MPPG, INC. (NPI# 1932269545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932269545 |
| Entity Type | Organization |
| Organization Name | MPPG, INC. |
| Other Organization Name | GEORGIA EAR INSTITUTE, INC. |
| Practice Address |
4700 Waters Ave Ga Ear Bldg. Savannah GA 31404-6220 |
| Mailing Address |
Po Box 931968 Atlanta GA 31193-1968 |
| Practice Telephone | 9123505000 |
| Practice Fax Number | 9123505083 |
| Mailing Telephone | 9123505000 |
| Mailing Fax Number | 9123505083 |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ROBIN J. MADDOX (PROVIDER ENROLLMENT COORDINATOR) |
| Authorized Official Telephone | 9123509335 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207Y00000X | Otolaryngology | Allopathic & Osteopathic Physicians | ||
| X | 207YX0901X |
Otolaryngology Specialization: Otology & Neurotology |
Allopathic & Osteopathic Physicians | ||
| X | 231H00000X | Audiologist | Speech, Language and Hearing Service Providers |
| Other Name | Type Code |
|---|---|
| Georgia Ear Institute, Inc. | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669602280 | Mppg, Inc. | Obstetrics & Gynecology | 1004 Memorial Ln, Suite 500, Savannah, GA 31410-1254 | 2009-07-16 |
| 1710041587 | Mppg, Inc. | Pediatrics | 512b South Main Street, Hinesville, GA 31313 | 2006-12-19 |
| 1871653469 | Mppg, Inc. | Internal Medicine | 4451 Paulsen Street, Savannah, GA 31405 | 2006-12-12 |
| 1588723266 | Mppg, Inc. | Family Medicine | 1001 Memorial Lane, Savannah, GA 31410 | 2006-12-08 |
| 1811057250 | Mppg, Inc. | Family Medicine | 1107 East 66th Street, Savannah, GA 31404 | 2006-12-08 |
| 1467511949 | Mppg, Inc. | Family Medicine | 14089 Abercorn Street, Savannah, GA 31419 | 2006-12-08 |
| 1790844389 | Mppg, Inc. | Internal Medicine | 455 South Maine Street, Suite 203, Hinesville, GA 31313 | 2006-12-08 |
| 1508925454 | Mppg, Inc. | Family Medicine | 105 Rocky Ford Road, Sylvania, GA 30467 | 2006-12-06 |
| 1174691067 | Mppg, Inc. | Radiology | 200 Maple Drive, Vidalia, GA 30474 | 2006-12-01 |
| 1891861548 | Mppg, Inc. | Family Medicine | 3776 Us Highway 17, Richmond Hill, GA 31324-3378 | 2006-11-27 |
| Street Address |
4700 WATERS AVE GA EAR BLDG. |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31404-6220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023012010 | Peter M Britt | Radiology | 4700 Waters Ave, Savannah, GA 31404-6220 | 2005-06-08 |
| 1255938288 | Mckenna Maria Valencia | Anesthesiologist Assistant | 4700 Waters Ave, Savannah, GA 31404-6220 | 2020-10-02 |
| 1184239451 | Avery Thomas Helms | Anesthesiologist Assistant | 4700 Waters Ave, Savannah, GA 31404-6220 | 2020-09-13 |
| 1619580800 | Matthew Shannon | Anesthesiologist Assistant | 4700 Waters Ave, Savannah, GA 31404-6220 | 2020-08-26 |
| 1679184840 | Anna Tincher | Anesthesiologist Assistant | 4700 Waters Ave, Savannah, GA 31404-6220 | 2020-08-12 |
| 1669083168 | Christie Vernon Klinginsmith | Anesthesiologist Assistant | 4700 Waters Ave, Savannah, GA 31404-6220 | 2020-08-10 |
| 1396355004 | Noah Radjenovic | Anesthesiologist Assistant | 4700 Waters Ave, Savannah, GA 31404-6220 | 2020-08-06 |
| 1558987115 | Alyssa Nadji | Registered Nurse | 4700 Waters Ave, Savannah, GA 31404-6220 | 2020-06-19 |
| 1952926065 | Mary Helen Ondriezek | Registered Nurse | 4700 Waters Ave, Savannah, GA 31404-6220 | 2020-06-15 |
| 1326661463 | Danielle Marie Carroll | Pharmacist | 4700 Waters Ave, Savannah, GA 31404-6220 | 2020-05-23 |
| Find all providers in the same location | ||||
| 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 | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295154748 | Tyler Keith Deblieux | Otolaryngology | 5356 Reynolds St Ste 505, Savannah, GA 31405-6017 | 2014-04-14 |
| 1245523554 | Adam Price Campbell | Otolaryngology | 4750 Waters Ave Ste 112, Savannah, GA 31404-6267 | 2011-05-19 |
| 1124252226 | Frank Hoffman | Otolaryngology | 6 Boar's Nest Lane, Savannah, GA 31411 | 2009-05-05 |
| 1285706309 | Diane Watkins Davis | Otolaryngology | 5201 Frederick St, Savannah, GA 31405-4501 | 2006-11-14 |
| 1841518917 | Jagadish D Navare | Otolaryngology | 322 Commercial Dr, Savannah, GA 31406-3625 | 2010-05-13 |
| 1558517466 | Ear, Nose & Throat Associates of Savannah, P.C. | Otolaryngology | 13040 Abercorn St, Suite 1, Savannah, GA 31419-1955 | 2008-08-12 |
| 1497917975 | Brad A Rawlings | Otolaryngology | 5201 Frederick St, Savannah, GA 31405-4501 | 2008-06-26 |
| 1134322142 | Ear, Nose & Throat Associates of Savannah, PC | Otolaryngology | 5201 Frederick Street, Savannah, GA 31405-4501 | 2007-06-07 |
| 1871614297 | William H Moretz IIi | Otolaryngology | 5201 Frederick Street, Savannah, GA 31405-4501 | 2007-04-03 |
| 1790829950 | Georgia Nasal & Sinus Institute, PC | Otolaryngology | 4750 Waters Ave, Suite 112, Savannah, GA 31404-6200 | 2007-02-19 |
| Find all providers in SAVANNAH | ||||
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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.