Savannah Orthopedics and Sports Medicine, LLC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

SAVANNAH ORTHOPEDICS AND SPORTS MEDICINE, LLC

Practice address

9100 White Bluff Rd Ste 102
Savannah, GA 31406-4673

Phone

(912) 999-6885

Fax

(844) 440-2335

NPI assigned

Aug 29, 2022

Organization subpart

No

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

Authorized official

Name

Joseph Daniel Boaen, MDNPI 1821433194

Title

Owner

Phone

(912) 999-6885

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 1

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

• Joseph Daniel Boaen IV, M.D.

  • Orthopaedic Surgery Physician
  • Savannah, GA
  • NPI 1821433194
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1661731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700352000000",
    "number": "1619696036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9100 WHITE BLUFF RD STE 102",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314064673",
            "telephone_number": "912-999-6885",
            "fax_number": "844-440-2335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9100 WHITE BLUFF RD STE 102",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314064673",
            "telephone_number": "912-999-6885",
            "fax_number": "844-440-2335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAVANNAH ORTHOPEDICS AND SPORTS MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-29",
        "last_updated": "2023-11-19",
        "certification_date": "2023-11-19",
        "status": "A",
        "authorized_official_last_name": "BOAEN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-999-6885",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1619696036",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1821433194",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003227448D",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Savannah Neuropsychology Inc
• Savannah OBGYN PC
• Savannah Opco, LLC (Savannah Healthcare and Rehabilitation Center)
• Savannah Oral and Facial Surgery
• Savannah Orthopaedic & Spine Institute
• Savannah Orthotics & Prosthetics Inc
• Savannah Outpatient Anesthesia, LLC
• Savannah Outpatient Foot and Ankle Surgery Center, LLC (Savannah Outpatient Foot and Ankle Surgery Center)
• Savannah Pain Center, LLC
• Savannah Pain Management, Inc.

• Orthopaedic Surgery Physician in Savannah, GA
• Providers in Savannah, GA by specialty
• Orthopaedic Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2023; 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.