Savannah Children's Heart Center, PC

Primary specialty

Pediatric Cardiology PhysicianTaxonomy code 2080P0202X

Legal business name

SAVANNAH CHILDREN'S HEART CENTER, PC

Practice address

4750 Waters Ave
Suite 512
Savannah, GA 31404-6200

Phone

(912) 350-8085

Fax

(912) 350-3703

NPI assigned

Aug 29, 2006

Last updated

Dec 4, 2012By 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

Dr. Kenneth Dwight Burch, MDNPI 1891804456

Title

President/Director

Phone

(912) 350-8085

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 7

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.

• Kenneth D Burch, MD

  • Pediatric Cardiology Physician
  • Savannah, GA
  • NPI 1891804456
  Medicare reassignment Care Compare group NPD Authorized official
• Patrick Thomas Broderick, MD

  • Pediatric Cardiology Physician
  • Savannah, GA
  • NPI 1760691083
  Medicare reassignment Care Compare group NPD
• Zachary M Burch

  • Pediatric Cardiology Physician
  • Savannah, GA
  • NPI 1942633326
  Medicare reassignment Care Compare group NPD
• John S Pastorek, MD

  • Pediatric Cardiology Physician
  • Savannah, GA
  • NPI 1912012741
  Medicare reassignment Care Compare group NPD
• Robert Michael Liebman, M.D.

  • Otolaryngology Physician
  • Savannah, GA
  • NPI 1760844427
  NPD (past)
• Micah Logan Mabe, MD

  • Surgery Physician
  • Savannah, GA
  • NPI 1801384664
  NPD (past)
• Shaquala Rice, RDN, LDN

  • Registered Dietitian
  • Savannah, GA
  • NPI 1962261461
  NPD (past)

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354579200000",
    "number": "1356450910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 WATERS AVE",
            "address_2": "2ND FLOOR GA EAR",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314046220",
            "telephone_number": "912-988-5050",
            "fax_number": "912-988-5013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4750 WATERS AVE",
            "address_2": "SUITE 512",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314046200",
            "telephone_number": "912-350-8085",
            "fax_number": "912-350-3703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAVANNAH CHILDREN'S HEART CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2012-12-04",
        "status": "A",
        "authorized_official_last_name": "BURCH",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "DWIGHT",
        "authorized_official_title_or_position": "PRESIDENT/DIRECTOR",
        "authorized_official_telephone_number": "912-350-8085",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300031686A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Savannah Behavioral Services, LLC
• Savannah Bone and Joint, P.C.
• Savannah Cardiology, PC
• Savannah Cardiovascular Surgery
• Savannah Chatham Imaging LLC
• Savannah Children's Therapy Center, LLC (Children's Therapy Center)
• Savannah Chiropractic and Rehabilitation Center (Sandfly Chiropractic and Rehabilitation Center)
• Savannah Chiropractic PC (Brown Chiropractic)
• Savannah Clinic Inc. (Savannah Chiropractic Center)
• Savannah Counseling & Wellness, LLC

• Pediatric Cardiology Physician in Savannah, GA
• Providers in Savannah, GA by specialty
• Pediatric Cardiology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2012; 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.