EFFINGHAM PHYSICIAN PRACTICES, LLC (NPI# 1477908788) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1477908788 |
Entity Type | Organization |
Organization Name | EFFINGHAM PHYSICIAN PRACTICES, LLC |
Other Organization Name | EFFINGHAM MEDICAL ONCOLOGY PRACTICE |
Practice Address |
459 Hwy 119 S Ste B Springfield GA 31329-3021 |
Mailing Address |
5400 Sutlive St Savannah GA 31405-4721 |
Practice Telephone | 9123546187 |
Practice Fax Number | 9123559807 |
Mailing Telephone | 9123546187 |
Mailing Fax Number | 9123559807 |
Enumeration Date | 2016-04-25 |
Last Update Date | 2016-06-26 |
Authorized Official Name | FRAN BAKER-WITT (INTERIM CEO) |
Authorized Official Telephone | 9127540610 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Effingham Medical Oncology Practice | Doing Business As Name - Organization |
Street Address |
459 HWY 119 S STE B |
City | SPRINGFIELD |
State | GA |
Zip Code | 31329-3021 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437149200 | Michael P Carter | Radiology | 459 Hwy 119 S, Springfield, GA 31329-3021 | 2005-10-24 |
1124568308 | Ankle and Foot Assoc, LLC | Podiatrist | 459 Hwy 119 S, Springfield, GA 31329-3021 | 2017-03-07 |
1659748077 | Michael Daly | Nurse Practitioner | 459 Hwy 119 S, Springfield, GA 31329-3021 | 2015-09-02 |
1063833861 | Zatara Holland Howard | Physical Therapist | 459 Hwy 119 S, Springfield, GA 31329-3021 | 2013-12-20 |
1932466471 | Southeast Lung & Critical Care Specialists, PC | Internal Medicine | 459 Hwy 119 S, Springfield, GA 31329-3021 | 2012-04-23 |
1801029350 | Kimberly Bowen Thompson | Speech-Language Pathologist | 459 Hwy 119 S, Springfield, GA 31329-3021 | 2009-09-01 |
1235280181 | Joseph Patrick Tallent | Specialist/Technologist | 459 Hwy 119 S, Springfield, GA 31329-3021 | 2007-01-16 |
1043240047 | John Bennett | Internal Medicine | 459 Hwy 119 S, Springfield, GA 31329-3021 | 2006-07-04 |
1811962756 | Effingham Hospital, Inc. | Medicare Defined Swing Bed Unit | 459 Hwy 119 S, Springfield, GA 31329-3021 | 2006-02-22 |
1033184437 | Effingham Hospital, Inc. | Skilled Nursing Facility | 459 Hwy 119 S, Springfield, GA 31329-3021 | 2006-02-20 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447653167 | Mary Elizabeth Weaver | Licensed Practical Nurse | 802 Hwy 119 S, Springfield, GA 31329 | 2014-10-08 |
1023411733 | Bethany Thornton | Registered Nurse | 802 Us Highway 119 South, Springfield, GA 31329 | 2014-10-08 |
1821375593 | Heritage Counseling, Inc | Counselor | 1009 N Columbia Ave, Rincon, GA 31329 | 2011-11-09 |
1700170107 | Shonda Miller | Counselor | 275 First Street Ext, Springfield, GA 31329 | 2011-06-02 |
1902134638 | Optim Orthopedics, LLC | Orthopaedic Surgery | 459 Highway 119 South, Springfield, GA 31329 | 2009-11-18 |
1073642211 | Gateway Behavioral Health Services | Community/Behavioral Health | 275 First Street, Springfield, GA 31329 | 2007-03-05 |
1003945627 | Gateway Behavioral Health Services | Counselor | 275 First Street Extention, Springfield, GA 31329 | 2007-03-02 |
1821188228 | Quick Rx Drugs Inc | Pharmacy | 504 North Laurel Street, Springfield, GA 31329 | 2006-10-14 |
1386687275 | Janice E Ford | Nurse Practitioner | 1451 Highway 21 South, Suite H, Springfield, GA 31329 | 2006-06-14 |
1962960484 | Wendi Martin | Nurse Practitioner | 1571 Highway 21 S, Springfield, GA 31329 | 2019-03-04 |
Find all providers in zip 31329 |
Taxonomy Code | 207RH0003X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Hematology & Oncology |
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700071008 | Shravan Kumar Narmala | Internal Medicine | 2055 S Fremont Ave Ste 1000, Springfield, MO 65804-2206 | 2007-09-10 |
1356447288 | John Thomas Fitzharris | Internal Medicine | 3377 Riverbend Dr Ste 500, Springfield, OR 97477-8802 | 2006-09-16 |
1881637049 | Namita Vinayek | Internal Medicine | 900 N 1st Street, Springfield, IL 62702 | 2006-06-14 |
1285692178 | Tennessee Oncology Pllc | Internal Medicine | 480 Northcrest Dr, Ste 400, Springfield, TN 37172-3972 | 2006-05-02 |
1801879762 | Timothy A Johnson | Internal Medicine | 271 Carew Street, Springfield, MA 01104 | 2005-11-23 |
1609865294 | Meghna Ramesh Desai | Internal Medicine | 315 W Carpenter St Fl 1, Springfield, IL 62702-4901 | 2005-10-17 |
1235128109 | Krishna A Rao | Internal Medicine | 415 N 9th St, Springfield, IL 62702-5317 | 2005-10-13 |
1285232140 | Daniella Greaves | Internal Medicine | 385 Morris Ave, Springfield, NJ 07081-1151 | 2020-10-13 |
1932645744 | Lester E Cox Medical Centers | Internal Medicine | 3850 S National Ave, Springfield, MO 65807-5287 | 2017-01-18 |
1720465818 | Midwest Blood and Cancer Specialists, LLC | Internal Medicine | 2355 Derr Rd, Springfield, OH 45503-2439 | 2015-04-28 |
Find all providers in SPRINGFIELD |
City | SPRINGFIELD |
Zip Code | 31329 |
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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.