DR. MICHAEL JOHN BABCOCK (NPI# 1316129661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316129661 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL JOHN BABCOCK |
| Credential | MD |
| Practice Address |
11700 Mercy Blvd Plaza D #6 Savannah GA 31419 |
| Mailing Address |
836 E. 65th Street Suite 20 Savannah GA 31405 |
| Practice Telephone | 9129273434 |
| Practice Fax Number | 9129275016 |
| Mailing Telephone | 9128197878 |
| Mailing Fax Number | 9128193555 |
| Enumeration Date | 2007-11-28 |
| Last Update Date | 2019-04-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
72228 | GA | Allopathic & Osteopathic Physicians |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
072228 | GA | Allopathic & Osteopathic Physicians |
| N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
072228 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 003148133B | 05 | |
| GA | 003148133A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720076169 | Michael C. Babcock | Dentist | 16670 Franklin Trl Se, Prior Lake, MN 55372-2924 | 2005-10-10 |
| 1801456371 | Michael Babcock | Family Medicine | 200 1st St Sw, Rochester, MN 55905-0001 | 2019-06-17 |
| 1659869774 | Michael R Babcock | Counselor | 201 Cedar St, Oneida, NY 13421 | 2018-04-24 |
| 1396101309 | Michael Babcock | Chiropractor | 221 6th Ave Se, Aberdeen, SD 57401-4362 | 2016-01-06 |
| 1861710527 | Michael Arthur Babcock | Psychiatry & Neurology | 200 Patewood Dr, Suite A350, Greenville, SC 29615-3593 | 2010-05-05 |
| 1508046491 | Michael J. Babcock | Dermatology | 170 S Parkside Dr, Colorado Springs, CO 80910-3129 | 2007-11-07 |
| 1275685711 | Michael Ray Babcock | Social Worker | 503 State St, Springfield, MA 01109-4101 | 2007-01-17 |
| 1134228018 | Michael F Babcock | Anesthesiology | 14 Prospect St, Milford, MA 01757-3003 | 2006-09-21 |
| Street Address |
11700 MERCY BLVD PLAZA D #6 |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31419 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215932066 | Cynthia Drown | Nurse Practitioner | 11700 Mercy Blvd, Plaza D Suite A, Savannah, GA 31419-1753 | 2005-06-17 |
| 1093205957 | Clint R. Fenton | Physician Assistant | 11700 Mercy Blvd, Plaza D #6, Savannah, GA 31419 | 2018-05-16 |
| 1568962967 | Ortho Sport & Spine Physicians Savannah | Clinic/Center | 11700 Mercy Blvd, Savannah, GA 31419-1753 | 2018-02-13 |
| 1982134003 | Mackenzie Grace Shelton | Physician Assistant | 11700 Mercy Blvd, Plaza D #6, Savannah, GA 31419 | 2017-06-13 |
| 1205383130 | Beverly J Lippert | Nurse Practitioner | 11700 Mercy Blvd, Plaza D #6, Savannah, GA 31419 | 2016-09-08 |
| 1487000519 | Angel Everidge | Physician Assistant | 11700 Mercy Blvd, Plaza D, #6, Savannah, GA 31419 | 2016-05-07 |
| 1629470273 | Ortho Sport & Spine Physicians Savannah | Orthopaedic Surgery | 11700 Mercy Blvd, Savannah, GA 31419-1753 | 2014-09-25 |
| 1568805505 | Andrew Robert Papoy | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 11700 Mercy Blvd, Plaza D Bldg. 1 Suite A, Savannah, GA 31419 | 2013-04-09 |
| 1750635579 | St. Joseph's Medical Group, LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 11700 Mercy Blvd, Plaza D Suite A, Savannah, GA 31419 | 2012-10-31 |
| 1407119423 | Rebecca M Hart | Nurse Practitioner | 11700 Mercy Blvd, Bldg #5, Savannah, GA 31419-1753 | 2012-06-25 |
| Find all providers in the same location | ||||
| 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 | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1780673921 | Randy Kyle Bottner | Internal Medicine | 6301 Abercorn St, Savannah, GA 31405-5701 | 2005-10-20 |
| 1245224948 | Cardio-analysis Inc | Internal Medicine | 52 Runabout Ln, Savannah, GA 31410-1638 | 2005-09-08 |
| 1245694496 | Sj Sc Cardiology LLC | Internal Medicine | 1326 Eisenhower Dr, Bldg 2, Savannah, GA 31406-3928 | 2016-04-13 |
| 1003298688 | Memorial Savannah Cardiology | Internal Medicine | 6301 Abercorn St, Savannah, GA 31405-5701 | 2015-06-19 |
| 1437530144 | Memorial Cardiovascular Consultants LLC | Internal Medicine | 4700 Waters Ave Ste 400, Savannah, GA 31404-6220 | 2015-06-18 |
| 1619216058 | St. Joseph's Cardiology Group, LLC | Internal Medicine | 11700 Mercy Blvd., Plaza D #6, Savannah, GA 31419 | 2013-02-05 |
| 1598058703 | Akinniran Adedamola Abisogun | Internal Medicine | 1326 Eisenhower Dr Bldg 2, Savannah, GA 31406-3928 | 2011-05-20 |
| 1750607222 | Gunkel Cardiology Group, LLC | Internal Medicine | 11702 Mercy Blvd, Suite 2d, Savannah, GA 31419-1750 | 2010-04-08 |
| 1740514280 | Steven Roth | Internal Medicine | 310 Eisenhower Dr, Suite 5, Savannah, GA 31406-2632 | 2009-10-01 |
| 1518102219 | William Alexander Crosland | Internal Medicine | 11700 Mercy Blvd, Plaza D #6, Savannah, GA 31419 | 2008-12-09 |
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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.