ALISON EGAN SPELLMAN (NPI# 1629393970) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629393970 |
| Entity Type | Individual |
| Full Name | ALISON EGAN SPELLMAN |
| Credential | MD |
| Practice Address |
4700 Waters Ave Ste A Savannah GA 31404 |
| Mailing Address |
5400 Sutlive St Savannah GA 31405-4721 |
| Practice Telephone | 9123546187 |
| Practice Fax Number | 9123550596 |
| Mailing Telephone | 9123546187 |
| Mailing Fax Number | 9123559807 |
| Enumeration Date | 2010-03-30 |
| Last Update Date | 2018-07-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 070092 | GA | Allopathic & Osteopathic Physicians |
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
070092 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 003167454B | 05 | |
| GA | MEDICAL LICENSE | 070092 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 459 Highway 119 S Ste B, Springfield, GA 313293021 | 9123546187 | 9123550596 |
| 225 Candler Dr, Savannah, GA 314056023 | 9123546187 | 9123550596 |
| 16741 Highway 67 Ste B, Statesboro, GA 304582529 | 9123546187 | 9123550596 |
| 8 Okatie Center Blvd S Ste 201, Okatie, SC 299097543 | 8437054848 | 9123540596 |
| Street Address |
4700 WATERS AVE STE A |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902810500 | Lester E. Robertson | Internal Medicine | 4700 Waters Ave Ste A, Suite A, Savannah, GA 31404 | 2006-07-28 |
| 1093999054 | Karen Mccomb Moses | Nurse Practitioner | 4700 Waters Ave Ste A, Savannah, GA 31404-6220 | 2007-12-26 |
| 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 | 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 |
|---|---|---|---|---|
| 1902810500 | Lester E. Robertson | Internal Medicine | 4700 Waters Ave Ste A, Suite A, Savannah, GA 31404 | 2006-07-28 |
| 1386669240 | Low Country Cancer Care | Internal Medicine | 225 Candler Rd, Suite 201, Savannah, GA 31405-6023 | 2006-07-13 |
| 1003217712 | Candler Medical Oncology Practice, LLC | Internal Medicine | 225 Candler Dr, Ste 300, Savannah, GA 31405-6023 | 2014-09-12 |
| 1750590931 | Christopher Emil Haberman | Internal Medicine | 4700 Waters Ave, Suite A, Savannah, GA 31404 | 2007-05-22 |
| 1215009287 | Grant Carlton Lewis | Internal Medicine | 225 Candler Dr, Suite 300, Savannah, GA 31405-6023 | 2006-11-15 |
| 1962416891 | Harvey C. Lebos | Internal Medicine | 4700 Waters Ave, Suite A, Savannah, GA 31404-6220 | 2006-07-28 |
| 1548274004 | Barry D. Luskey | Internal Medicine | 4700 Waters Ave, Suite A, Savannah, GA 31404 | 2006-07-28 |
| 1326052085 | Mark A. Taylor | Internal Medicine | 225 Candler Dr, Suite 300, Savannah, GA 31405 | 2006-07-28 |
| 1417971649 | Ronald F. Goldberg | Internal Medicine | 225 Candler Dr, Suite 300, Savannah, GA 31405 | 2006-07-27 |
| 1881617157 | Ayer Bala | Internal Medicine | 225 Candler Dr, Suite 300, Savannah, GA 31405-6023 | 2006-07-26 |
| 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.