RTR Medical Group LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

037050 Issued in GA

Legal business name

RTR MEDICAL GROUP LLC

Practice address

11700-3 Mercy Blvd
Savannah, GA 31419

Phone

(912) 927-8887

Fax

(912) 927-8064

NPI assigned

May 9, 2007

Last updated

May 1, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Timothy John Sak

Title

Dir of Operations

Phone

(912) 927-8887

Specialties & licenses 4

Addresses

Other identifiers 3

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jennifer S Green, PA-C

  • Medical Physician Assistant
  • Savannah, GA
  • NPI 1588658363
  NPD (past)
• Courtney Foley, PA

  • Physician Assistant
  • Thompsons Station, TN
  • NPI 1437392065
  NPD (past)

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367366400000",
    "number": "1083828024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11700-3 MERCY BLVD",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "31419",
            "telephone_number": "912-927-8887",
            "fax_number": "912-927-8064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11700-3 MERCY BLVD",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "31419",
            "telephone_number": "912-927-8887",
            "fax_number": "912-927-8064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RTR MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2013-05-01",
        "status": "A",
        "authorized_official_last_name": "SAK",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "DIR OF OPERATIONS",
        "authorized_official_telephone_number": "912-927-8887",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "GA",
            "license": "037918",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "037918",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "037050",
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "GA",
            "license": "037050",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DA5173",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000585758B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000542132D",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Royce Learning Center
• Anthony Bruno Royek, MD
• Barry Rozantine, M.D.
• Gayle S. Rozantine, PH.D.
• Michelle Rozgonyi, FNP-BC
• George Rubin, DDS
• Melanie S. Rubin, MD
• Barbara Reed Rudolph, FNP
• Raymond Rudolph, MD
• Paula Renee Ruehling, LPC

• Internal Medicine Physician in Savannah, GA
• Providers in Savannah, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.