JOSHUA RYAN FANN (NPI# 1730446394) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730446394 |
| Entity Type | Individual |
| Full Name | JOSHUA RYAN FANN |
| Credential | CP |
| Practice Address |
3840 Waters Ave Savannah GA 31404 |
| Mailing Address |
3840 Waters Ave Savannah GA 31404-6264 |
| Practice Telephone | 9123449599 |
| Practice Fax Number | 9123353435 |
| Mailing Telephone | 9123449599 |
| Mailing Fax Number | 9123353435 |
| Enumeration Date | 2012-04-19 |
| Last Update Date | 2019-11-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224P00000X | Prosthetist | 57 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4750 Waters Ave, Suite 500, Savannah, GA 314046200 | 9126297829 | 9123561221 |
| Street Address |
3840 WATERS AVE |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932742079 | Ryan Fann Prosthetics, LLC | Prosthetic/Orthotic Supplier | 3840 Waters Ave, Savannah, GA 31404-6264 | 2019-10-22 |
| 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 |
| 1922270941 | Tyneise Seaborough | Occupational Therapist | 508 Atkinson Ave, Savannah, GA 31404 | 2008-03-31 |
| Find all providers in zip 31404 | ||||
| Taxonomy Code | 224P00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Prosthetist |
| A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. |
| 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 |
|---|---|---|---|---|
| 1477152239 | Zachary T Hughes | Prosthetist | 1050 Barber Creek Dr Ste 103, Watkinsville, GA 30677-4502 | 2020-10-22 |
| 1306460662 | Unique Creationz Rx | Prosthetist | 2500 Dallas Hwy Sw Ste 202-1082, Marietta, GA 30064-2567 | 2020-06-02 |
| 1205450954 | Monique D Gay | Prosthetist | 2651 Favor Rd Sw # 1g06, Marietta, GA 30060-5241 | 2020-05-28 |
| 1134743891 | Jazmyn Monet Griffith | Prosthetist | 1564 Herrington Rd Apt 6112, Lawrenceville, GA 30043-7956 | 2020-05-28 |
| 1326661208 | Jasmine Dixon | Prosthetist | 390 Auburn Ave Ne, Atlanta, GA 30312-1544 | 2020-05-26 |
| 1659900702 | Shirleysia Jones | Prosthetist | 213 Paces Commons Dr, Duluth, GA 30096-1712 | 2020-04-01 |
| 1912545393 | Kanishia Gordon | Prosthetist | 519 Memorial Dr Se Ste 209, Atlanta, GA 30312-2286 | 2019-12-16 |
| 1922642826 | Juanita F Mike | Prosthetist | 6409 Guinness Ct, Union City, GA 30291-1991 | 2019-11-04 |
| 1003463787 | Denise Ann Hill | Prosthetist | 4308 Caveat Ct, Fairburn, GA 30213-4328 | 2019-08-19 |
| 1588224091 | Natalie Bennett | Prosthetist | 2864 Carrousel Ct, Stone Mountain, GA 30087-3922 | 2019-06-17 |
| Find all providers with the same taxonomy | ||||
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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.