MR. MICHAEL RAE HUNTLY (NPI# 1184786121) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184786121 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL RAE HUNTLY |
| Credential | MD |
| Practice Address |
900 Mohawk Street Suite A Savannah GA 31419-1772 |
| Practice Telephone | 9129202090 |
| Practice Fax Number | 9129204114 |
| Mailing Telephone | 9129202090 |
| Mailing Fax Number | 9129204114 |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2015-03-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | 44753 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
900 MOHAWK STREET SUITE A |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31419-1772 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336184258 | Angela M Rowden | Ophthalmology | 900 Mohawk Street, Ste E, Savannah, GA 31419 | 2006-06-17 |
| 1265931216 | Courtney G Johnson | Nurse Practitioner | 900 Mohawk Street, Ste E., Savannah, GA 31419 | 2018-02-06 |
| 1255741591 | Anagen Systems, LLC | Durable Medical Equipment & Medical Supplies | 900 Mohawk Street, Savannah, GA 31419 | 2014-05-07 |
| 1578870457 | Julie Griner Mattox | Nurse Practitioner | 900 Mohawk Street, Ste E, Savannah, GA 31419 | 2010-09-13 |
| 1962658963 | Jodi-ann Camille Moore | Dermatology | 900 Mohawk Street, Ste E., Savannah, GA 31419 | 2008-08-11 |
| 1558538355 | Larry Ivan Canfield | Physician Assistant | 900 Mohawk Street, Ste E., Savannah, GA 31419 | 2008-05-12 |
| 1023201936 | Angela M Wilkinson | Registered Nurse | 900 Mohawk Street, Suite A, Savannah, GA 31419 | 2007-08-23 |
| 1831382811 | Richard Lee Parker IIi | Dermatology | 900 Mohawk Street, Ste E., Savannah, GA 31419 | 2007-08-22 |
| 1063448009 | William R Marshall IIi | Dermatology | 900 Mohawk Street, Ste E, Savannah, GA 31419 | 2006-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255932653 | Loving Hands Adult Care | Home Health Aide | 101 St. Goerge Blvd, 6t, Savannah, GA 31419 | 2020-11-03 |
| 1285241265 | Jennifer Ann Hales | Surgery | 11090 Mcauley, Suite 100 2a, Savannah, GA 31419 | 2020-09-24 |
| 1699318139 | Jessica Kaitlyn Matthewson | Nurse Practitioner | 11700 Mercy Blvd Plaza D, Bldg #5, Savannah, GA 31419 | 2019-10-28 |
| 1679133219 | Rebecca Denise Brown-tuyishimire | Counselor | Savannah Outpatient Clinic, 1170 Shawnee Street, Savannah, GA 31419 | 2019-06-17 |
| 1356900856 | Julio Roberto Castellanos Jr. | Behavior Technician | 785 King George Blvd Ste 103, Savannah, GA 31419 | 2019-06-07 |
| 1669941761 | Paul-david Arthur Cooper | Peer Specialist | 117 Shawnee Street, Va Savannah Clinic, Savannah, GA 31419 | 2018-11-19 |
| 1326538521 | Jay Carter Jr. | Social Worker | 1170 Shawnee St., Savannah, GA 31419 | 2018-05-14 |
| 1245771070 | Emily Robertson | Nurse Practitioner | 11133 Abercorm Street, Suite 10, Savannah, GA 31419 | 2017-03-13 |
| 1760833750 | Cady-jo Steidle | Behavioral Analyst | 143 Sugar Mill Cir, Savannah, GA 31419 | 2016-06-30 |
| 1265881189 | Mallory Williams | Physician Assistant | 11909 D. Mcauley Drive, Savannah, GA 31419 | 2016-06-10 |
| Find all providers in zip 31419 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942578539 | Most Plastic & Reconstructive Surgery, PC | Plastic Surgery | 5205 Frederick St Ste A, Savannah, GA 31405-4520 | 2011-12-09 |
| 1184786139 | Thomas William Horn | Plastic Surgery | 5361 Reynolds Street, Savannah, GA 31405-6016 | 2006-12-15 |
| 1205995826 | Carl Pearl | Plastic Surgery | 7208 Hodgson Memorial Dr., Savannah, GA 31406-2515 | 2006-12-08 |
| 1710977632 | Daniel Most | Plastic Surgery | 5205 Frederick St, Ste A, Savannah, GA 31405-4501 | 2005-10-22 |
| 1245226471 | Barbara L Davies | Plastic Surgery | 7208 Hodgson Memorial Drive, Savannah, GA 31406-2512 | 2005-09-22 |
| 1619976107 | William Hugus Dascombe | Plastic Surgery | 5361 Reynolds St, Savannah, GA 31405-6014 | 2005-07-18 |
| 1962922476 | Savannah Plastic Surgicenter Inc | Plastic Surgery | 7208 Hodgson Memorial Dr, Savannah, GA 31406-2512 | 2017-06-26 |
| 1700247202 | Frederick Reconstructive Services LLC | Plastic Surgery | 5205 Frederick St, Savannah, GA 31405-4500 | 2016-03-10 |
| 1871840033 | Most Plastic & Reconstructive Surgery PC | Plastic Surgery | 5205 Frederick St, Ste A, Savannah, GA 31405-4501 | 2012-08-07 |
| 1093079402 | Cannon Plastic & Reconstructive Surgery PC | Plastic Surgery | 5205 Frederick St, Savannah, GA 31405-4501 | 2012-06-29 |
| 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.