Andrew P Stack (NPI# 1902063407, PAC ID# 6406071471) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PEDIATRIC MEDICINE.
Nation Provider ID (NPI) | 1902063407 |
PAC ID by PECOS | 6406071471 |
Professional Enrollment ID | I20140707001803 |
Full Name | Andrew P Stack |
Organization Legal Name | SAVANNAH PEDIATRIC CARE, LLC |
Address |
4700 Waters Ave Savannah GA 31404-6220 |
Phone Number | 9123508180 |
Gender | M |
Medical School | MARSHALL UNIVERSITY SCHOOL MEDICINE |
Graduation Year | 2008 |
Primary Specialty | PEDIATRIC MEDICINE |
Secondary Specialties | ANESTHESIOLOGY, CRITICAL CARE (INTENSIVISTS) |
Group Practice PAC ID | 8921353954 |
Number of Group Practice Members | 11 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
4700 Waters Ave, Savannah, GA 31404-6220 | 9123508180 | SAVANNAH PEDIATRIC CARE, LLC |
Organization Legal Name | SAVANNAH PEDIATRIC CARE, LLC |
Physicians | 13 |
Name | Specialty | Organization | Address |
---|---|---|---|
Patti M Macdonald | Nurse Practitioner | Savannah Pediatric Care, LLC | 4750 Waters Ave, Savannah, GA 31404-6200 |
Thomas W Mckee | Critical Care (intensivists) | Savannah Pediatric Care, LLC | 4700 Waters Ave, Savannah, GA 31404-6220 |
William C Boswell | General Surgery | Savannah Pediatric Care, LLC | 4750 Waters Ave, Suite 307, Savannah, GA 31404-6268 |
Miller C Hamrick | General Surgery | Savannah Pediatric Care, LLC | 4750 Waters Ave, Suite 307, Savannah, GA 31404-6268 |
Michael A. Bossak | Pediatric Medicine | Savannah Pediatric Care, LLC | 5102 Paulsen St, Savannah, GA 31405-4601 |
Richard Mazo | Urology | Savannah Pediatric Care, LLC | 4750 Waters Ave, Suite 307, Savannah, GA 31404-6268 |
Mary Lytle | Pediatric Medicine | Savannah Pediatric Care, LLC | 4700 Waters Ave, Savannah, GA 31404-6220 |
Christopher H. Rittmeyer | Pediatric Medicine | Savannah Pediatric Care, LLC | 4750 Waters Ave, Suite 307, Savannah, GA 31404-6268 |
Lauren M Hebert | Pediatric Medicine | Savannah Pediatric Care, LLC | 4700 Waters Ave, Savannah, GA 31404-6220 |
David E Carney | General Surgery | Savannah Pediatric Care, LLC | 4750 Waters Ave, Savannah, GA 31404-6200 |
Street Address |
4700 WATERS AVE |
City | SAVANNAH |
State | GA |
Zip | 31404-6220 |
Name | Specialty | Organization | Address |
---|---|---|---|
Abegail Delez Xiang | Nurse Practitioner | Savannah Multispecialty Associates LLC | 4700 Waters Ave, Savannah, GA 31404-6220 |
Anthony B. Royek | Obstetrics/gynecology | Savannah Multispecialty Associates LLC | 4700 Waters Ave, Savannah, GA 31404-6220 |
Domenick J. Roma | Pulmonary Disease | Savannah Multispecialty Associates LLC | 4700 Waters Ave, Savannah, GA 31404-6220 |
Audrea O Vaughan | Hospitalist | Cogent Healthcare of Georgia PC | 4700 Waters Ave, Savannah, GA 31404-6220 |
Jenny T. Childs | Nurse Practitioner | Cogent Healthcare of Georgia PC | 4700 Waters Ave, Savannah, GA 31404-6220 |
Jonathan R Simons | Certified Registered Nurse Anesthetist (crna) | Anesthesia Consultants of Savannah, PC | 4700 Waters Ave, Savannah, GA 31404-6220 |
Robert Joseph Kelly Jr. | General Surgery | Savannah Multispecialty Associates LLC | 4700 Waters Ave, Savannah, GA 31404-6220 |
Nadene C Fair | Hospitalist | Cogent Healthcare of Georgia PC | 4700 Waters Ave, Savannah, GA 31404-6220 |
Renee Lizette Lewis | Hospitalist | Cogent Healthcare of Georgia PC | 4700 Waters Ave, Savannah, GA 31404-6220 |
Sarubh Singh | Hospitalist | Cogent Healthcare of Georgia PC | 4700 Waters Ave, Savannah, GA 31404-6220 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Gregory B Wetherington | Chiropractic | 329 Eisenhower Dr, Suite D, Savannah, GA 31404-2695 | |
Kevin A Berkman | Chiropractic | 1101 E 51st St, Savannah, GA 31404-4031 | |
John T Neal | Chiropractic | 1101 E 51st St, Savannah, GA 31404-4031 | |
Maulik A Patel | Internal Medicine | Savannah Primary Care Associates LLC | 1101 Lexington Ave, Savannah, GA 31404-5502 |
Margaret Mcclellan | Nurse Practitioner | Nephrology and Hypertension Medical Associates PC | 1115 Lexington Ave, Savannah, GA 31404-5502 |
Lauren P Hoffman | Certified Registered Nurse Anesthetist (crna) | Coastal Ambulatory Anesthesia PC | 1139 Lexington Ave, Savannah, GA 31404-5502 |
William Neely Hannah Jr. | Internal Medicine | Savannah Primary Care Associates LLC | 1101 Lexington Ave, Savannah, GA 31404-5502 |
Susan Mobley Greene | Obstetrics/gynecology | Savannah Multispecialty Associates LLC | 1101 Lexington Ave, Savannah, GA 31404-5502 |
William G Grubb | Nephrology | Nephrology and Hypertension Medical Associates PC | 1115 Lexington Ave, Savannah, GA 31404-5502 |
Pamela S Hoffstetter | Registered Dietitian Or Nutrition Professional | 1115 Lexington Ave, Savannah, GA 31404-5502 | |
Find all physicians in zip 31404 |
City | SAVANNAH |
Zip Code | 31404 |
Specialty | PEDIATRIC MEDICINE |
City + Specialty | SAVANNAH + PEDIATRIC MEDICINE |
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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.