Active NPI
Joshua Ryan Fann, CP
- Prosthetist
- Savannah, GA
National Provider Identifier
1730446394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetist
- License
- 57
- Practice address
- 918 E 72ND St
Savannah, GA 31405-4917 - Phone
- (912) 344-9599
- Fax
- (912) 335-3435
- NPI assigned
- Apr 19, 2012
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Prosthetist | 224P00000X | 57 | GA | Primary |
Addresses
Primary practice location
918 E 72ND St
Savannah, GA 31405-4917
Mailing address
918 E 72ND St
Savannah, GA 31405-4917
Phone (912) 344-9599
Other practice location 1
4750 Waters Ave
Suite 500
Savannah, GA 31404-6200
Phone (912) 629-7829
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 |
|---|---|---|---|
| 57 | GA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ryan Fann Prosthetics, LLC | Prosthetist | Current | Accepting new patients |
Locations
918 E 72nd St
Savannah, GA 31405
Phone (912) 344-9599
3840 Waters Ave
Savannah, GA 31404
Phone (912) 354-4239
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669852800000",
"number": "1730446394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "918 E 72ND ST",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314054917",
"telephone_number": "912-344-9599",
"fax_number": "912-335-3435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "918 E 72ND ST",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314054917",
"telephone_number": "912-344-9599",
"fax_number": "912-335-3435"
}
],
"practiceLocations": [
{
"address_1": "4750 Waters Ave",
"address_2": "Suite 500",
"address_purpose": "LOCATION",
"city": "Savannah",
"state": "GA",
"postal_code": "314046200",
"country_code": "US",
"telephone_number": "912-629-7829",
"fax_number": "912-356-1221",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FANN",
"first_name": "JOSHUA",
"middle_name": "RYAN",
"credential": "CP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-04-19",
"last_updated": "2022-12-01",
"certification_date": "2022-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "224P00000X",
"taxonomy_group": "",
"desc": "Prosthetist",
"state": "GA",
"license": "57",
"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 Dec 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.