RYAN FANN PROSTHETICS, LLC


Address: 3840 Waters Ave, Savannah, GA 31404-6264
Phone: 6155798407

RYAN FANN PROSTHETICS, LLC (NPI# 1932742079) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1932742079
Entity Type Organization
Organization Name RYAN FANN PROSTHETICS, LLC
Practice Address 3840 Waters Ave
Savannah
GA 31404-6264
Mailing Address 417 E 62nd St
Savannah
GA 31405-4322
Practice Telephone 6155798407
Mailing Telephone 6155798407
Enumeration Date 2019-10-22
Last Update Date 2019-11-12
Authorized Official Name JOSHUA RYAN FANN (OWNER,/MANAGER)
Authorized Official Telephone 6155798407
Authorized Official Credential CERTIFIED PROSTH
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 335E00000X Prosthetic/Orthotic Supplier Suppliers
Y 224P00000X Prosthetist Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 3840 WATERS AVE
City SAVANNAH
State GA
Zip Code 31404-6264

Providers in the same location

NPI Name Taxonomy Address Enumeration
1730446394 Joshua Ryan Fann Prosthetist 3840 Waters Ave, Savannah, GA 31404 2012-04-19

Providers in the same zip code

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
1922270941 Tyneise Seaborough Occupational Therapist 508 Atkinson Ave, Savannah, GA 31404 2008-03-31
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Taxonomy Information

Taxonomy Code 224P00000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Prosthetist

Taxonomy Definition

A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1730446394 Joshua Ryan Fann Prosthetist 3840 Waters Ave, Savannah, GA 31404 2012-04-19

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1477152239 Zachary T Hughes Prosthetist 1050 Barber Creek Dr Ste 103, Watkinsville, GA 30677-4502 2020-10-22
1306460662 Unique Creationz Rx Prosthetist 2500 Dallas Hwy Sw Ste 202-1082, Marietta, GA 30064-2567 2020-06-02
1205450954 Monique D Gay Prosthetist 2651 Favor Rd Sw # 1g06, Marietta, GA 30060-5241 2020-05-28
1134743891 Jazmyn Monet Griffith Prosthetist 1564 Herrington Rd Apt 6112, Lawrenceville, GA 30043-7956 2020-05-28
1326661208 Jasmine Dixon Prosthetist 390 Auburn Ave Ne, Atlanta, GA 30312-1544 2020-05-26
1659900702 Shirleysia Jones Prosthetist 213 Paces Commons Dr, Duluth, GA 30096-1712 2020-04-01
1912545393 Kanishia Gordon Prosthetist 519 Memorial Dr Se Ste 209, Atlanta, GA 30312-2286 2019-12-16
1922642826 Juanita F Mike Prosthetist 6409 Guinness Ct, Union City, GA 30291-1991 2019-11-04
1003463787 Denise Ann Hill Prosthetist 4308 Caveat Ct, Fairburn, GA 30213-4328 2019-08-19
1588224091 Natalie Bennett Prosthetist 2864 Carrousel Ct, Stone Mountain, GA 30087-3922 2019-06-17
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Competitor

Search similar providers

City SAVANNAH
Zip Code 31404

Improve Information

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Dataset Information

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.

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