Michael D Demauro, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

032546 Issued in GA

Practice address

4600 Waters Ave
Suite100
Savannah, GA 31404-6702

Phone

(912) 355-2462

Fax

(912) 353-1836

NPI assigned

Sep 9, 2005

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pediatric Associates of Savannah, P.C.

  • Pediatrics Physician
  • Savannah, GA
  • NPI 1508850231
  NPD (past)
• Pediatric Associates of Savannah, P.C.

  • Pediatrics Physician
  • Savannah, GA
  • NPI 1932252244
  NPD (past)

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

{
    "created_epoch": "1126224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1861486334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 WATERS AVE",
            "address_2": "SUITE100",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314046702",
            "telephone_number": "912-355-2462",
            "fax_number": "912-353-1836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 WATERS AVE",
            "address_2": "SUITE100",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314046702",
            "telephone_number": "912-355-2462",
            "fax_number": "912-353-1836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMAURO",
        "first_name": "MICHAEL",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-09",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "032546",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID #",
            "identifier": "58-1102392",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SC MEDICAID",
            "identifier": "896867",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000401211A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "032546",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David James Delnostro, M.D.
• Ervin D Deloach, MD
• Delta Solutions Health and Educational Services, Inc.
• Delta Soultions Health Education Services Inc.
• Sam Peter Demartino, DDS
• Charmaine Demery, RN
• Yolanda V Demery
• John Michael Demicco, M.D.
• Jennifer Demott, NP
• Paula Collette Denitto, MD

• Pediatrics Physician in Savannah, GA
• Providers in Savannah, GA by specialty
• Pediatrics Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.