Shiloh Wound Care PC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

025229 Issued in GA

Legal business name

SHILOH WOUND CARE PC

Practice address

1497 Fair Rd Ste 103
Statesboro, GA 30458-0823

Phone

(912) 486-1163

Fax

(866) 795-4593

NPI assigned

Aug 29, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. John E Martin, MDNPI 1316016819

Title

Pres

Phone

(912) 486-1163

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Edward Martin Sr., MD

  • Surgery Physician
  • Statesboro, GA
  • NPI 1316016819
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1188345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283299200000",
    "number": "1073707436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3525 PIEDMONT RD NE STE 601",
            "address_2": "BLDG. 7",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303051578",
            "telephone_number": "404-842-5423",
            "fax_number": "404-848-1229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1497 FAIR RD STE 103",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304580823",
            "telephone_number": "912-486-1163",
            "fax_number": "866-795-4593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHILOH WOUND CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-29",
        "last_updated": "2010-09-01",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "912-486-1163",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "GA",
            "license": "025229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheltering Arms LLC
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• Eric Shiflett, ATC, LAT
• Chen-Wen Shih, M.D.
• Dellarie L Shilling, FNP
• Stanley J Shin, MD
• Whitney Ann Shingler, DIETICIAN
• Scarlet Gabrielle Shumate
• Subuhi Siddiqui, DDS
• Signature Ambulance at Statesboro LLC

• Surgery Physician in Statesboro, GA
• Providers in Statesboro, GA by specialty
• Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.