DR. JAMES K BAZEMORE (NPI# 1265435564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1265435564 |
Entity Type | Individual |
Full Name | DR. JAMES K BAZEMORE |
Credential | M.D. |
Practice Address |
1115 Lexington Ave Bldg 7 Savannah GA 31404-5502 |
Mailing Address |
1115 Lexington Ave Savannah GA 31404-5502 |
Practice Telephone | 9123544813 |
Practice Fax Number | 9123547569 |
Mailing Telephone | 9123544813 |
Mailing Fax Number | 9123547569 |
Enumeration Date | 2005-05-31 |
Last Update Date | 2012-08-22 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 174400000X | Specialist | 15425 | SC | Other Service Providers |
N | 174400000X | Specialist | 037953 | GA | Other Service Providers |
N | 207RN0300X |
Internal Medicine Specialization: Nephrology |
15425 | SC | Allopathic & Osteopathic Physicians |
Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
037953 | GA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SC | 154255 | 05 | |
GA | 00597583A | 05 | |
GA | 00597583C | 05 |
Street Address |
1115 LEXINGTON AVE BLDG 7 |
City | SAVANNAH |
State | GA |
Zip Code | 31404-5502 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548751282 | Sarah Katherine Livengood | Physician Assistant | 1115 Lexington Ave, Savannah, GA 31404-5502 | 2018-05-29 |
1831624899 | Luis Polo | Registered Nurse | 1115 Lexington Ave, Savannah, GA 31404-5502 | 2017-04-27 |
1114252848 | Ashley Ritter Wilson | Nurse Practitioner | 1115 Lexington Ave, Savannah, GA 31404-5502 | 2009-10-14 |
1275553489 | Nephrology and Hypertension Medical Associates PC | Internal Medicine | 1115 Lexington Ave, Savannah, GA 31404-5502 | 2006-07-20 |
1174562235 | Erik D Bernstein | Internal Medicine | 1115 Lexington Ave, Savannah, GA 31404-5502 | 2006-06-05 |
1396704326 | Dana A Kumjian | Internal Medicine | 1115 Lexington Ave, Savannah, GA 31404-5502 | 2006-03-20 |
1669431672 | Rebecca L Sentman | Internal Medicine | 1115 Lexington Ave, Savannah, GA 31404-5502 | 2006-03-20 |
1417922576 | Carol B Strickland | Nurse Practitioner | 1115 Lexington Ave, Savannah, GA 31404-5502 | 2006-02-22 |
1649272691 | Virginia A Hallock | Nurse Practitioner | 1115 Lexington Ave, Savannah, GA 31404-5502 | 2005-06-02 |
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 | 207RN0300X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Nephrology |
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
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 |
---|---|---|---|---|
1487654687 | Craig Richard Saxton | Internal Medicine | 500 E 66th St, Savannah, GA 31405-4339 | 2005-07-28 |
1619237328 | Matthew James Day | Internal Medicine | 500 E 66th St, Savannah, GA 31405-4339 | 2012-05-29 |
1326287038 | Kidney Specialists of Southeast Georgia, Inc | Internal Medicine | 500 E 66th St, Savannah, GA 31405-4339 | 2009-02-19 |
1295895738 | Tinika A Montgomery | Internal Medicine | 500 E 66th St, Savannah, GA 31405-4339 | 2006-12-12 |
1275553489 | Nephrology and Hypertension Medical Associates PC | Internal Medicine | 1115 Lexington Ave, Savannah, GA 31404-5502 | 2006-07-20 |
1396704326 | Dana A Kumjian | Internal Medicine | 1115 Lexington Ave, Savannah, GA 31404-5502 | 2006-03-20 |
1669431672 | Rebecca L Sentman | Internal Medicine | 1115 Lexington Ave, Savannah, GA 31404-5502 | 2006-03-20 |
1831199033 | Nancy Sue Thompson | Internal Medicine | 500 E 66th St, Savannah, GA 31405-4339 | 2005-07-28 |
1003816208 | Florin C Georgescu | Internal Medicine | 500 E 66th St, Savannah, GA 31405-4339 | 2005-07-28 |
1225031842 | Garrett White | Internal Medicine | 1326 Eisenhower Dr, Savannah, GA 31406-3928 | 2005-05-27 |
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.