DR. LEEP KOON TEO (NPI# 1457557605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457557605 |
| Entity Type | Individual |
| Full Name | DR. LEEP KOON TEO |
| Credential | MD |
| Practice Address |
5353 Reynolds St Savannah GA 31405-6015 |
| Mailing Address |
1000 Haddonfield Berlin Rd Ste 210 Voorhees NJ 08043-3520 |
| Practice Telephone | 9128196426 |
| Mailing Telephone | 8567822112 |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2019-09-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
A69608 | CA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1240 N Mission Rd, Rm L-919, Los Angeles, CA 900331019 | 3232263406 |
| 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 |
| 1437633328 | Zachary Emanuel Madramootoo | Nurse Practitioner | 5353 Reynolds St, Savannah, GA 31405-6015 | 2018-09-18 |
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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 | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477750818 | Angela Marie Fagiana | Pediatrics | 4750 Waters Ave Ste 206, Savannah, GA 31404-6278 | 2007-06-29 |
| 1669663878 | Benjamin Mackowiak | Pediatrics | 4750 Waters Ave Ste 206, Savannah, GA 31404-6278 | 2007-08-05 |
| 1437206240 | Palmer Johnston | Pediatrics | 4700 Waters Ave, Savannah, GA 31404-6220 | 2007-01-04 |
| 1679672711 | Daniel Leonard Sandler | Pediatrics | 4750 Waters Avenue, Suite 206, Savannah, GA 31404 | 2006-09-22 |
| 1639132376 | Eleanor Eades | Pediatrics | 4750 Waters Ave, Suite 206, Savannah, GA 31404-6200 | 2006-04-11 |
| 1720041064 | Nancy Beth Shull | Pediatrics | 4750 Waters Ave, Suite 206, Savannah, GA 31404-6200 | 2006-04-08 |
| 1780647297 | Linda Mann Sacks | Pediatrics | 4750 Waters Ave, Suite 206, Savannah, GA 31404-6200 | 2006-04-07 |
| 1518929173 | Patricia Ann Turner | Pediatrics | 4750 Waters Ave, Suite 206, Savannah, GA 31404-6200 | 2006-04-06 |
| 1568424224 | Mark Steven Wright | Pediatrics | 4750 Waters Ave, Suite 206, Savannah, GA 31404-6200 | 2006-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356762553 | Edward D Conner Md PC | Pediatrics | 112 Gleneagles Cir, Macon, GA 31210-2943 | 2013-12-16 |
| 1962832444 | Georgia Neonatology LLC | Pediatrics | 124 Bradford Dr, Macon, GA 31210-1267 | 2013-11-19 |
| 1124348826 | Suneeti Gupta | Pediatrics | 5901 Peachtree Dunwoody Rd # C, Suite C 65, Atlanta, GA 30328-5382 | 2010-06-03 |
| 1225266745 | Jack Gibson Gray | Pediatrics | 135 Tamerlane, Peachtree City, GA 30269-2700 | 2009-06-23 |
| 1184851008 | Ima S Thompson | Pediatrics | 550 Medical Center Blvd, Lawrenceville, GA 30046-7688 | 2009-06-18 |
| 1528201027 | Sarita A. Patel | Pediatrics | 5901 Peachtree Dunwoody Rd, Suite B 420, Atlanta, GA 30328-5382 | 2009-04-13 |
| 1679730501 | Marietta Neonatology, P.C. | Pediatrics | 800 Kennesaw Ave Nw, Suite 200, Marietta, GA 30060-1051 | 2008-05-19 |
| 1598959124 | Danielle Cecelia Giliberti Kallmyer | Pediatrics | 1428 Markan Dr Ne, Atlanta, GA 30306-2305 | 2007-08-27 |
| 1710060256 | William Ranson Laforce | Pediatrics | 315 Boulevard Ne Ste 500, Atlanta, GA 30312-1266 | 2006-10-20 |
| 1518047877 | Heidi Eigenrauch Karpen | Pediatrics | Emory Childrens Center Neonatology, 2015 Uppergate Drive Ne, Atlanta, GA 30322-1014 | 2006-10-17 |
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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.