29 |
| 1710388731 | April Boecker | Radiologic Technologist | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2014-09-09 |
| 1881095891 | Libby Gardner | Radiologic Technologist | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2014-09-09 |
| 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.