SANDRA EILEEN BONE (NPI# 1487725180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487725180 |
| Entity Type | Individual |
| Full Name | SANDRA EILEEN BONE |
| Credential | PA-C |
| Practice Address |
230 Duncan Dr Bldg 1440 Savannah GA 31409-5102 |
| Mailing Address |
230 Duncan Dr # 1440 Savannah GA 31409-5107 |
| Practice Telephone | 9123153742 |
| Practice Fax Number | 9122361255 |
| Mailing Telephone | 9123153016 |
| Mailing Fax Number | 9123152414 |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2018-12-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 004306 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | DEA | MC0720791 | 01 |
| GA | 019521134A | 05 |
| Street Address |
230 DUNCAN DR BLDG 1440 |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31409-5102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710970777 | Joyce Corpuz Gulle | General Practice | 230 Duncan Dr Bldg 1440, Savannah, GA 31409-5107 | 2005-08-25 |
| 1780037473 | Andre Lamar Young | Dental Hygienist | 230 Duncan Dr Bldg 1440, Savannah, GA 31409-5107 | 2016-07-18 |
| 1427459676 | Lafaedra Harvey | Pharmacy Technician | 230 Duncan Dr Bldg 1440, Rm C154, Savannah, GA 31409-5107 | 2014-09-08 |
| 1861805616 | Winn-third Party Insurance | Military/U.S. Coast Guard Pharmacy | 230 Duncan Dr Bldg 1440, Tuttle Army Health Clinic, Savannah, GA 31409-5107 | 2014-06-10 |
| 1063711380 | Amanda Lauren Maldonado | Radiologic Technologist | 230 Duncan Dr Bldg 1440, Department of Radiology, Savannah, GA 31409-5107 | 2011-03-25 |
| 1265470074 | Marcella Bursi Henderson | Social Worker | 230 Duncan Dr Bldg 1440, Ranger Hall, Savannah, GA 31409-5107 | 2006-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003135542 | E Delores Hughes | Counselor | 6400 Waters Avenue, Savannah, GA 31409 | 2010-05-24 |
| 1790875029 | Winn-third Party Insurance | Military/U.S. Coast Guard Pharmacy | Hunter Af Bldg, Bldg 1450, Savannah, GA 31409 | 2006-10-16 |
| 1174587042 | David Pressman | Psychologist | 230 Duncan Dr., Bldg. 1440 - Tahc Behavioral Health, Savannah, GA 31409 | 2006-04-17 |
| 1841277605 | Patrick John Rockwell | Military Health Care Provider | Us Coast Guard Airstation Savannah, 1297 North Lightning Road Hunter Army Airfield, Savannah, GA 31409 | 2005-12-22 |
| 1376526681 | John Wayne Bruce | Pharmacist | Tuttle Army Health Clinic, Hunter Army Airfield, Savannah, GA 31409 | 2005-11-22 |
| 1578556346 | Byron Lewis Cannaday Jr. | Physician Assistant | 230 Duncan Drive Hunter Army Airfield, Tuttle Army Health Clinic, Savannah, GA 31409 | 2005-08-26 |
| 1447761432 | Lynn Marie Rivas | Registered Nurse | Tuttle Army Health Clinic, 230 Duncan Dr., Bldg. 1440, Haaf, GA 31409 | 2017-10-17 |
| 1417906736 | Francisco Ruiz | Dentist | 230 Duncan Drive, Bldg. 1440 Suite C121, Hunter Army Airfield, GA 31409 | 2006-05-06 |
| 1639159130 | Lasundra Walker Hursey | Social Worker | Tuttle Army Health Clinic, Hunter Army Airfield, GA 31409 | 2006-01-19 |
| 1306816749 | Peter T. Bulatao | Pharmacist | 230 Duncan Dr Bldg #1440, Tuttle Health Clinic, Hunter Army Airfield, GA 31409-0000 | 2006-01-26 |
| Find all providers in zip 31409 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306476965 | Alyssa Joyce Trenaman | Physician Assistant | 216 Lyman Hall, Savannah, GA 31410-1045 | 2020-01-23 |
| 1407311012 | Kia Elon Burch | Physician Assistant | 1004 Memorial Ln Ste 200, Savannah, GA 31410-1255 | 2019-02-07 |
| 1316430978 | Dawn Obrien | Physician Assistant | 4717 Hwy 80 E Ste H-1, Savannah, GA 31410-2943 | 2018-06-08 |
| 1265881189 | Mallory Williams | Physician Assistant | 11909 D. Mcauley Drive, Savannah, GA 31419 | 2016-06-10 |
| 1659727634 | Andrea L Yates | Physician Assistant | 10 Country Club Dr, Savannah, GA 31410-3406 | 2016-05-10 |
| 1861878233 | Roksana Grozeva | Physician Assistant | 900 Mohawk St Ste A, Savannah, GA 31419-1772 | 2015-08-07 |
| 1053791434 | Robert Earnest Sikes Jr. | Physician Assistant | 112 Steeplechase Rd, Savannah, GA 31405-1049 | 2015-06-01 |
| 1497160121 | Meredith Grace Lenichek | Physician Assistant | 4717 Us Highway 80 E, Savannah, GA 31410-2943 | 2014-06-20 |
| 1215364120 | Zachary K Johannesen | Physician Assistant | 5353 Reynolds Reynolds Street, Savannah, GA 31405-6015 | 2013-10-09 |
| 1588003651 | Brittany R. Tice | Physician Assistant | 509 Foundation Dr, Savannah, GA 31408-2215 | 2013-06-21 |
| 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.