Active NPI
Martin S. Pritzker, M.D.
- Dermatology Physician
- Savannah, GA
National Provider Identifier
1962590208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 13676
- Practice address
- 712 E 70TH St
Savannah, GA 31405-4811 - Phone
- (912) 352-8974
- Fax
- (912) 355-8329
- NPI assigned
- Oct 11, 2006
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 13676 | GA | Primary |
Addresses
Primary practice location
712 E 70TH St
Savannah, GA 31405-4811
Mailing address
4 Shady Oak LN
Savannah, GA 31411-2124
Phone (912) 598-1064
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13676 | GA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pritzker Dermatology, P.C. | Dermatology | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GHCBCA
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Savannah Dermatology Clinic, P.C.
- Specialist
- Savannah, GA
- NPI 1649394065
Dermatology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962590208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 SHADY OAK LN",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314112124",
"telephone_number": "912-598-1064",
"fax_number": "912-355-8329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "712 E 70TH ST",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314054811",
"telephone_number": "912-352-8974",
"fax_number": "912-355-8329"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRITZKER",
"first_name": "MARTIN",
"middle_name": "S.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "GA",
"license": "13676",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Savannah, GA
- Roberta Pringle
- Payton Nicholas Prins
- Prism Counseling
- Pritzker Dermatology, P.C. (Savannah Dermatology Clinic, P.C.)
- Adam Scott Pritzker, M.D.
- Private Healthcare Facilities
- Privia Medical Group of Georgia LLC
- Privia Medical Group of Georgia LLC
- Procare Wellness Network Inc (ProCare Wellness Institute of Savannah)
- Alexis Proctor, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.