COASTAL EAR, NOSE & THROAT


Address: 200 Blue Moon Xing Ste 103, Pooler, GA 31322-9698
Phone: 9124502336

COASTAL EAR, NOSE & THROAT (NPI# 1154822971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154822971
Entity Type Organization
Organization Name COASTAL EAR, NOSE & THROAT
Practice Address 200 Blue Moon Xing Ste 103
Pooler
GA 31322-9698
Mailing Address 322 Commercial Dr
Savannah
GA 31406-3625
Practice Telephone 9124502336
Mailing Telephone 9123552335
Mailing Fax Number 7702173339
Enumeration Date 2018-02-27
Last Update Date 2018-02-27
Authorized Official Name DAVID S OLIVER (CEO)
Authorized Official Telephone 9123552335
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Y00000X Otolaryngology 38323 GA Allopathic & Osteopathic Physicians

Office Location

Street Address 200 BLUE MOON XING STE 103
City POOLER
State GA
Zip Code 31322-9698

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Taxonomy Information

Taxonomy Code 207Y00000X
Grouping Allopathic & Osteopathic Physicians
Classification Otolaryngology

Taxonomy Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1316338494 Ear, Nose & Throat Associates of Savannah, PC Otolaryngology 1000 Towne Center Blvd, Ste 200, Pooler, GA 31322-4052 2015-02-11
1144476110 Ear, Nose & Throat Associates of Savannah, PC Otolaryngology 114 Canal Street, Building 100 Suite 102, Pooler, GA 31322 2008-08-11

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1801402714 Top Dog Solutions LLC Otolaryngology 4295 Interstate Dr Ste B, Macon, GA 31210-6815 2020-09-17
1164076600 Oglethorpe Ear, Nose & Throat, LLC Otolaryngology 219 West Boggs Street, Lexington, GA 30648 2019-08-01
1376928069 Wiley A. Parker M.d PC Otolaryngology 5669 Peachtree Dunwoody Ste 295, Atlanta, GA 30342-1719 2015-07-23
1871970210 North Atlanta Ear Nose & Throat PC Otolaryngology 4150 Deputy Bill Cantrell Memorial Dr., Suite 260, Cumming, GA 30040 2015-05-06
1235516741 Alicia Bernstein Otolaryngology 3400c Old Milton Pkwy Ste 365, Alpharetta, GA 30005-4438 2015-05-04
1730576638 Mark Arnold Otolaryngology 550 Peachtree St Ne Ste 1135550, Atlanta, GA 30308-2247 2015-04-20
1851789580 William Lawrence Nicholson Otolaryngology 360 W 37th St, Sea Island, GA 31561-9748 2015-01-05
1528473881 Nnenna Ezeilo Otolaryngology 619 S 8th St Ste 304, Griffin, GA 30224 2014-06-25
1922413343 Colin Wyatt Fuller Otolaryngology 1120 Fifteenth St, Bp-4109, Augusta, GA 30912 2014-06-24
1245659713 Clarice Brown Otolaryngology 1008 Nimblewood Way, Stone Mountain, GA 30088-2315 2014-04-14
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City POOLER
Zip Code 31322

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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