SILVYA A. PRASETIO (NPI# 1528312295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528312295 |
| Entity Type | Individual |
| Full Name | SILVYA A. PRASETIO |
| Credential | AA |
| Practice Address |
5353 Reynolds St Savannah GA 31405 |
| Mailing Address |
208 Grand Central Blvd Ste 100 Pooler GA 31322-0526 |
| Practice Telephone | 9126635548 |
| Mailing Telephone | 9127049760 |
| Enumeration Date | 2012-11-02 |
| Last Update Date | 2019-06-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367H00000X | Anesthesiologist Assistant | 6620 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 367H00000X | Anesthesiologist Assistant | 1456 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| N | 367H00000X | Anesthesiologist Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2412 50th St, Lubbock, TX 794122504 | 8067447223 |
| Street Address |
5353 REYNOLDS ST |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31405 |
| 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 | 367H00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Anesthesiologist Assistant |
| An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942759014 | Tatsiana Shakhmuts | Anesthesiologist Assistant | 435 Habersham St, Savannah, GA 31401-5632 | 2016-09-29 |
| 1669818258 | Christa Marie Baker | Anesthesiologist Assistant | 111 Radick Dr, Savannah, GA 31406-3230 | 2013-05-22 |
| 1386681492 | John W Sieber II | Anesthesiologist Assistant | 18 Half Penny Cir, Savannah, GA 31411-2706 | 2006-05-31 |
| 1255938288 | Mckenna Maria Valencia | Anesthesiologist Assistant | 4700 Waters Ave, Savannah, GA 31404-6220 | 2020-10-02 |
| 1851998017 | Elyssa Whitley | Anesthesiologist Assistant | 5353 Reynolds St, Savannah, GA 31405-6015 | 2020-10-01 |
| 1184239451 | Avery Thomas Helms | Anesthesiologist Assistant | 4700 Waters Ave, Savannah, GA 31404-6220 | 2020-09-13 |
| 1619580800 | Matthew Shannon | Anesthesiologist Assistant | 4700 Waters Ave, Savannah, GA 31404-6220 | 2020-08-26 |
| 1679184840 | Anna Tincher | Anesthesiologist Assistant | 4700 Waters Ave, Savannah, GA 31404-6220 | 2020-08-12 |
| 1669083168 | Christie Vernon Klinginsmith | Anesthesiologist Assistant | 4700 Waters Ave, Savannah, GA 31404-6220 | 2020-08-10 |
| 1396355004 | Noah Radjenovic | Anesthesiologist Assistant | 4700 Waters Ave, Savannah, GA 31404-6220 | 2020-08-06 |
| 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.