Organization Active NPI

Healthy Family PC

  • Internal Medicine Physician
  • Savannah, GA
National Provider Identifier
1508017542
Registry record updated Jan 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
039435 Issued in GA
Legal business name
HEALTHY FAMILY PC
Practice address
705 E 65TH St
Savannah, GA 31405-4408
Phone
(912) 234-8935
NPI assigned
Oct 8, 2008
Last updated
Jan 9, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2009

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

Authorized official

Name
Jose M Patino
Title
President
Phone
(912) 265-0339

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 039435 GA Primary

Addresses

Primary practice location

705 E 65TH St
Savannah, GA 31405-4408

Mailing address

PO Box 22937
Savannah, GA 31403-2937
Phone (912) 234-8933

National Provider Directory

National Provider Directory

Locations

705 E 65th St
Savannah, GA 31405
Phone (912) 234-8935

NPI Registry JSON

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

{
    "created_epoch": "1223424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231459200000",
    "number": "1508017542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22937",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314032937",
            "telephone_number": "912-234-8933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 E 65TH ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314054408",
            "telephone_number": "912-234-8935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY FAMILY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-08",
        "last_updated": "2009-01-09",
        "status": "A",
        "authorized_official_last_name": "PATINO",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "912-265-0339"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "039435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2009; 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.