Active NPI
Fred Ehrenfeld Rabhan
- Foot Surgery Podiatrist
- Savannah, GA
National Provider Identifier
1679967988
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot Surgery Podiatrist
- License
- 540
- Practice address
- 314 Johnston St
Savannah, GA 31405-5609 - Phone
- (912) 355-9905
- Fax
- (912) 354-4879
- NPI assigned
- Mar 25, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot Surgery Podiatrist | 213ES0131X | 540 | GA | Primary |
Addresses
Primary practice location
314 Johnston St
Savannah, GA 31405-5609
Mailing address
314 Johnston St
Savannah, GA 31405-5609
Phone (912) 355-9905
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 540 | GA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427241600000",
"number": "1679967988",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "314 JOHNSTON ST",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314055609",
"telephone_number": "912-355-9905",
"fax_number": "912-354-4879"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "314 JOHNSTON ST",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314055609",
"telephone_number": "912-355-9905",
"fax_number": "912-354-4879"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RABHAN",
"first_name": "FRED",
"middle_name": "EHRENFELD",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-03-25",
"last_updated": "2015-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "GA",
"license": "540",
"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 Mar 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.