JOSE SALVADOR REYES OLIVA (NPI# 1770978900) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770978900 |
| Entity Type | Individual |
| Full Name | JOSE SALVADOR REYES OLIVA |
| Credential | MD |
| Practice Address |
3025 Shrine Rd Ste 270 Brunswick GA 31520-4785 |
| Mailing Address |
543 27th St Apt 4 Union City NJ 07087-3718 |
| Practice Telephone | 9122622723 |
| Practice Fax Number | 8772445666 |
| Mailing Telephone | 7863714188 |
| Enumeration Date | 2015-04-03 |
| Last Update Date | 2020-08-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
85416 | GA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | TRN26087 | FL | Student, Health Care |
| Street Address |
3025 SHRINE RD STE 270 |
| City | BRUNSWICK |
| State | GA |
| Zip Code | 31520-4785 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861456378 | Ahmed Elsharkawi | Internal Medicine | 3025 Shrine Rd Ste 270, Brunswick, GA 31520-4785 | 2006-04-12 |
| 1063992808 | Kimberly Ann Kirk | Nurse Practitioner | 3025 Shrine Rd Ste 270, Brunswick, GA 31520-4785 | 2018-08-21 |
| 1992209217 | Lauren Sweeney Koncul | Nurse Practitioner | 3025 Shrine Rd Ste 270, Brunswick, GA 31520-4785 | 2018-03-21 |
| 1225439748 | Amy Raj Patel | Internal Medicine | 3025 Shrine Rd Ste 270, Brunswick, GA 31520-4785 | 2014-09-16 |
| 1245668318 | Ashlee J Quick | Nurse Practitioner | 3025 Shrine Rd Ste 270, Brunswick, GA 31520-4785 | 2013-10-28 |
| 1881981777 | Reejis Stephen | Internal Medicine | 3025 Shrine Rd Ste 270, Brunswick, GA 31520-4785 | 2011-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760953434 | David S Deuser Md & Associates PC | Psychiatry & Neurology | 7 Saint Andrews Court, Brunswick, GA 31520 | 2018-12-06 |
| 1063961845 | Irene Limon | Licensed Practical Nurse | 2009 Ellis Street, Brunswick, GA 31520 | 2016-09-22 |
| 1770936551 | Elaine Latimer-tandy | Counselor | 1801 Gloucester St Ste E, Brunswick, GA 31520 | 2016-07-18 |
| 1710336326 | Giva, Inc. | Home Health | 8 St Andrews Court, Brunswick, GA 31520 | 2016-06-06 |
| 1447618525 | Parmelee Eye Care LLC | Point of Service | 1909 Gloucester St, Brunswick, GA 31520 | 2016-02-04 |
| 1578947800 | Holly Diskin Kinsey | Nurse Practitioner | 3400 Parkwood Drive, Brunswick, GA 31520 | 2015-07-16 |
| 1679976419 | Miriam Hosey | Registered Nurse | 2747 Fourth Street, Glynn County Health Dept., Brunswick, GA 31520 | 2014-10-08 |
| 1558779348 | Tracey Renee Price | Internal Medicine | 3025 Shrine Rd Ste 290, Brunswick, GA 31520 | 2014-07-24 |
| 1770901951 | Candace Shepherd | Social Worker | 707 F Street, Brunswick, GA 31520 | 2014-04-03 |
| 1699193599 | Enrique Martinez, M.d., P.C. | Internal Medicine | 3114 A Shrine Road, Brunswick, GA 31520 | 2014-03-29 |
| Find all providers in zip 31520 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649296682 | Bryan James Krull | Internal Medicine | 3025 Shrine Rd Ste 450, Brunswick, GA 31520 | 2006-07-14 |
| 1316996671 | Avanelle V Jack | Internal Medicine | 208 Scranton Connector Ste 117, Brunswick, GA 31525-0560 | 2006-05-06 |
| 1861456378 | Ahmed Elsharkawi | Internal Medicine | 3025 Shrine Rd Ste 270, Brunswick, GA 31520-4785 | 2006-04-12 |
| 1487628277 | Paul Allen Bowen II | Internal Medicine | 208 Scranton Connector, Suite 117, Brunswick, GA 31525-0559 | 2006-02-16 |
| 1356879902 | Nephrology and Hypertension Medical Associates PC | Internal Medicine | 3025 Shrine Rd, Brunswick, GA 31520-4784 | 2017-05-26 |
| 1215305305 | Ahmed Elsharkawi, Md LLC | Internal Medicine | 2500 Starling St, Suite 601, Brunswick, GA 31520-4265 | 2015-09-08 |
| 1225439748 | Amy Raj Patel | Internal Medicine | 3025 Shrine Rd Ste 270, Brunswick, GA 31520-4785 | 2014-09-16 |
| 1902230006 | Rafael David Rodriguez Abreu | Internal Medicine | 3025 Shrine Rd Ste 450, Brunswick, GA 31520-4787 | 2013-08-26 |
| 1881981777 | Reejis Stephen | Internal Medicine | 3025 Shrine Rd Ste 270, Brunswick, GA 31520-4785 | 2011-06-30 |
| 1184856494 | Ahmed Elsharkawi Md LLC | Internal Medicine | 390 Eh Ct, Brunswick, GA 31520-2198 | 2009-08-20 |
| Find all providers in BRUNSWICK | ||||
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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.