ANGELA MARIE FAGIANA (NPI# 1477750818) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477750818 |
| Entity Type | Individual |
| Full Name | ANGELA MARIE FAGIANA |
| Credential | M.D. |
| Practice Address |
4750 Waters Ave Ste 206 Savannah GA 31404-6278 |
| Practice Telephone | 7027799990 |
| Mailing Telephone | 7027799990 |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2020-05-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
85694 | GA | Allopathic & Osteopathic Physicians |
| N | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
S0155 | TX | Allopathic & Osteopathic Physicians |
| N | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
46054 | TN | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 18th Medical Group, Unit 5142, Apo, AP 96368 | 01181989717555 | |
| 3551 Roger Brooke Dr, Fort Sam Houston, TX 782344504 | 2109167084 | 2105419123 |
| 5430 Fredericksburg Rd Ste 508, San Antonio, TX 782293561 | 2105418281 | 2105419123 |
| Street Address |
4750 WATERS AVE STE 206 |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31404-6278 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942714274 | Kimberly Kay Miller | Nurse Practitioner | 4750 Waters Ave Ste 206, Savannah, GA 31404-6278 | 2017-11-22 |
| 1093078107 | Ann Simonin | Pediatrics | 4750 Waters Ave Ste 206, Savannah, GA 31404 | 2012-06-22 |
| 1124346325 | Andrea Mikol Heuser | Pediatrics | 4750 Waters Ave Ste 206, Savannah, GA 31404-6278 | 2010-05-12 |
| 1669663878 | Benjamin Mackowiak | Pediatrics | 4750 Waters Ave Ste 206, Savannah, GA 31404-6278 | 2007-08-05 |
| 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 | 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 |
|---|---|---|---|---|
| 1669663878 | Benjamin Mackowiak | Pediatrics | 4750 Waters Ave Ste 206, Savannah, GA 31404-6278 | 2007-08-05 |
| 1457557605 | Leep Koon Teo | Pediatrics | 5353 Reynolds St, Savannah, GA 31405-6015 | 2007-06-25 |
| 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 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on ANGELA MARIE FAGIANA.
| 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.