SAVANNAH ENDOCRINOLOGY LLC NPI 1205509858

NPI Information

  • NPI: 1205509858
  • Provider Name: SAVANNAH ENDOCRINOLOGY LLC
  • Classification: Internal Medicine - 207RE0101X
  • Specialization: Endocrinology, Diabetes & Metabolism
  • Entity Type: Organization
  • CLIA Number: 11D2229263
  • Address: 107 SOUTHERN BLVD # 103
    SAVANNAH, GA
    ZIP 31405
  • Phone: (912) 232-5900

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NPI Details

SAVANNAH ENDOCRINOLOGY LLC is an endocrinology and diabetes and metabolism internal medicine in Savannah, GA. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. SAVANNAH ENDOCRINOLOGY LLC NPI is 1205509858. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

107 SOUTHERN BLVD # 103
SAVANNAH, GA
ZIP 31405-437
Phone: (912) 232-5900
Fax: (912) 244-6744

The provider's authorized official is Ismary Ojeda De Castro .
The authorized official title is Owner/physician and has the following contact phone number (912) 344-5037.

The CLIA number assigned to this NPI record is 11D2229263 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/29/2021 and was last updated on 9/21/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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