ST. JOSEPH'S MEDICAL GROUP, LLC (NPI# 1750635579) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750635579 |
| Entity Type | Organization |
| Organization Name | ST. JOSEPH'S MEDICAL GROUP, LLC |
| Practice Address |
11700 Mercy Blvd Plaza D Suite A Savannah GA 31419 |
| Mailing Address |
836 E. 65th Street Suite 22 Savannah GA 31405 |
| Practice Telephone | 9128190500 |
| Practice Fax Number | 9128190501 |
| Mailing Telephone | 9128197878 |
| Mailing Fax Number | 9128193555 |
| Enumeration Date | 2012-10-31 |
| Last Update Date | 2019-10-24 |
| Authorized Official Name | PAUL P HINCHEY (PRESIDENT/CEO) |
| Authorized Official Telephone | 9128196901 |
| Is Organization Subpart | Y |
| Parent Organization Name | ST. JOSEPH'S MEDICAL GROUP, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Allopathic & Osteopathic Physicians |
| Street Address |
11700 MERCY BLVD PLAZA D SUITE A |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31419 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215932066 | Cynthia Drown | Nurse Practitioner | 11700 Mercy Blvd, Plaza D Suite A, Savannah, GA 31419-1753 | 2005-06-17 |
| 1093205957 | Clint R. Fenton | Physician Assistant | 11700 Mercy Blvd, Plaza D #6, Savannah, GA 31419 | 2018-05-16 |
| 1568962967 | Ortho Sport & Spine Physicians Savannah | Clinic/Center | 11700 Mercy Blvd, Savannah, GA 31419-1753 | 2018-02-13 |
| 1982134003 | Mackenzie Grace Shelton | Physician Assistant | 11700 Mercy Blvd, Plaza D #6, Savannah, GA 31419 | 2017-06-13 |
| 1205383130 | Beverly J Lippert | Nurse Practitioner | 11700 Mercy Blvd, Plaza D #6, Savannah, GA 31419 | 2016-09-08 |
| 1487000519 | Angel Everidge | Physician Assistant | 11700 Mercy Blvd, Plaza D, #6, Savannah, GA 31419 | 2016-05-07 |
| 1629470273 | Ortho Sport & Spine Physicians Savannah | Orthopaedic Surgery | 11700 Mercy Blvd, Savannah, GA 31419-1753 | 2014-09-25 |
| 1568805505 | Andrew Robert Papoy | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 11700 Mercy Blvd, Plaza D Bldg. 1 Suite A, Savannah, GA 31419 | 2013-04-09 |
| 1407119423 | Rebecca M Hart | Nurse Practitioner | 11700 Mercy Blvd, Bldg #5, Savannah, GA 31419-1753 | 2012-06-25 |
| 1053681155 | Southeast Lung & Critical Care Specialists, PC | Internal Medicine | 11700 Mercy Blvd, Bldg #5, Savannah, GA 31419-1753 | 2012-01-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255932653 | Loving Hands Adult Care | Home Health Aide | 101 St. Goerge Blvd, 6t, Savannah, GA 31419 | 2020-11-03 |
| 1285241265 | Jennifer Ann Hales | Surgery | 11090 Mcauley, Suite 100 2a, Savannah, GA 31419 | 2020-09-24 |
| 1699318139 | Jessica Kaitlyn Matthewson | Nurse Practitioner | 11700 Mercy Blvd Plaza D, Bldg #5, Savannah, GA 31419 | 2019-10-28 |
| 1679133219 | Rebecca Denise Brown-tuyishimire | Counselor | Savannah Outpatient Clinic, 1170 Shawnee Street, Savannah, GA 31419 | 2019-06-17 |
| 1356900856 | Julio Roberto Castellanos Jr. | Behavior Technician | 785 King George Blvd Ste 103, Savannah, GA 31419 | 2019-06-07 |
| 1669941761 | Paul-david Arthur Cooper | Peer Specialist | 117 Shawnee Street, Va Savannah Clinic, Savannah, GA 31419 | 2018-11-19 |
| 1326538521 | Jay Carter Jr. | Social Worker | 1170 Shawnee St., Savannah, GA 31419 | 2018-05-14 |
| 1245771070 | Emily Robertson | Nurse Practitioner | 11133 Abercorm Street, Suite 10, Savannah, GA 31419 | 2017-03-13 |
| 1760833750 | Cady-jo Steidle | Behavioral Analyst | 143 Sugar Mill Cir, Savannah, GA 31419 | 2016-06-30 |
| 1265881189 | Mallory Williams | Physician Assistant | 11909 D. Mcauley Drive, Savannah, GA 31419 | 2016-06-10 |
| Find all providers in zip 31419 | ||||
| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134407075 | Robert A Hall Md LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 10 Longfield Ct, Savannah, GA 31410-3513 | 2011-07-26 |
| 1124183926 | Cardiothoracic Surgery of Savannah PC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 11806 Mercy Blvd, Savannah, GA 31419 | 2006-12-22 |
| 1609801810 | Brian Marcus Bailey | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 5354 Reynolds St Ste 102, Savannah, GA 31405-6008 | 2006-07-12 |
| 1558325845 | David V Capallo | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 900 Mohawk Street Ste E, Savannah, GA 31419 | 2006-04-13 |
| 1952391864 | Robert E. Jones | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 602 E 72nd St, Savannah, GA 31405-4913 | 2005-10-24 |
| 1568805505 | Andrew Robert Papoy | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 11700 Mercy Blvd, Plaza D Bldg. 1 Suite A, Savannah, GA 31419 | 2013-04-09 |
| 1073737656 | Chadwick William Stouffer | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4700 Waters Ave Ste 400, Savannah, GA 31404 | 2007-04-13 |
| 1598886277 | John A Shallal | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 5354 Reynolds Street, Suite 206, Savannah, GA 31405-6009 | 2007-04-02 |
| 1932253762 | Mppg, Inc. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4700 Waters Ave, Suite 403, Savannah, GA 31404-6220 | 2007-01-22 |
| 1770644841 | Mppg, Inc. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4750 Waters Ave, Suite 452, Savannah, GA 31404-6200 | 2006-12-13 |
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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.