SJC HEALTH SERVICES, INC. (NPI# 1649446196) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649446196 |
| Entity Type | Organization |
| Organization Name | SJC HEALTH SERVICES, INC. |
| Other Organization Name | TRANSFORMATION STATION |
| Practice Address |
225 Candler Dr Suite 102 Savannah GA 31405-6023 |
| Practice Telephone | 9128198386 |
| Practice Fax Number | 9126919108 |
| Mailing Telephone | 9128198386 |
| Mailing Fax Number | 9126919108 |
| Enumeration Date | 2008-05-05 |
| Last Update Date | 2010-07-07 |
| Authorized Official Name | PAUL P HINCHEY (PRESIDENT & CEO) |
| Authorized Official Telephone | 9128196000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| Other Name | Type Code |
|---|---|
| TRANSFORMATION STATION | Doing Business As Name - Organization |
| Street Address |
225 CANDLER DR SUITE 102 |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31405-6023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285602854 | Michael D Mullins | Internal Medicine | 225 Candler Dr, Suite 301, Savannah, GA 31405-6023 | 2006-03-09 |
| 1003217712 | Candler Medical Oncology Practice, LLC | Internal Medicine | 225 Candler Dr, Ste 300, Savannah, GA 31405-6023 | 2014-09-12 |
| 1710327176 | Jennifer Fournier | Registered Nurse | 225 Candler Dr, Suite 204, Savannah, GA 31405-6023 | 2013-07-01 |
| 1548530645 | Costrini & Meadows, PC | Internal Medicine | 225 Candler Dr, Suite #100, Savannah, GA 31405-6023 | 2012-01-05 |
| 1780951301 | Mary Katherine Rockwell | Nurse Practitioner | 225 Candler Dr, Savannah, GA 31405-6023 | 2011-11-28 |
| 1891099974 | Victoria E Finland | Physician Assistant | 225 Candler Dr, Suite 300, Savannah, GA 31405-6023 | 2011-01-04 |
| 1730418062 | Southeast Lung & Critical Care Specialists | Sleep Specialist, PhD | 225 Candler Dr, Ste. 301, Savannah, GA 31405-6023 | 2009-12-16 |
| 1528229788 | Joshua Terry Mckenzie | Radiology | 225 Candler Dr, Suite 100, Savannah, GA 31405-6023 | 2008-06-20 |
| 1083895759 | Andrea Marie Manley | Dietitian, Registered | 225 Candler Dr, Ste 224, Savannah, GA 31405-6023 | 2007-11-21 |
| 1215009287 | Grant Carlton Lewis | Internal Medicine | 225 Candler Dr, Suite 300, Savannah, GA 31405-6023 | 2006-11-15 |
| 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 | 335E00000X |
| Grouping | Suppliers |
| Classification | Prosthetic/Orthotic Supplier |
| An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972772325 | David M Puckett | Prosthetic/Orthotic Supplier | 5206 Waters Ave, Savannah, GA 31404-6230 | 2008-02-29 |
| 1548281462 | Carole Romig | Prosthetic/Orthotic Supplier | 7074 Hodgson Memorial Dr, Savannah, GA 31406-2529 | 2006-07-23 |
| 1235194341 | Positive Image Prosthetics & Orthotics Inc | Prosthetic/Orthotic Supplier | 5202 Waters Avenue, Savannah, GA 31404 | 2006-04-20 |
| 1093700205 | Nightingale Ers Inc | Prosthetic/Orthotic Supplier | 9100 White Bluff Rd, Ste 301, Savannah, GA 31406-4668 | 2005-09-14 |
| 1932742079 | Ryan Fann Prosthetics, LLC | Prosthetic/Orthotic Supplier | 3840 Waters Ave, Savannah, GA 31404-6264 | 2019-10-22 |
| 1760848691 | Active Medical and Mobility Inc. | Prosthetic/Orthotic Supplier | 409 Main St, Savannah, TN 38372-2062 | 2016-01-07 |
| 1770884959 | Advanced Prosthetics and Orthotics | Prosthetic/Orthotic Supplier | 5602 Waters Ave, Savannah, GA 31404 | 2010-11-04 |
| 1184873390 | Savannah Vascular Institute, LLC | Prosthetic/Orthotic Supplier | 4750 Waters Avenue, Suite 500, Savannah, GA 31404-6261 | 2008-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548860810 | Crowns of Love Inc | Prosthetic/Orthotic Supplier | 707 Park Ave Ne Apt 1382, Atlanta, GA 30326-3410 | 2020-10-27 |
| 1447860150 | Shadae Renee Medical Wigs | Prosthetic/Orthotic Supplier | 10719 Alpharetta Hwy # 1792, Roswell, GA 30076-2432 | 2020-08-06 |
| 1114535432 | Beauty Zone2 Medical Wigs | Prosthetic/Orthotic Supplier | 252 Keys Ferry St, Mcdonough, GA 30253-3342 | 2020-07-22 |
| 1619594389 | Legally Laced | Prosthetic/Orthotic Supplier | 1000 Corporate Pointe Ste 214, Warner Robins, GA 31088-3440 | 2020-06-29 |
| 1093332009 | Jazzy Wigs, Rx | Prosthetic/Orthotic Supplier | 59 Urey Emerson Dr, Richland, GA 31825-6636 | 2020-06-25 |
| 1174147938 | Salon Asya Mignon LLC | Prosthetic/Orthotic Supplier | 4290 Memorial Dr Ste B1, Decatur, GA 30032-1225 | 2020-06-07 |
| 1023630928 | Michelles Beauty Bar | Prosthetic/Orthotic Supplier | 3662 Druid Oaks Dr, Valdosta, GA 31605-6542 | 2020-05-13 |
| 1366063596 | Stylish Styles By Tee | Prosthetic/Orthotic Supplier | 6595 Roswell Rd Ste G1169, Atlanta, GA 30328-3152 | 2020-04-28 |
| 1518503432 | Regina Murff-love | Prosthetic/Orthotic Supplier | 341 Indus Ln, Lawrenceville, GA 30044-3835 | 2019-11-26 |
| 1417508995 | Priscilla Denise Brown | Prosthetic/Orthotic Supplier | 38200 3rd Ave, Fort Gordon, GA 30905 | 2019-09-25 |
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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.