DYNAMIC LOOP INC (NPI# 1063951374) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063951374 |
| Entity Type | Organization |
| Organization Name | DYNAMIC LOOP INC |
| Practice Address |
100 Bull St # 200 Savannah GA 31401-3305 |
| Practice Telephone | 4703325035 |
| Practice Fax Number | 8889773104 |
| Mailing Telephone | 4703325035 |
| Mailing Fax Number | 8889773104 |
| Enumeration Date | 2017-02-20 |
| Last Update Date | 2017-02-20 |
| Authorized Official Name | MAXIMINO CEDENO (PRESIDENT) |
| Authorized Official Telephone | 4703325035 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | GA | Ambulatory Health Care Facilities |
| Street Address |
100 BULL ST # 200 |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31401-3305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760031470 | Leslie Beatrice Dixon | Technician | 1109 Harmon Street, Savannah, GA 31401 | 2019-09-05 |
| 1912444621 | Sarah Kristen Shuman | Counselor | 140 East 40th St, Savannah, GA 31401 | 2017-01-20 |
| 1427591791 | Catherine Naomi Spann | Licensed Practical Nurse | 107 B Fahm Street, Savannag, GA 31401 | 2016-11-18 |
| 1871952499 | Jesline Palmer | Case Manager/Care Coordinator | 466 Martin Luther King Blvd, Savanah, GA 31401 | 2016-02-11 |
| 1487012894 | Suzanne Waltman Coote | Social Worker | 127 Abercorn St, Suite 301b, Savannah, GA 31401 | 2016-02-01 |
| 1356748032 | Beverly Weaver | Registered Nurse | 107 B Fahm St., Savannah, GA 31401 | 2014-11-25 |
| 1275938011 | Olukemi Olubajo | Dietitian, Registered | 125 Fahm Street, J C Lewis Primary Health Care Center, Savannah, GA 31401 | 2014-10-22 |
| 1346642279 | Kristin Jaski | Social Worker | 127 Abercorn St, Suite 301b, Savannah, GA 31401 | 2014-09-23 |
| 1528497500 | Kathleen Alice Flynn | Nurse Practitioner | 1900 Abercorn Street, Suite 100, Savannah, GA 31401 | 2013-11-11 |
| 1306112248 | Elizabeth Windom Stewart | Nurse Practitioner | 300 Bull St Ste 102, Savannah, GA 31401 | 2012-03-26 |
| Find all providers in zip 31401 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508120056 | Lifestyle and Wellness Institute LLC | Clinic/Center | 7395 Hodgson Memorial Dr Ste 101, Savannah, GA 31406-1518 | 2012-06-29 |
| 1467781229 | Savannah Family Chiropractic, LLC | Clinic/Center | 2250 E Victory Dr, Suite 107, Savannah, GA 31404-3922 | 2009-12-08 |
| 1689802779 | Kicklighter Resource Center | Clinic/Center | 7219 Seawright Dr, Savannah, GA 31406-2703 | 2009-06-26 |
| 1821120007 | Nanette Chapman Baskin | Clinic/Center | 2022 Ashley Rd, Savannah, GA 31410-4204 | 2007-03-12 |
| 1659991214 | Eight Cranes Acupuncture, LLC | Clinic/Center | 51 Johnny Mercer Blvd Ste B2, Savannah, GA 31410-4924 | 2020-04-23 |
| 1255785309 | Md Wellness Solutions, LLC | Clinic/Center | 400 Mall Blvd, Suite W, Savannah, GA 31406-4861 | 2016-04-14 |
| 1962817601 | Applecare Memorial Immediate Care Joint Venture LLC | Clinic/Center | 14089 Abercorn St, Savannah, GA 31419-1966 | 2014-06-20 |
| 1609139278 | Howard Family Dental - Windsor Forest, LLC | Clinic/Center | 13015 Abercorn St, #d-8, Savannah, GA 31419-1970 | 2012-06-19 |
| 1891812616 | Martin Edward Everhard | Clinic/Center | 340 Eisenhower Dr, Suite 1305, Savannah, GA 31406-1600 | 2007-03-25 |
| 1538147863 | Savannah Bone & Joint Sp | Clinic/Center | 340 Main St, Savannah, TN 38372 | 2006-01-06 |
| 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.