SAVANNAH HEALTH GROUP LLC (NPI# 1750875183) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750875183 |
| Entity Type | Organization |
| Organization Name | SAVANNAH HEALTH GROUP LLC |
| Practice Address |
4035 S 500 E Salt Lake City UT 84107-1866 |
| Mailing Address |
1728 S Wright Ct Salt Lake City UT 84105-2914 |
| Practice Telephone | 8012629181 |
| Practice Fax Number | 8133368463 |
| Mailing Telephone | 8019414034 |
| Mailing Fax Number | 8133368463 |
| Enumeration Date | 2018-06-19 |
| Last Update Date | 2020-10-02 |
| Authorized Official Name | EDWIN O AWINDA (SOLE MEMBER) |
| Authorized Official Telephone | 8019414034 |
| Authorized Official Credential | APRN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4035 S 500 E |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84107-1866 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750387346 | Infinia At Alta | Skilled Nursing Facility | 4035 S 500 E, Salt Lake City, UT 84107-1866 | 2005-06-28 |
| 1750998316 | Nicole Carli Anjewierden | Physical Therapist | 4035 S 500 E, Salt Lake City, UT 84107-1866 | 2020-09-28 |
| 1376186668 | Alecia Danielle Grimes | Registered Nurse | 4035 S 500 E, Salt Lake City, UT 84107-1866 | 2019-10-20 |
| 1194216895 | Edwin O Awinda | Nurse Practitioner | 4035 S 500 E, Salt Lake City, UT 84107-1866 | 2018-05-29 |
| 1356858328 | Beaver Valley Hospital | Clinic/Center | 4035 S 500 E, Salt Lake City, UT 84107-1866 | 2017-12-29 |
| 1235682592 | Beaver Valley Hospital | Skilled Nursing Facility | 4035 S 500 E, Salt Lake City, UT 84107-1866 | 2016-08-03 |
| 1649481987 | Cardiff Healthcare, Inc. | Skilled Nursing Facility | 4035 S 500 E, Salt Lake City, UT 84107-1866 | 2007-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902410517 | Brielle Nicole Poulter | Student in an Organized Health Care Education/Training Program | 345 East 4500 So #260, Murray, UT 84107 | 2020-09-01 |
| 1467016592 | Ashlee Brown | Social Worker | C-134, 5284 Commerce Drive, Murray, Murray, UT 84107 | 2019-04-24 |
| 1568940633 | Samantha Duff | Occupational Therapist | 5770 S Fashion Blvd, Bldg 5 Ste 201, Murray, UT 84107 | 2018-08-01 |
| 1881185247 | Derek John Sharp | Occupational Therapist | 5770 S Fashion Blvd, Bldg #5, Suite 210, Murray, UT 84107 | 2018-05-22 |
| 1093223091 | Erin Nicole Hill | Counselor | 345 East 4500 South Suite 260, Murray, UT 84107 | 2018-01-12 |
| 1588171219 | Nicole Danielle Jensen | Counselor | 345 East 4500 South, Suite 260, Murray, UT 84107 | 2018-01-03 |
| 1043725799 | Greater Endodontics LLC | Dentist | 5334 South Woodrow Street, Suite 201, Salt Lake City, UT 84107 | 2017-12-04 |
| 1043739667 | Karyn K Hodge | Audiologist | 4500 So. 777. E. Ste #110, Murray, UT 84107 | 2017-09-14 |
| 1912426750 | Brandon C Burton | Specialist/Technologist, Other | Cta Community Supports 4444 S, 700 E Suite 203, Salt Lake City, UT 84107 | 2017-09-13 |
| 1396261152 | Megan Lehane Delano | Plastic Surgery | 5169 Cottonwood St Ste 420, Murray, UT 84107 | 2017-08-14 |
| Find all providers in zip 84107 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013212802 | Your Home Clinic Company | Nurse Practitioner | 1032 Learned Ave, Salt Lake City, UT 84116-3302 | 2011-01-25 |
| 1558484808 | Cynthia Ann Newby | Nurse Practitioner | 451 E Bishop Federal Ln, Salt Lake City, UT 84115-2357 | 2007-04-09 |
| 1194345603 | Kaitlyn Hayes Pelletier | Nurse Practitioner | 2000 Circle of Hope Dr # 1950, Salt Lake City, UT 84112-5550 | 2020-04-24 |
| 1083852677 | Jill Stratford Waldron | Nurse Practitioner | 50 North Medical Drive, University of Utah Cardiology Clinic #10, Salt Lake City, UT 84132 | 2009-02-04 |
| 1750308557 | Yvonne A Sehy | Nurse Practitioner | 1050 E South Temple, Salt Lake City, UT 84102-1507 | 2006-07-16 |
| 1023048634 | Lawrence Dixon | Nurse Practitioner | 500 Foothill Dr, Salt Lake City, UT 84148-0001 | 2006-07-03 |
| 1720024714 | Jeanie Colbert O'donnell | Nurse Practitioner | 500 Foothill Blvd, Salt Lake City, UT 84148-0001 | 2006-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902850 | Ivora, Inc. | Nurse Practitioner | 13894 S Bangerter Pkwy Ste 200, Draper, UT 84020-5320 | 2020-11-06 |
| 1104398361 | Lisa Ann Ostrander | Nurse Practitioner | 1385 W 2200 S, Taylorsville, UT 84119-7205 | 2018-12-27 |
| 1336698091 | Marie Jo Borres | Nurse Practitioner | 2211 W 5100 S, Roy, UT 84067-3422 | 2016-09-22 |
| 1487761615 | Trenaisa Nay Consulting, LLC | Nurse Practitioner | 10171 Delsey Cv, South Jordan, UT 84095-7108 | 2006-08-24 |
| 1073533188 | Sandra Louise Mcnicoll | Nurse Practitioner | 5801 Fashion Blvd Ste 175, Murray, UT 84107-8115 | 2006-07-20 |
| 1447222849 | Perrine Johnson Anderson | Nurse Practitioner | 2773 Etienne Way, Sandy, UT 84093-1116 | 2006-02-02 |
| 1083610869 | Caregiver Support Network, Inc | Nurse Practitioner | 310 E 4500 S, Ste 200, Murray, UT 84107-3993 | 2005-06-25 |
| 1588215750 | Kimberly Rashelle Weir | Nurse Practitioner | 1600 W Antelope Dr, Layton, UT 84041-1142 | 2019-09-27 |
| 1053897116 | Amber N Lovell | Nurse Practitioner | 5121 S Cottonwood St, Murray, UT 84107-5701 | 2018-07-12 |
| 1396255360 | Bernard M Mutie | Nurse Practitioner | 12433 S Fort St, Draper, UT 84020-9363 | 2017-10-04 |
| Find all providers with the same taxonomy | ||||
| City | SALT LAKE CITY |
| Zip Code | 84107 |
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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.