MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER (NPI# 1508058181) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508058181 |
| Entity Type | Organization |
| Organization Name | MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER |
| Practice Address |
4720 Waters Ave Savannah GA 31404-6292 |
| Practice Telephone | 9123508000 |
| Enumeration Date | 2007-08-16 |
| Last Update Date | 2014-12-08 |
| Authorized Official Name | DR. KATARINA STOPKO (PEDIATRICIAN) |
| Authorized Official Telephone | 9123508193 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 001952 | GA | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326275249 | Memorial Health University Medical Center | General Acute Care Hospital | 4700 Waters Ave, Savannah, GA 31404-6220 | 2009-06-18 |
| 1609975580 | Memorial Health University Medical Center | Anesthesiology | 4700 Waters Ave, Savannah, GA 31404-6220 | 2006-09-21 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER | 4700 Waters Ave, Savannah, GA 31404-6220 |
| Street Address |
4720 WATERS AVE |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31404-6292 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083617419 | Shari Carney | Ophthalmology | 4720 Waters Ave, Savannah, GA 31404 | 2005-05-31 |
| 1366734147 | Thomas J Kandl | Ophthalmology | 4720 Waters Ave, Savannah, GA 31404-6292 | 2011-05-11 |
| 1356575377 | Georgia Eye Institute Surgery Center LLC | Clinic/Center | 4720 Waters Ave, Savannah, GA 31404-6292 | 2009-05-05 |
| 1700039740 | Georgia Eye Institute of The Southeast, LLC | Optometrist | 4720 Waters Ave, Savannah, GA 31404-6292 | 2008-11-03 |
| 1306006226 | Robin Ray | Ophthalmology | 4720 Waters Ave, Savannah, GA 31404-6292 | 2008-06-13 |
| 1740487131 | Jennifer Goodrich Bromley | Ophthalmology | 4720 Waters Ave, Savannah, GA 31404-6292 | 2007-06-28 |
| 1952323990 | Georgia Eye Institute, Inc. | Optometrist | 4720 Waters Ave, Savannah, GA 31404-6292 | 2006-07-25 |
| 1003831371 | Nicholas R. Bollin | Optometrist | 4720 Waters Ave, Savannah, GA 31404-6292 | 2006-07-13 |
| 1437198983 | Joseph R Gussler | Ophthalmology | 4720 Waters Ave, Savannah, GA 31404-6292 | 2006-06-06 |
| 1508805052 | David D Kim | Ophthalmology | 4720 Waters Ave, Savannah, GA 31404-6292 | 2006-06-06 |
| 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 | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699754812 | Hardin County General Hospital | General Acute Care Hospital | 935 Wayne Road, Savannah, TN 38372 | 2006-01-16 |
| 1053824292 | Savannah Health Services, LLC | General Acute Care Hospital | 4700 Waters Ave, Savannah, GA 31404-6220 | 2017-11-09 |
| 1437550811 | Sjc Oncology Services-georgia, LLC | General Acute Care Hospital | 5353 Reynolds St, Suite 200, Savannah, GA 31405-6015 | 2014-09-04 |
| 1831534734 | Megan Varvoutis | General Acute Care Hospital | 4700 Waters Ave, Savannah, GA 31404-6220 | 2013-05-06 |
| 1326275249 | Memorial Health University Medical Center | General Acute Care Hospital | 4700 Waters Ave, Savannah, GA 31404-6220 | 2009-06-18 |
| 1609917202 | Hardin County General Hospital | General Acute Care Hospital | 935 Wayne Rd, Savannah, TN 38372-1937 | 2007-02-08 |
| 1215080106 | Memorial Health | General Acute Care Hospital | 4600 Waters Ave, Savannah, GA 31404-6702 | 2007-01-22 |
| 1689776841 | Memorial Health University Medical Center Inc. | General Acute Care Hospital | 4700 Waters Ave, Savannah, GA 31404-6220 | 2006-09-01 |
| 1063406684 | Saint Joseph's Hospital, Inc. | General Acute Care Hospital | 11705 Mercy Blvd, Savannah, GA 31419-1711 | 2005-09-09 |
| 1275527889 | Candler Hospital Incorporated | General Acute Care Hospital | 5353 Reynolds St, Savannah, GA 31405-6015 | 2005-09-09 |
| 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.