John David Angstadt, MD | |
4750 Waters Ave, Suite 103, Savannah, GA 31404-6200 | |
(912) 350-8712 | |
(912) 350-8753 |
Full Name | John David Angstadt |
---|---|
Gender | Male |
Speciality | Surgery |
Location | 4750 Waters Ave, Savannah, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871535849 | NPI | - | NPPES |
G50701 | Medicaid | SC | |
000932005A | Medicaid | GA | |
10063394 | Other | GA | AMERIGROUP |
349709 | Other | GA | WELLCARE |
020051364 | Other | GA | RR MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 23552 (South Carolina) | Secondary |
208600000X | Surgery | 050701 (Georgia) | Primary |
Entity Name | St Charles Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497765630 PECOS PAC ID: 6103733050 Enrollment ID: O20050205000015 |
Entity Name | Long Island Minimally Invasive Surgery Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356545867 PECOS PAC ID: 1658541347 Enrollment ID: O20111007000574 |
Entity Name | North Shore - Lij Medical Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262 |
Mailing Address | Practice Location Address |
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John David Angstadt, MD 4750 Waters Ave, Suite 103, Savannah, GA 31404-6200 Ph: (912) 350-8712 | John David Angstadt, MD 4750 Waters Ave, Suite 103, Savannah, GA 31404-6200 Ph: (912) 350-8712 |
Catherine Ann Ronaghan, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 5353 Reynolds St Ste 107, Savannah, GA 31405 Phone: 912-819-7630 Fax: 912-819-5860 | |
Robert Joseph Kelly Jr., MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 4700 Waters Avenue, 1st Floor Mus Bldg, Savannah, GA 31404 Phone: 912-350-8712 Fax: 912-350-8753 | |
Edward J Cohn Jr., M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 4750 Waters Ave, Suite 500, Savannah, GA 31404 Phone: 866-957-8346 Fax: 912-355-1414 | |
Davis Sungwhan Moon, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 4750 Waters Ave Ste 500, Savannah, GA 31404 Phone: 912-352-8346 Fax: 912-355-5515 | |
David Helmar Smith, MD Surgery Medicare: Medicare Enrolled Practice Location: 5361 Reynolds St, Savannah, GA 31405 Phone: 912-355-8000 Fax: 912-355-8403 | |
Glenn N Carlos, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 4700 Waters Ave Ste 403, Savannah, GA 31404 Phone: 912-273-1150 | |
Dr. Jeffrey Samuel Mandel, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1326 Eisenhower Dr Bldg 2, Savannah, GA 31406 Phone: 912-354-6303 Fax: 912-355-8655 |