Heather Morgan Wallace (NPI# 1336173574, PAC ID# 1658372636) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
| Nation Provider ID (NPI) | 1336173574 |
| PAC ID by PECOS | 1658372636 |
| Professional Enrollment ID | I20101221000034 |
| Full Name | Heather Morgan Wallace |
| Organization Legal Name | UROLOGICAL ASSOCIATES OF SAVANNAH, PC |
| Address |
230 E Derenne Ave Savannah GA 31405-6736 |
| Phone Number | 9127904000 |
| Gender | F |
| Credential | MD |
| Medical School | UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE |
| Graduation Year | 2001 |
| Primary Specialty | UROLOGY |
| Group Practice PAC ID | 6204748957 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110024 | CANDLER HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 230 E Derenne Ave, Savannah, GA 31405-6736 | 9127904000 | UROLOGICAL ASSOCIATES OF SAVANNAH, PC |
| Organization Legal Name | UROLOGICAL ASSOCIATES OF SAVANNAH, PC |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas E Shook | Urology | Urological Associates of Savannah, PC | 230 E Derenne Ave, Savannah, GA 31405-6736 |
| David L Cheng | Urology | Urological Associates of Savannah, PC | 230 E Derenne Ave, Savannah, GA 31405-6736 |
| Michael Jon Cox | Urology | Urological Associates of Savannah, PC | 230 E Derenne Ave, Savannah, GA 31405-6736 |
| Andrew Michigan | Urology | Urological Associates of Savannah, PC | 230 E Derenne Ave, Savannah, GA 31405-6736 |
| Ruth Ann Mazo | Urology | Urological Associates of Savannah, PC | 1497 Fair Rd, Suite 204, Statesboro, GA 30458-0824 |
| Stephen Michigan | Urology | Urological Associates of Savannah, PC | 230 E Derenne Ave, Savannah, GA 31405-6736 |
| Buffi G Boyd | Urology | Urological Associates of Savannah, PC | 230 E Derenne Ave, Savannah, GA 31405-6736 |
| James C Judy | Urology | Urological Associates of Savannah, PC | 230 E Derenne Ave, Savannah, GA 31405-6736 |
| Street Address |
230 E DERENNE AVE |
| City | SAVANNAH |
| State | GA |
| Zip | 31405-6736 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas E Shook | Urology | Urological Associates of Savannah, PC | 230 E Derenne Ave, Savannah, GA 31405-6736 |
| David L Cheng | Urology | Urological Associates of Savannah, PC | 230 E Derenne Ave, Savannah, GA 31405-6736 |
| Michael Jon Cox | Urology | Urological Associates of Savannah, PC | 230 E Derenne Ave, Savannah, GA 31405-6736 |
| Andrew Michigan | Urology | Urological Associates of Savannah, PC | 230 E Derenne Ave, Savannah, GA 31405-6736 |
| Stephen Michigan | Urology | Urological Associates of Savannah, PC | 230 E Derenne Ave, Savannah, GA 31405-6736 |
| Buffi G Boyd | Urology | Urological Associates of Savannah, PC | 230 E Derenne Ave, Savannah, GA 31405-6736 |
| James C Judy | Urology | Urological Associates of Savannah, PC | 230 E Derenne Ave, Savannah, GA 31405-6736 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marianne M Fleming | Internal Medicine | Sjc Medical Group, Inc | 836 E, 65th Suite 30, Savannah, GA 31405 |
| Julia Johnson | Hospice/palliative Care | Steward Center for Palliative Care | 5353 Reynolds Ave, Savannah, GA 31405 |
| Sandra W Gordon-kolb | Internal Medicine | Steward Center for Palliative Care | 5353 Reynolds Ave, Savannah, GA 31405 |
| Kristina N Johnson | Family Medicine | Savannah Primary Care Associates LLC | 3776 Hwy 17 S, Savannah, GA 31405-1310 |
| Lakeia M Manor | Chiropractic | Manor Chiropractic LLC | 3025 Bull St, Savannah, GA 31405-2016 |
| Jason Miller | Physician Assistant | Chatham Orthopaedic Associates Pa | 4425 Paulsen St, A, Savannah, GA 31405-3637 |
| Mary Ann Kilgore | Physical Therapy | Chatham Orthopaedic Associates Pa | 4425 Paulsen St, A, Savannah, GA 31405-3637 |
| Emma Katherine L Mcintosh | Physician Assistant | Chatham Orthopaedic Associates Pa | 4425 Paulsen St, A, Savannah, GA 31405-3637 |
| Ray L Wallace | Physician Assistant | Chatham Orthopaedic Associates Pa | 4425 Paulsen St, A, Savannah, GA 31405-3637 |
| Andrew Vincent Grosse | Physician Assistant | Chatham Orthopaedic Associates Pa | 4425 Paulsen St, A, Savannah, GA 31405-3637 |
| Find all physicians in zip 31405 | |||
| City | SAVANNAH |
| Zip Code | 31405 |
| Specialty | UROLOGY |
| City + Specialty | SAVANNAH + UROLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.