Hospitalmd of East Georgia Ip Inc

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

Legal business name

HOSPITALMD OF EAST GEORGIA IP INC

Practice address

200 N River St
Claxton, GA 30417-1659

Phone

(912) 739-2611

NPI assigned

Mar 31, 2014

Last updated

Mar 31, 2014By 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

Ryan Zondervan

Title

Vice President

Phone

(888) 898-3294

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1396224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396224000000",
    "number": "1588082358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 896140",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282896140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N RIVER ST",
            "city": "CLAXTON",
            "state": "GA",
            "postal_code": "304171659",
            "telephone_number": "912-739-2611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPITALMD OF EAST GEORGIA IP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-31",
        "last_updated": "2014-03-31",
        "status": "A",
        "authorized_official_last_name": "ZONDERVAN",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "888-898-3294"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• His Care LLC (The Drug Store)
• Alayna Hodges
• Kyle Hollis, D.M.D.
• Home Care AIDS, Inc.
• Hospitalmd of East Georgia Inc
• I.V. Care of East Georgia, Inc.
• Rusty Johnson, DMD
• Samantha Maria Kaeberlein, PHARMD
• Kemps Pharmacy Inc (Kemps Pharmacy)
• Heather Lewis, PA-C

• Hospitalist Physician in Claxton, GA
• Providers in Claxton, GA by specialty
• Hospitalist Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2014; 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.