SANDRA S DANIELL (NPI# 1902001001) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1902001001 |
Entity Type | Individual |
Full Name | SANDRA S DANIELL |
Credential | PA-C |
Practice Address |
3217 4th St Brunswick GA 31520-3759 |
Practice Telephone | 9122670058 |
Practice Fax Number | 9122670061 |
Mailing Telephone | 9122670058 |
Mailing Fax Number | 9122670061 |
Enumeration Date | 2007-06-19 |
Last Update Date | 2011-11-10 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
003106 | GA | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | 199990082B | 05 | |
GA | BCBS ID# | 637158 | 01 |
Street Address |
3217 4TH ST |
City | BRUNSWICK |
State | GA |
Zip Code | 31520-3759 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962403766 | David C Whitehead | Internal Medicine | 3217 4th St, Brunswick, GA 31520-3759 | 2005-08-03 |
1790185387 | Glynn Anesthesia Associates, Inc. | Nurse Anesthetist, Certified Registered | 3217 4th St, Brunswick, GA 31520-3759 | 2014-09-02 |
1265861439 | Levinchi C. Oglesby | Nurse Practitioner | 3217 4th St, Brunswick, GA 31520-3759 | 2013-11-07 |
1114223690 | Deborah Ann Lindahl | Nurse Practitioner | 3217 4th St, Brunswick, GA 31520-3759 | 2011-02-01 |
1669634010 | Nicholas J. Agresti | Internal Medicine | 3217 4th St, Brunswick, GA 31520-3759 | 2008-06-26 |
1730221409 | Digestive Associates, Inc. | Internal Medicine | 3217 4th St, Brunswick, GA 31520-3759 | 2007-02-12 |
1407952567 | Coastal Anesthesia Associates, LLC | Nurse Anesthetist, Certified Registered | 3217 4th St, Brunswick, GA 31520-3759 | 2006-09-16 |
1922054410 | Brunswick Endoscopy Center, LLC | Clinic/Center | 3217 4th St, Brunswick, GA 31520-3759 | 2006-05-26 |
1548255920 | Huitt Everett Mattox IIi | Internal Medicine | 3217 4th St, Brunswick, GA 31520-3759 | 2005-09-13 |
1588659973 | Robin A Rittgers | Internal Medicine | 3217 4th St, Brunswick, GA 31520-3759 | 2005-09-13 |
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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 | 363AS0400X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Surgical Technologist |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003867086 | Callie Orae Mcmahon | Physician Assistant | 262 Church Rd, Brunswick, ME 04011-7302 | 2006-05-13 |
1619344223 | Elizabeth Blair Coleman | Physician Assistant | 2500 Starling St, Ste 403, Brunswick, GA 31520-4265 | 2015-08-31 |
1871828897 | Matthew R Boothby | Physician Assistant | 1111 Glynco Pkwy Ste 300, Brunswick, GA 31525-7933 | 2009-10-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336748409 | Jesse Aaron Denson | Physician Assistant | 2046 Point Grey Ct Nw, Kennesaw, GA 30152-8276 | 2020-10-20 |
1568074227 | James D Craig | Physician Assistant | 3210 New College Way, Cumming, GA 30041-2896 | 2020-08-23 |
1982223244 | Keith Hawkins | Physician Assistant | 8498 Glenview St, Douglasville, GA 30134-5639 | 2020-04-15 |
1639704307 | Spectrum Surgical LLC | Physician Assistant | 3142 Highway 278 Nw # 135, Covington, GA 30014-2304 | 2020-03-03 |
1255962205 | Songthu Nguyen | Physician Assistant | 6119 Foxcroft Ct, Morrow, GA 30260-1069 | 2020-01-29 |
1265071229 | Stellar Surgical Assisting | Physician Assistant | 3446 Winder Hwy Ste M-322, Flowery Branch, GA 30542-3007 | 2019-12-22 |
1194363366 | Clara A Matthews | Physician Assistant | 1930 Windsor Creek Drive Sw, Conyers, GA 30094 | 2019-12-18 |
1922640739 | Jeremiah George Blair | Physician Assistant | 61 Whitcher St Suite 2100, Marietta, GA 30060 | 2019-10-14 |
1710528401 | Hannah Ingrid Boomgarden | Physician Assistant | 1467 Harper Street Hb 5040, Augusta, GA 30912-5775 | 2019-10-03 |
1891257028 | Symmetry Surgical Billing LLC | Physician Assistant | 5135 Mirror Lake Dr, Cumming, GA 30028-7216 | 2019-04-05 |
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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.