Clint Richard Fenton (NPI# 1093205957, PAC ID# 9133477250) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1093205957 |
| PAC ID by PECOS | 9133477250 |
| Professional Enrollment ID | I20180807001190 |
| Full Name | Clint Richard Fenton |
| Organization Legal Name | ST JOSEPHS CARDIOLOGY GROUP LLC |
| Address |
11705 Mercy Blvd Savannah GA 31419-1711 |
| Phone Number | 8433790220 |
| Gender | M |
| Graduation Year | 2018 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 3274770227 |
| Number of Group Practice Members | 14 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 11700 Mercy Blvd, Savannah, GA 31419-1753 | 9129273434 | ST JOSEPHS CARDIOLOGY GROUP LLC |
| 11705 Mercy Blvd, Savannah, GA 31419-1711 | 8433790220 | ST JOSEPHS CARDIOLOGY GROUP LLC |
| Organization Legal Name | ST JOSEPHS CARDIOLOGY GROUP LLC |
| Physicians | 14 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Beverly Lippert | Nurse Practitioner | St Josephs Cardiology Group LLC | 11700 Mercy Blvd, Savannah, GA 31419-1753 |
| John D Rathbun | Cardiovascular Disease (cardiology) | St Josephs Cardiology Group LLC | 602 E Long St, Suite A, Claxton, GA 30417-5914 |
| Gary Elkin | Cardiovascular Disease (cardiology) | St Josephs Cardiology Group LLC | 602 E Long St, Suite A, Claxton, GA 30417-5914 |
| Michael J Babcock | Cardiovascular Disease (cardiology) | St Josephs Cardiology Group LLC | 5353 Reynolds St, Savannah, GA 31405-6015 |
| Karen Hanna | Cardiovascular Disease (cardiology) | St Josephs Cardiology Group LLC | 400 Cedar St, Metter, GA 30439-3338 |
| Claude Su | Cardiovascular Disease (cardiology) | St Josephs Cardiology Group LLC | 400 Cedar St, Metter, GA 30439-3338 |
| Daniel B Cobb | Cardiovascular Disease (cardiology) | St Josephs Cardiology Group LLC | 11700 Mercy Blvd, Savannah, GA 31419-1753 |
| Angel M Everidge | Physician Assistant | St Josephs Cardiology Group LLC | 5353 Reynolds St, Savannah, GA 31405-6015 |
| William Crosland Iii | Cardiovascular Disease (cardiology) | St Josephs Cardiology Group LLC | 11700 Mercy Blvd, Savannah, GA 31419-1753 |
| William F Wallace | Cardiovascular Disease (cardiology) | St Josephs Cardiology Group LLC | 602 E Long St, Suite A, Claxton, GA 30417-5914 |
| Street Address |
11705 MERCY BLVD |
| City | SAVANNAH |
| State | GA |
| Zip | 31419-1711 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jose M Rendon-garcia | Internal Medicine | Sjc Medical Group, Inc | 11705 Mercy Blvd, Savannah, GA 31419-1711 |
| Mihaela Saler | Neurology | Sjc Medical Group, Inc | 11705 Mercy Blvd, Savannah, GA 31419-1711 |
| Shannon F Stewart | Neurology | Sjc Medical Group, Inc | 11705 Mercy Blvd, Savannah, GA 31419-1711 |
| Erin E Payne | Anesthesiology | American Anesthesiology Associates of Georgia LLC | 11705 Mercy Blvd, Savannah, GA 31419-1711 |
| Jonas A Vanags | Neurology | Sjc Medical Group, Inc | 11705 Mercy Blvd, Savannah, GA 31419-1711 |
| Emily Robertson | Nurse Practitioner | Sjc Medical Group, Inc | 11705 Mercy Blvd, Savannah, GA 31419-1711 |
| Mallory Williams | Physician Assistant | Sjc Medical Group, Inc | 11705 Mercy Blvd, Savannah, GA 31419-1711 |
| Heidi Ann Sullivan | Nurse Practitioner | Sjc Medical Group, Inc | 11705 Mercy Blvd, Savannah, GA 31419-1711 |
| Laura M Lewis-lockett | Anesthesiology | American Anesthesiology Associates of Georgia LLC | 11705 Mercy Blvd, Savannah, GA 31419-1711 |
| James R Poston | Neurology | Sjc Medical Group, Inc | 11705 Mercy Blvd, Savannah, GA 31419-1711 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John Ralph Edgar | Pathology | Chatham Pathology Associates PC | 11705 Mercy Boulevard, Savannah, GA 31419-1711 |
| Jill P Trumble | Neurology | Sjc Medical Group, Inc | 11705 Mercy Blvd, Savannah, GA 31419-1711 |
| Brian S Raj | Neurology | Sjc Medical Group, Inc | 11705 Mercy Blvd, Savannah, GA 31419-1711 |
| Samantha Jones | Nurse Practitioner | Steward Center for Palliative Care | 11705 Mercy Blvd, Savannah, GA 31419-1711 |
| Darcie C Bruce | Anesthesiology Assistant | American Anesthesiology Associates of Georgia LLC | 11705 Mercy Blvd, Savannah, GA 31419-1711 |
| Karen Elaine Turner | Family Medicine | Sjc Medical Group, Inc | 11705 Mercy Blvd, Savannah, GA 31419-1711 |
| Virginia C Stuber | Anesthesiology Assistant | American Anesthesiology Associates of Georgia LLC | 11705 Mercy Blvd, Savannah, GA 31419-1711 |
| Kristen L Lonker | Anesthesiology Assistant | American Anesthesiology Associates of Georgia LLC | 11705 Mercy Blvd, Savannah, GA 31419-1711 |
| Lauren E Turner | Anesthesiology Assistant | American Anesthesiology Associates of Georgia LLC | 11705 Mercy Blvd, Savannah, GA 31419-1711 |
| Anna D Warren | Anesthesiology Assistant | American Anesthesiology Associates of Georgia LLC | 11705 Mercy Blvd, Savannah, GA 31419-1711 |
| Find all physicians in zip 31419 | |||
| City | SAVANNAH |
| Zip Code | 31419 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | SAVANNAH + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Clint Richard Fenton.
| 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.