CHETAN S. DESHPANDE (NPI# 1871709824) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871709824 |
| Entity Type | Individual |
| Full Name | CHETAN S. DESHPANDE |
| Credential | MD |
| Practice Address |
4750 Waters Ave Suite 202 Savannah GA 31404-6200 |
| Practice Telephone | 9123507412 |
| Practice Fax Number | 9123507297 |
| Mailing Telephone | 9123507412 |
| Mailing Fax Number | 9123507297 |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2019-05-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | 063314 | GA | Allopathic & Osteopathic Physicians |
| Y | 207XX0801X |
Orthopaedic Surgery Specialization: Orthopaedic Trauma |
063314 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 146082906C | 05 | |
| GA | WELLCARE | 559738 | 01 |
| GA | RR MEDICARE | P00869905 | 01 |
| SC | GA1084 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 101 St Josephs Candler Dr Fl 1, Pooler, GA 313229579 | 9123556615 | 9123510645 |
| Street Address |
4750 WATERS AVE SUITE 202 |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31404-6200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538168109 | Jill Katrice Beckworth | Nurse Practitioner | 4750 Waters Ave, Suite 202, Savannah, GA 31404-6200 | 2005-07-18 |
| 1881177954 | Holly Nicole Klepek | Genetic Counselor, MS | 4750 Waters Ave, Savannah, GA 31404-6200 | 2018-09-13 |
| 1477001659 | Sabrina Renee Williams | Genetic Counselor, MS | 4750 Waters Ave, Suite 302, Savannah, GA 31404-6200 | 2016-09-15 |
| 1871978148 | Blanche L. Etheridge | Nurse Practitioner | 4750 Waters Ave, Suite 202, Savannah, GA 31404-6200 | 2015-07-28 |
| 1871974923 | Joshua Milby | Physician Assistant | 4750 Waters Ave, Ste 202, Savannah, GA 31404-6200 | 2015-06-15 |
| 1811385800 | April M Downing | Registered Nurse | 4750 Waters Ave, #206, Savannah, GA 31404-6200 | 2014-12-30 |
| 1538563408 | Rebecca Brewster | Physician Assistant | 4750 Waters Ave, Suite 202, Savannah, GA 31404-6200 | 2014-10-21 |
| 1629487855 | Patricia A Haselden | Nurse Practitioner | 4750 Waters Ave, Ste 500, Savannah, GA 31404 | 2014-08-13 |
| 1598194318 | Ashmed Vazquez Md PC | Obstetrics & Gynecology | 4750 Waters Ave, Suite 450, Savannah, GA 31404-6200 | 2013-11-02 |
| 1902145451 | Stephanie Alston | Health Educator | 4750 Waters Ave, Suite 452, Savannah, GA 31404-6200 | 2013-02-04 |
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| 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 |
| 1730446394 | Joshua Ryan Fann | Prosthetist | 3840 Waters Ave, Savannah, GA 31404 | 2012-04-19 |
| Find all providers in zip 31404 | ||||
| Taxonomy Code | 207XX0801X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Trauma |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic trauma surgeons deal with the evaluation and management of acute orthopaedic injuries, evaluation and treatment of post-traumatic deformities and nonunions, acute and delayed reconstruction of pelvic and acetabular fractures, as well as osteotomy in the adult hip for treatment of hip arthritis. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760455737 | Edward J Whelan IIi | Orthopaedic Surgery | 210 E Derenne Ave, Savannah, GA 31405-6736 | 2006-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922629401 | Stroke Advice Through Telemedicine LLC | Orthopaedic Surgery | 1000 Mount Vernon Estates Dr, Dunwoody, GA 30338-3959 | 2020-05-06 |
| 1083184626 | Aica Orthopedics, P.C. | Orthopaedic Surgery | 3775 Venture Drive Bldg F, Duluth, GA 30096 | 2018-11-27 |
| 1700298312 | Aica Orthopedics, P.C. | Orthopaedic Surgery | 2375 Wall St Se, Unit 135, Conyers, GA 30013-6702 | 2014-05-30 |
| 1740692342 | Aica Orthopedics, P.C. | Orthopaedic Surgery | 530 Thornton Rd, Lithia Springs, GA 30122-4120 | 2014-05-30 |
| 1316236615 | Michael A Maceroli | Orthopaedic Surgery | 80 Jesse Hill Jr Dr Se Fl 3, Atlanta, GA 30303-3031 | 2011-04-07 |
| 1114175858 | Stephen John Becher | Orthopaedic Surgery | 320 Parkway Dr Ne Ste 300, Atlanta, GA 30312 | 2008-09-07 |
| 1891985024 | Pran N Sood | Orthopaedic Surgery | 1287 Hwy 138 Spur 8, Jonesboro, GA 30236 | 2007-07-25 |
| 1215978796 | Howard J Colier | Orthopaedic Surgery | 2277 Peachtree Rd Ne, Unit 607, Atlanta, GA 30309-1168 | 2006-06-08 |
| 1871553297 | Spine & Orthopedic Center | Orthopaedic Surgery | 1287 Hwy 138, Spur #8, Jonesboro, GA 30236 | 2006-03-28 |
| 1386625697 | Daniel D Moye | Orthopaedic Surgery | 10 2nd St, Watkinsville, GA 30677-2519 | 2005-11-14 |
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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.