DR. BRIAN J KORNBLATT (NPI# 1730134461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730134461 |
| Entity Type | Individual |
| Full Name | DR. BRIAN J KORNBLATT |
| Credential | MD |
| Practice Address |
5 Executive Cir Savannah GA 31406-3345 |
| Practice Telephone | 9123552400 |
| Practice Fax Number | 9123555324 |
| Mailing Telephone | 9123552400 |
| Mailing Fax Number | 9123555324 |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2008-05-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 20004 | SC | Allopathic & Osteopathic Physicians |
| Y | 207P00000X | Emergency Medicine | 038029 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000594624B | 05 | |
| GA | 000594624H | 05 | |
| GA | 000594624T | 05 | |
| GA | 000594624D | 05 | |
| SC | 000594624R | 05 | |
| GA | 000594624S | 05 | |
| GA | 000594624F | 05 | |
| GA | 000594624Q | 05 | |
| GA | 000594624U | 05 |
| Street Address |
5 EXECUTIVE CIR |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31406-3345 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649279951 | Robert Alexander Mazur | Emergency Medicine | 5 Executive Cir, Savannah, GA 31406-3345 | 2005-07-19 |
| 1891303533 | Duran Deffley, LLC | Social Worker | 5 Executive Cir, Savannah, GA 31406-3345 | 2020-07-20 |
| 1538643481 | Ruth Duran Deffley | Social Worker | 5 Executive Cir, Savannah, GA 31406-3345 | 2018-09-17 |
| 1861868481 | Marianne A Mainer | Nurse Practitioner | 5 Executive Cir, Savannah, GA 31406-3345 | 2015-08-18 |
| 1447638432 | Sarah Henriquez | Physician Assistant | 5 Executive Cir, Savannah, GA 31406-3345 | 2015-05-11 |
| 1467846238 | Michael S. Sangiorge | Nurse Practitioner | 5 Executive Cir, Savannah, GA 31406-3345 | 2015-03-19 |
| 1063819399 | Mary Jo Christine Blakey | Nurse Practitioner | 5 Executive Cir, Savannah, GA 31406-3345 | 2014-12-02 |
| 1083018667 | Maci E. Hobby | Physician Assistant | 5 Executive Cir, Savannah, GA 31406-3345 | 2014-10-10 |
| 1467868828 | Andrew Tate | Physician Assistant | 5 Executive Cir, Savannah, GA 31406-3345 | 2014-07-07 |
| 1447693908 | Erin C Hennessey | Physician Assistant | 5 Executive Cir, Savannah, GA 31406-3345 | 2013-04-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891324042 | Magnolia Home Health, LLC Dba Home Instead Senior Care | Homemaker | 6709 Forest Park Drive, Suite B, Savannah, GA 31406 | 2020-04-08 |
| 1831737949 | Sumona Mitchell | Specialist | 1100 Eisenhower Drive 15, Suite 7, Savannah, GA 31406 | 2019-12-19 |
| 1295373090 | Gateway Behavioral Health Services | Community/Behavioral Health | 2121 East Derenne Ave, Savannah, GA 31406 | 2019-12-12 |
| 1114578820 | Kenya Burns | Technician | 6 Castle Ct, Savannah, GA 31406 | 2019-09-24 |
| 1841755287 | Southside Emergency Dental Center LLC | Dentist | 10515 White Bluff Rd., Savannah, GA 31406 | 2019-02-08 |
| 1639651003 | Rachael Putman | Physical Therapist | 37 W Fairmont Ave Suite 323, Savannah, GA 31406 | 2018-09-03 |
| 1417439852 | Happy Kids Therapies, LLC | Physical Therapist | 37 W. Fairmont Avenue Suite 102, Savannah, GA 31406 | 2018-09-01 |
| 1487146619 | Georgia Occmed LLC | Clinic/Center | 310 Eisenhower Dr Bldg 12 Ste C, Savannah, GA 31406 | 2018-06-04 |
| 1023517505 | Antioch Vascular Center, LLC | Surgery | 9104 Middleground Road, Suite 2, Savannah, GA 31406 | 2018-02-09 |
| 1518496116 | Janay C Russell | Counselor | 6711 Forest Park Drive, Savannah, GA 31406 | 2017-06-07 |
| Find all providers in zip 31406 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053478651 | John Davidson Carson | Emergency Medicine | 318 Mall Blvd Ste 300b, Savannah, GA 31406-4758 | 2007-01-02 |
| 1588687057 | Lester M Haddad | Emergency Medicine | 11909a Mcauley Drive, Savannah, GA 31419 | 2006-07-25 |
| 1639191877 | Douglas Richard Stutzman | Emergency Medicine | 107 1/2 W Gordon St, Savannah, GA 31401-4908 | 2006-07-24 |
| 1912948589 | Amanda H. Cowan | Emergency Medicine | 361 Commercial Dr, Savannah, GA 31406-3659 | 2006-06-08 |
| 1306891395 | Charles T Leewood | Emergency Medicine | 5356 Reynolds St, 201, Savannah, GA 31405-6016 | 2006-05-24 |
| 1346228962 | Obayode Ayewa | Emergency Medicine | 15 Medical Arts Ctr, Savannah, GA 31405-4414 | 2006-01-04 |
| 1477543130 | Ismael G Montes Md PC | Emergency Medicine | 37 Cove Dr, Savannah, GA 31419-9579 | 2005-10-25 |
| 1649279951 | Robert Alexander Mazur | Emergency Medicine | 5 Executive Cir, Savannah, GA 31406-3345 | 2005-07-19 |
| 1194231860 | Benjamin Foster | Emergency Medicine | 4700 Waters Ave, Savannah, GA 31404-6220 | 2017-12-18 |
| 1497288369 | Robert Kregg Laundon | Emergency Medicine | 4700 Waters Ave, Savannah, GA 31404-6220 | 2017-04-07 |
| 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.