Provider Demographics
NPI:1285691113
Name:ANASTASI, JOHN SALVATORE (MD)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:SALVATORE
Last Name:ANASTASI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 1524
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30903-1524
Mailing Address - Country:US
Mailing Address - Phone:706-774-7263
Mailing Address - Fax:706-774-7230
Practice Address - Street 1:1348 WALTON WAY STE 5700
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30901
Practice Address - Country:US
Practice Address - Phone:706-722-8242
Practice Address - Fax:706-722-8351
Is Sole Proprietor?:No
Enumeration Date:2006-04-26
Last Update Date:2024-09-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME123113208G00000X
SC40182208G00000X
GA77869208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA03240OtherHEALTH AMERICA/HEALTH
PA251607393OtherCIGNA/HEALTHSOURCE
PA0011750750001Medicaid
PA1401306OtherUMWA
PA72275OtherMED PLUS
FLPZ873OtherFL HF MA
PA060008007OtherRR MEDICARE
PA0011750750001Medicaid