Active NPI
Memorial Health Anesthetists, Inc
- Certified Registered Nurse Anesthetist
- Savannah, GA
National Provider Identifier
1871928622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- Legal business name
- MEMORIAL HEALTH ANESTHETISTS, INC
- Practice address
- 4700 Waters Avenue
Savannah, GA 31403-3089 - Phone
- (912) 350-8000
- NPI assigned
- Sep 12, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Derrick Randall, MD
- Title
- Anesthesiologist/Chief
- Phone
- (912) 350-8000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | Primary |
Addresses
Primary practice location
4700 Waters Avenue
Savannah, GA 31403-3089
Mailing address
4700 Waters Avenue
Savannah, GA 31403-3089
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378944000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1378944000000",
"number": "1871928622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4700 WATERS AVENUE",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314033089"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4700 WATERS AVENUE",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314033089",
"telephone_number": "912-350-8000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEMORIAL HEALTH ANESTHETISTS, INC",
"organizational_subpart": "NO",
"enumeration_date": "2013-09-12",
"last_updated": "2013-09-12",
"status": "A",
"authorized_official_last_name": "RANDALL",
"authorized_official_first_name": "DERRICK",
"authorized_official_title_or_position": "ANESTHESIOLOGIST/CHIEF",
"authorized_official_telephone_number": "912-350-8000",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Anesthetist, Certified Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Savannah, GA
- James B Melvin III, DMD
- Memorial Cardiovascular Consultants LLC
- Memorial Careone Home Health Services Inc
- Memorial Health
- Memorial Health Anesthetists
- Memorial Health Transportone Inc
- Memorial Health Transportone Inc
- Memorial Health University Medical Center
- Memorial Health University Medical Center
- Memorial Health University Medical Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.