ZACHARY EMANUEL MADRAMOOTOO (NPI# 1437633328) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1437633328 |
Entity Type | Individual |
Full Name | ZACHARY EMANUEL MADRAMOOTOO |
Credential | N.P. |
Practice Address |
5353 Reynolds St Savannah GA 31405-6015 |
Mailing Address |
5629 Hwy 21 S Rincon GA 31326-9416 |
Practice Telephone | 9122952133 |
Mailing Telephone | 9122952133 |
Mailing Fax Number | 9122955924 |
Enumeration Date | 2018-09-18 |
Last Update Date | 2018-09-18 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN222405 | GA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
5353 REYNOLDS ST |
City | SAVANNAH |
State | GA |
Zip Code | 31405-6015 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487657151 | Carolyn Kleeman Williams | Pharmacist | 5353 Reynolds St, Savannah, GA 31405-6015 | 2005-05-24 |
1851998017 | Elyssa Whitley | Anesthesiologist Assistant | 5353 Reynolds St, Savannah, GA 31405-6015 | 2020-10-01 |
1851905020 | Sherry Yvette Smith | Nurse Practitioner | 5353 Reynolds St, Savannah, GA 31405-6015 | 2020-09-03 |
1558970657 | Julia Ann Gainey | Anesthesiologist Assistant | 5353 Reynolds St, Savannah, GA 31405-6015 | 2020-07-24 |
1457973232 | Morgan E Fink | Dietitian, Registered | 5353 Reynolds St, Savannah, GA 31405-6015 | 2020-05-14 |
1750917563 | Catherine Morrison | Registered Nurse | 5353 Reynolds St, Savannah, GA 31405-6015 | 2020-03-13 |
1568006534 | Courtney Brue | Registered Nurse | 5353 Reynolds St, Savannah, GA 31405-6015 | 2019-11-03 |
1013561281 | Megan Boyd | Family Medicine | 5353 Reynolds St, Savannah, GA 31405-6015 | 2019-07-26 |
1760958979 | Virginia Claiborne Stuber | Anesthesiologist Assistant | 5353 Reynolds St, Savannah, GA 31405-6015 | 2018-10-16 |
1639659568 | Darcie B Wood | Anesthesiologist Assistant | 5353 Reynolds St, Savannah, GA 31405 | 2018-08-20 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053918441 | Nicole Marie Tetro | Anesthesiology | Candler Hospital, 5353 Reynolds St, Savannah, GA 31405 | 2020-10-08 |
1154983880 | Nickes Medical Supply, LLC. | Durable Medical Equipment & Medical Supplies | 6020 Halsey St, Savannah, GA 31405 | 2019-07-02 |
1215593025 | Lee Ann Ryle | Nurse Practitioner | 5223 Paulsen St., Savannah, GA 31405 | 2019-05-16 |
1942765334 | Raegan Epps | Behavior Technician | 613 Stephenson Ave Ste 205, Savannah, GA 31405 | 2019-02-10 |
1679050454 | Phenomenal Nursing Service | Registered Nurse | 604 South St., 604 South St, Savannah, GA 31405 | 2018-07-24 |
1275029472 | Chelsea Amanda Keedy | Pharmacist | 836 E. 65th St., Medical Arts #4, Savannah, GA 31405 | 2018-07-11 |
1265933840 | Dwc-p LLC | Dentist | 5209 Paulsen Street, Savannah, GA 31405 | 2018-02-28 |
1386153005 | Aaron Shaw | Hearing Instrument Specialist | 5501 Abercorn St Ste E, Savannah, GA 31405 | 2017-09-26 |
1063946028 | Elizabeth Bentley Bruhn-danello | Dietitian, Registered | 836 East 65th Street, Medical Arts #4, Savannah, GA 31405 | 2017-04-17 |
1396278230 | Theresa Lynn George | Health Educator | 836 East 65 Th Street, Medical Arts #4, Savannah, GA 31405 | 2017-04-07 |
Find all providers in zip 31405 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
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 |
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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.