DR. RUTH ANN MAZO (NPI# 1568638666) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568638666 |
| Entity Type | Individual |
| Full Name | DR. RUTH ANN MAZO |
| Credential | M.D. |
| Practice Address |
230 E Derenne Ave Savannah GA 31405-6736 |
| Mailing Address |
Po Box 14459 Savannah GA 31416-1459 |
| Practice Telephone | 9127904068 |
| Practice Fax Number | 9127904407 |
| Mailing Telephone | 9127904000 |
| Mailing Fax Number | 9127904407 |
| Enumeration Date | 2008-05-08 |
| Last Update Date | 2018-04-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 065481 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 003107870A | 05 |
| Street Address |
230 E DERENNE AVE |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31405-6736 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114998507 | John W Coursey | Urology | 230 E Derenne Ave, Savannah, GA 31405-6736 | 2006-02-01 |
| 1457998114 | Danielle Haswell | Physician Assistant | 230 E Derenne Ave, Savannah, GA 31405-6736 | 2019-12-02 |
| 1528358801 | Andrew Michigan | Urology | 230 E Derenne Ave, Savannah, GA 31405-6736 | 2011-04-07 |
| 1740414705 | Melissa Lawhorn Porter | Physician Assistant | 230 E Derenne Ave, Savannah, GA 31405-6736 | 2009-05-06 |
| 1497922199 | Sara Loveless Barrett | Physician Assistant | 230 E Derenne Ave, Savannah, GA 31405-6736 | 2008-05-12 |
| 1245441690 | Michael Jon Cox | Urology | 230 E Derenne Ave, Savannah, GA 31405-6736 | 2007-05-25 |
| 1093896524 | Thomas Earl Shook | Urology | 230 E Derenne Ave, Savannah, GA 31405-6736 | 2006-10-18 |
| 1336173574 | Heather Morgan Wallace | Urology | 230 E Derenne Ave, Savannah, GA 31405-6736 | 2006-07-11 |
| 1861458440 | James C Judy | Urology | 230 E Derenne Ave, Savannah, GA 31405-6736 | 2006-04-24 |
| 1174589766 | David L Cheng | Urology | 230 E Derenne Ave, Savannah, GA 31405-6736 | 2006-04-24 |
| Find all providers in the same location | ||||
| 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 | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972849875 | Irving Victor | Urology | 3204 Abercorn St, Savannah, GA 31405-2148 | 2012-12-20 |
| 1689864860 | Urology Specialists of Coastal Georgia | Urology | 613 Stephenson Ave, Ste #208, Savannah, GA 31405 | 2007-07-25 |
| 1114998507 | John W Coursey | Urology | 230 E Derenne Ave, Savannah, GA 31405-6736 | 2006-02-01 |
| 1528358801 | Andrew Michigan | Urology | 230 E Derenne Ave, Savannah, GA 31405-6736 | 2011-04-07 |
| 1245441690 | Michael Jon Cox | Urology | 230 E Derenne Ave, Savannah, GA 31405-6736 | 2007-05-25 |
| 1093896524 | Thomas Earl Shook | Urology | 230 E Derenne Ave, Savannah, GA 31405-6736 | 2006-10-18 |
| 1659451029 | Coastal Urological Partners, LLC | Urology | 11706 Mercy Blvd, Plaza A, Suite 10, Savannah, GA 31419-1751 | 2006-10-17 |
| 1336173574 | Heather Morgan Wallace | Urology | 230 E Derenne Ave, Savannah, GA 31405-6736 | 2006-07-11 |
| 1861458440 | James C Judy | Urology | 230 E Derenne Ave, Savannah, GA 31405-6736 | 2006-04-24 |
| 1174589766 | David L Cheng | Urology | 230 E Derenne Ave, Savannah, GA 31405-6736 | 2006-04-24 |
| 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.