JON ROBERT BEACHER (NPI# 1457341778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457341778 |
| Entity Type | Individual |
| Full Name | JON ROBERT BEACHER |
| Credential | MD |
| Practice Address |
4700 Waters Ave Ste 507 Savannah GA 31404-6220 |
| Mailing Address |
2000 Health Park Dr Ste 2 Brentwood TN 37027-4525 |
| Practice Telephone | 9123504750 |
| Practice Fax Number | 9123504751 |
| Mailing Telephone | 6153725068 |
| Mailing Fax Number | 8446874017 |
| Enumeration Date | 2005-10-27 |
| Last Update Date | 2020-06-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
065933 | GA | Allopathic & Osteopathic Physicians |
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
065933 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 003112189A | 05 | |
| MD | 433201600 | 05 |
| Street Address |
4700 WATERS AVE STE 507 |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31404-6220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598307324 | Matthew Dillon Melton | Nurse Practitioner | 4700 Waters Ave Ste 507, Savannah, GA 31404-6220 | 2019-10-14 |
| 1629620901 | Ashley Spring Edwards | Nurse Practitioner | 4700 Waters Ave Ste 507, Savannah, GA 31404-6220 | 2019-07-16 |
| 1750744249 | Heather Zimmerman | Registered Nurse | 4700 Waters Ave Ste 507, Savannah, GA 31404 | 2016-04-01 |
| 1427342070 | Sarah Ellen Elza Stephens | Internal Medicine | 4700 Waters Ave Ste 507, Savannah, GA 31404 | 2011-05-31 |
| 1275859050 | Ashley M. Wanager | Nurse Practitioner | 4700 Waters Ave Ste 507, Savannah, GA 31404 | 2010-04-19 |
| 1023278967 | Domenick J Roma | Internal Medicine | 4700 Waters Ave Ste 507, Savannah, GA 31404 | 2008-06-13 |
| 1467677914 | Jason R Mcclune | Internal Medicine | 4700 Waters Ave Ste 507, Savannah, GA 31404 | 2007-04-17 |
| 1265595847 | Julia F. Johnson | Family Medicine | 4700 Waters Ave Ste 507, Savannah, GA 31404-6220 | 2006-12-18 |
| 1699854224 | Igor Viktorovich Aksenov | Internal Medicine | 4700 Waters Ave Ste 507, Savannah, GA 31404 | 2006-11-03 |
| 1841301140 | Kathia A. Ortiz-cantillo | Internal Medicine | 4700 Waters Ave Ste 507, Savannah, GA 31404-6220 | 2006-08-31 |
| Find all providers in the same location | ||||
| 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 | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| 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 |
|---|---|---|---|---|
| 1194743971 | Anthony Michael Costrini | Internal Medicine | 55 Islanders Retreat, Savannah, GA 31411-2941 | 2006-07-18 |
| 1285602854 | Michael D Mullins | Internal Medicine | 225 Candler Dr, Suite 301, Savannah, GA 31405-6023 | 2006-03-09 |
| 1003884669 | James A Daly IIi | Internal Medicine | 340 Hodgson Ct, Suite 2, Savannah, GA 31406-1520 | 2006-03-09 |
| 1023278967 | Domenick J Roma | Internal Medicine | 4700 Waters Ave Ste 507, Savannah, GA 31404 | 2008-06-13 |
| 1629191853 | Ryan Brett Moody | Internal Medicine | 11700 Mercy Blvd, Bldg. #5, Savannah, GA 31419-1753 | 2007-04-10 |
| 1912076944 | Gifford William Lorenz | Internal Medicine | 5354 Reynolds St, Suite 318, Savannah, GA 31405-6007 | 2006-11-06 |
| 1841301140 | Kathia A. Ortiz-cantillo | Internal Medicine | 4700 Waters Ave Ste 507, Savannah, GA 31404-6220 | 2006-08-31 |
| 1831129303 | James Allen Meadows IIi | Internal Medicine | 11700 Mercy Blvd, Bldg #5, Savannah, GA 31419-1778 | 2006-07-03 |
| 1831127521 | Carlton Rudolph Kemp | Internal Medicine | 4700 Waters Ave Ste 507, Savannah, GA 31404 | 2006-06-29 |
| 1255367157 | Obaid Rehman | Internal Medicine | 11700 Mercy Blvd, Bldg #5, Savannah, GA 31419-1753 | 2006-06-23 |
| 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.