1912105727 NPI number — OBSTETRIC ANESTHESIA & PAIN CONSULTANTS, LLP

Table of content: ELIZABETH ANN MARCOTTE MSW, LCSW, LICSW (NPI 1417963521)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1912105727 NPI number — OBSTETRIC ANESTHESIA & PAIN CONSULTANTS, LLP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
OBSTETRIC ANESTHESIA & PAIN CONSULTANTS, LLP
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
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Provider Other Credential Text:
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NPI Number Information

NPI Number:
1912105727
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/10/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
223 LYMAN HALL
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SAVANNAH
Provider Business Mailing Address State Name:
GA
Provider Business Mailing Address Postal Code:
31410-1048
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
912-713-7919
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5353 REYNOLDS ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SAVANNAH
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
31405-6015
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
912-713-7919
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/03/2007

Additional Information

Authorized Official

Authorized Official Last Name:
HAMEED
Authorized Official First Name:
YUSUF
Authorized Official Middle Name:
HASAN
Authorized Official Title or Position:
MANAGING PARTNER
Authorized Official Telephone Number:
912-713-7919

Provider Taxonomy Codes

  • Taxonomy code: 207L00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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