DR. JOHN L DEKLE JR. (NPI# 1942406939) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1942406939 |
Entity Type | Individual |
Full Name | DR. JOHN L DEKLE JR. |
Credential | M.D. |
Practice Address |
310 Eisenhower Dr 5a Savannah GA 31406-2632 |
Mailing Address |
104 Jaymee Lne. Savannah GA 31406 |
Practice Telephone | 9126921451 |
Practice Fax Number | 9123523980 |
Enumeration Date | 2007-06-26 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
10907 | GA | Ambulatory Health Care Facilities |
Street Address |
310 EISENHOWER DR 5A |
City | SAVANNAH |
State | GA |
Zip Code | 31406-2632 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508864463 | Savannah Outpatient Foot and Ankle Surgery Center, LLC | Clinic/Center | 310 Eisenhower Dr, Suite 7b, Savannah, GA 31406-2632 | 2005-07-13 |
1760966295 | 310habershamdental LLC | Dentist | 310 Eisenhower Dr, Building 1, Savannah, GA 31406 | 2018-09-20 |
1649760687 | Rebekah Wooten | Dentist | 310 Eisenhower Dr, Savannah, GA 31406-2632 | 2018-05-15 |
1851796908 | Savannah F&a Asc LLC | Clinic/Center | 310 Eisenhower Dr, Building 7, Savannah, GA 31406-2632 | 2014-10-31 |
1871995779 | Sandra L. Jones | Nurse Practitioner | 310 Eisenhower Dr, Bldg 16, Savannah, GA 31406-2632 | 2014-09-23 |
1437495272 | National Disease Management Center, Inc | Internal Medicine | 310 Eisenhower Dr, Building # 5, Savannah, GA 31406-2632 | 2012-12-26 |
1578810495 | Millicent Treben Jones | Chiropractor | 310 Eisenhower Dr, Building 12 Suite C, Savannah, GA 31406-2632 | 2012-08-09 |
1891053393 | Integrated Medical Institute, LLC | Chiropractor | 310 Eisenhower Dr, Building 12 Suite C, Savannah, GA 31406-2632 | 2012-05-03 |
1972882900 | Pediatric Dentistry of Savannah, LLC | Dentist | 310 Eisenhower Dr, Building #6, Savannah, GA 31406-2632 | 2011-08-09 |
1629369947 | John Charles O'neill Iv | Dentist | 310 Eisenhower Dr, Suite #4, Savannah, GA 31406-2632 | 2011-04-20 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891324042 | Magnolia Home Health, LLC Dba Home Instead Senior Care | Homemaker | 6709 Forest Park Drive, Suite B, Savannah, GA 31406 | 2020-04-08 |
1831737949 | Sumona Mitchell | Specialist | 1100 Eisenhower Drive 15, Suite 7, Savannah, GA 31406 | 2019-12-19 |
1295373090 | Gateway Behavioral Health Services | Community/Behavioral Health | 2121 East Derenne Ave, Savannah, GA 31406 | 2019-12-12 |
1114578820 | Kenya Burns | Technician | 6 Castle Ct, Savannah, GA 31406 | 2019-09-24 |
1841755287 | Southside Emergency Dental Center LLC | Dentist | 10515 White Bluff Rd., Savannah, GA 31406 | 2019-02-08 |
1639651003 | Rachael Putman | Physical Therapist | 37 W Fairmont Ave Suite 323, Savannah, GA 31406 | 2018-09-03 |
1417439852 | Happy Kids Therapies, LLC | Physical Therapist | 37 W. Fairmont Avenue Suite 102, Savannah, GA 31406 | 2018-09-01 |
1487146619 | Georgia Occmed LLC | Clinic/Center | 310 Eisenhower Dr Bldg 12 Ste C, Savannah, GA 31406 | 2018-06-04 |
1023517505 | Antioch Vascular Center, LLC | Surgery | 9104 Middleground Road, Suite 2, Savannah, GA 31406 | 2018-02-09 |
1518496116 | Janay C Russell | Counselor | 6711 Forest Park Drive, Savannah, GA 31406 | 2017-06-07 |
Find all providers in zip 31406 |
Taxonomy Code | 261QC1500X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Community Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053488734 | Union Mission, Inc | Clinic/Center | 125 Fahm St, Savannah, GA 31401-2391 | 2006-11-29 |
1083007355 | Mba Community Clinic | Clinic/Center | 4395 Ogeechee Rd, Ste 209, Savannah, GA 31405-1249 | 2015-03-11 |
NPI | Name | Taxonomy | Address | Enumeration |
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1629693411 | Priority Health and Wellness | Clinic/Center | 3855 Oakview Dr Ste 400, Powder Springs, GA 30127-2233 | 2020-06-08 |
1508494519 | Solvent LLC | Clinic/Center | 104 Brandon Way, Byron, GA 31008-5433 | 2020-03-27 |
1275178683 | Lezthon Homecare Inc | Clinic/Center | 2884 Snapfinger Mnr, Decatur, GA 30035-4167 | 2019-11-08 |
1023650231 | Tony Moses | Clinic/Center | 4650 Dawn Ct, Columbus, GA 31907-6655 | 2019-10-09 |
1174183172 | Your Choice Home Care LLC | Clinic/Center | 3326 Madison Ridge Trl, Snellville, GA 30039-6815 | 2019-06-20 |
1700357878 | The Shafiq Group | Clinic/Center | 910 Athens Hwy Ste K245, Loganville, GA 30052-4952 | 2018-12-16 |
1518477157 | Choosing Independence Inc | Clinic/Center | 115 Martin Luther King Jr Dr Sw Ste 225-102, Atlanta, GA 30303-3536 | 2017-10-10 |
1295256857 | Brittany Carter Lcsw LLC | Clinic/Center | 5000 Austell Powder Springs Rd Ste 283-1, Austell, GA 30106-2442 | 2017-07-03 |
1922539725 | Mpowerr Health & Wellness of Atlanta Inc. | Clinic/Center | 3616 Ginnis Rd Sw Unit 2, Atlanta, GA 30331-8574 | 2017-03-23 |
1093172652 | M D Whitest Medical Institute Inc | Clinic/Center | 401 N 15th St, Cordele, GA 31015-2932 | 2016-01-26 |
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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.