MRS. GINA OETGEN HAZEL


Address: 4750 Waters Ave Ste 202, Savannah, GA 31404
Phone: 9123507412

MRS. GINA OETGEN HAZEL (NPI# 1356670350) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1356670350
Entity Type Individual
Full Name MRS. GINA OETGEN HAZEL
Credential FNP-BC
Practice Address 4750 Waters Ave Ste 202
Savannah
GA 31404
Mailing Address 4750 Waters Ave Ste 202
Savannah
GA 31404-6278
Practice Telephone 9123507412
Practice Fax Number 9123507297
Mailing Telephone 9123507412
Mailing Fax Number 9123507297
Enumeration Date 2009-12-22
Last Update Date 2018-08-06
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
RN152773 GA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
GA 615817424D 05
GA WELLCARE 761061 01
GA RAILROAD MEDICARE P01110452 01
GA RAILROAD MEDICARE P01278462 01
AMERIGROUP 01721151 01
GA 615817424C 05
SC NP2156 05

Office Location

Street Address 4750 WATERS AVE STE 202
City SAVANNAH
State GA
Zip Code 31404

Providers in the same location

NPI Name Taxonomy Address Enumeration
1497746754 James R. Dunne Surgery 4750 Waters Ave Ste 202, Savannah, GA 31404 2005-11-03
1659915924 Amy Thompson Nurse Practitioner 4750 Waters Ave Ste 202, Savannah, GA 31404-6278 2019-10-30
1225687395 Suzanne Leathers Nurse Practitioner 4750 Waters Ave Ste 202, Savannah, GA 31404-6278 2019-09-10
1699328856 Morgan E Brett Physician Assistant 4750 Waters Ave Ste 202, Savannah, GA 31404-6278 2019-07-17
1639699531 Christine Shealy Lokey Nurse Practitioner 4750 Waters Ave Ste 202, Savannah, GA 31404-6278 2017-06-21
1699135848 Jessica R. Talles-eriksen Physician Assistant 4750 Waters Ave Ste 202, Savannah, GA 31404 2016-03-01
1588032817 Michael Allman Nurse Practitioner 4750 Waters Ave Ste 202, Savannah, GA 31404-6278 2015-09-03
1003216045 Jackie M Kehrli Nurse Practitioner 4750 Waters Ave Ste 202, Savannah, GA 31404 2014-08-27
1629492947 Hannah Merrell Physician Assistant 4750 Waters Ave Ste 202, Savannah, GA 31404 2014-02-06
1205199700 Katherine Marie Mcbride Surgery 4750 Waters Ave Ste 202, Savannah, GA 31404-6278 2012-06-19
Find all providers in the same location

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1093316820 Odyne Rose Lacossiere-dorvilus Nurse Practitioner 30 Myrtlewood Dr, Savannah, GA 31405-1024 2020-11-06
1952900383 Micaiah Mitchell Nurse Practitioner 10612 Middleground Rd Apt 513, Savannah, GA 31419-1268 2020-10-17
1104424712 Yolanda Michelle Miller Nurse Practitioner 1651 Mckinnon Dr, Savannah, GA 31404-2319 2020-10-15
1730795386 Shanika Graham Nurse Practitioner 2330 Coakley St, Savannah, GA 31404-4947 2020-09-18
1508479775 Tonya L Creasy Nurse Practitioner 170 Barker Dr, Savannah, TN 38372-8419 2020-08-28
1356952394 Elizabeth Woods Hammond Nurse Practitioner 107 W Liberty St Apt 6, Savannah, GA 31401-3965 2020-08-13
1740898915 Bryan S Christain Nurse Practitioner 340 Hodgson Ct Ste 2, Savannah, GA 31406-1523 2020-07-14
1841814753 Billie Sweeney Nurse Practitioner 134 Horse Creek Rd, Savannah, TN 38372-2984 2020-06-05
1609401140 Malika Anderson Batie Nurse Practitioner 1632 Cloverdale Dr, Savannah, GA 31415-7814 2020-03-05
1760017206 Evelia Johnsen Nurse Practitioner 11702 Mercy Blvd Ste 2g, Savannah, GA 31419-1777 2020-03-05
Find all providers in SAVANNAH

Competitor

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City SAVANNAH
Zip Code 31404

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Dataset Information

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.

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