Silvya A. Prasetio, AA
Anesthesiologist Assistant in Savannah, GA. Individual provider (NPI-1).
NPI number1528312295
StatusActive
Last updated in NPPESJun 12, 2019
Details
- NPI
- 1528312295
- Entity type
- Individual (NPI-1)
- Name
- Silvya A. Prasetio
- Credential
- AA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 2, 2012
- Last updated
- Jun 12, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - ANESTHESIOLOGY ASSISTANT
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367H00000X | Anesthesiologist Assistant | 6620 | GA | Yes |
| 367H00000X | Anesthesiologist Assistant | – | – | |
| 367H00000X | Anesthesiologist Assistant | 1456 | TX |
Practice location
5353 Reynolds StSavannah, GA 31405
Phone 912-663-5548
Mailing address
208 Grand Central Blvd Ste 100Pooler, GA 31322-0526
Phone 912-704-9760
Other practice locations
2412 50th St
Lubbock, TX 79412-2504
Lubbock, TX 79412-2504
Phone 806-744-7223
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 127 Anesthesiologist Assistant providers in Savannah · All 7,528 providers in Savannah
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