SOUTHEAST LUNG & CRITICAL CARE SPECIALISTS, PC (NPI# 1598189805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598189805 |
| Entity Type | Organization |
| Organization Name | SOUTHEAST LUNG & CRITICAL CARE SPECIALISTS, PC |
| Other Organization Name | SOUTHEAST LUNG ASSOCIATES |
| Practice Address |
122 Scranton Connector Suite #112 Brunswick GA 31525-0533 |
| Mailing Address |
340 Hodgson Ct Suite #2 Savannah GA 31406-1520 |
| Practice Telephone | 9126292290 |
| Practice Fax Number | 9126292291 |
| Mailing Telephone | 9126292290 |
| Mailing Fax Number | 9126292291 |
| Enumeration Date | 2014-02-06 |
| Last Update Date | 2014-02-06 |
| Authorized Official Name | APRIL YOUNG (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 9126290457 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000148519L | 05 | |
| GA | 003126241A | 05 | |
| GA | 003129392A | 05 | |
| GA | 003137375A | 05 | |
| GA | 000272709E | 05 | |
| GA | 003129391A | 05 | |
| GA | 795377228A | 05 | |
| GA | 003112189A | 05 | |
| GA | 000914922A | 05 | |
| GA | 487007710A | 05 | |
| GA | 696088793A | 05 | |
| GA | 003124134C | 05 | |
| GA | 0004733833F | 05 | |
| GA | 000526336A | 05 | |
| GA | 003134446A | 05 | |
| GA | 000788818L | 05 | |
| GA | 221012519B | 05 |
| Other Name | Type Code |
|---|---|
| Southeast Lung Associates | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770989154 | Southeast Lung & Critical Care Specialists, PC | Internal Medicine | 800 East 68th Street, Landmark Hospital, Savannah, GA 31405 | 2014-11-12 |
| 1457776916 | Southeast Lung & Critical Care Specialists, PC | Internal Medicine | 201 N River St, Claxton, GA 30417-1658 | 2014-02-20 |
| 1790020444 | Southeast Lung & Critical Care Specialists, PC | Internal Medicine | 215 Sheraton Blvd, Suite 2, Macon, GA 31210-1359 | 2012-12-06 |
| 1164789251 | Southeast Lung & Critical Care Specialists, PC | Internal Medicine | 8 Okatie Center Blvd S, Suite 101, Bluffton, SC 29909-7532 | 2012-04-13 |
| 1104346394 | Southeast Lung & Critical Care Specialists, PC | Internal Medicine | 7 Rosewood Ave, Tybee Island, GA 31328-9435 | 2017-06-20 |
| 1235591652 | Southeast Lung & Critical Care Specialists, PC | Internal Medicine | 105 Grand Central Blvd, Suite 108, Pooler, GA 31322-4148 | 2016-03-24 |
| 1447628789 | Southeast Lung & Critical Care Specialists, PC | Internal Medicine | 370 Peachtree St, Jesup, GA 31545-0244 | 2015-09-03 |
| 1972901395 | Southeast Lung & Critical Care Specialists, PC | Internal Medicine | 5354 Reynolds St, Suite #318, Savannah, GA 31405-6007 | 2014-12-17 |
| 1588060446 | Southeast Lung & Critical Care Specialists, PC | Internal Medicine | 166 Memorial Dr, Jesup, GA 31545-0101 | 2014-11-05 |
| 1922402122 | Southeast Lung & Critical Care Specialists, PC | Internal Medicine | 230 Memorial Dr, Jesup, GA 31545-0102 | 2014-10-16 |
| Street Address |
122 SCRANTON CONNECTOR SUITE #112 |
| City | BRUNSWICK |
| State | GA |
| Zip Code | 31525-0533 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811269632 | Solar Family Practice | Family Medicine | 122 Scranton Connector, Suite 112, Brunswick, GA 31525 | 2012-02-09 |
| 1225395718 | Solar Family Practice and Pain Management | Pain Medicine | 122 Scranton Connector, Suite 112, Brunswick, GA 31525-0533 | 2012-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063905990 | Jonathon Wesley Capps | Physician Assistant | 1111 Glynco Pkwy Bldg 1, Ste 10, Brunswick, GA 31525 | 2018-06-14 |
| 1366993628 | Hands Down Muscle Restoration, Inc | Homeopath | 1212 Chapel Crossing Road, Brunswick, GA 31525 | 2016-10-20 |
| 1619424173 | Jebediah S Christy Dds - Brunswick Pllc | Dentist | 11455 Canal Crossing, Brunswick, GA 31525 | 2016-09-01 |
| 1831545508 | Heller Family Medicine, LLC | General Practice | 208 Scranton Connector Ste 120, Brunswick, GA 31525 | 2016-05-11 |
| 1437525391 | Natisha Danielle Hill | Occupational Therapy Assistant | 138 Wingefield Commons Drive, Brunswick, GA 31525 | 2015-08-14 |
| 1700187895 | Chetan Patel | Pharmacist | 12 Woodfall Ct, Brunswick, GA 31525 | 2010-11-05 |
| 1194914275 | Dialysis of Golden Isles, LLC | Clinic/Center | 475 Gateway Center Blvd, Brunswick, GA 31525 | 2007-10-15 |
| 1902939325 | Gateway Behavioral Health Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 111 Frazier Street, Brunswick, GA 31525 | 2007-03-14 |
| 1609909498 | Gateway Behavioral Health Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 115 Frazier Road, Brunswick, GA 31525 | 2007-03-13 |
| 1306979000 | Gateway Behavioral Health Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 119 Hidden Lakes Drive, Brunswick, GA 31525 | 2007-03-13 |
| Find all providers in zip 31525 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104904135 | Lung Associates, PC | Internal Medicine | 3222 Shrine Rd, Suite B, Brunswick, GA 31520-4325 | 2006-11-01 |
| 1881640357 | Patrick J Keaney | Internal Medicine | 121 Medical Center Drive, Suite 3300, Brunswick, ME 04011 | 2006-05-26 |
| 1558343293 | Philip Richard Saleeby | Internal Medicine | 3212 Shrine Road, Brunswick, GA 31520-4390 | 2005-11-17 |
| 1851387310 | Coleman David Sudduth Jr. | Internal Medicine | 2500 Starling St, Suite 504, Brunswick, GA 31520-4265 | 2005-09-21 |
| 1659643955 | Costrini & Meadows PC | Internal Medicine | 1111 Glynco Pkwy, Suite 410, Brunswick, GA 31525-7921 | 2012-02-01 |
| 1801999024 | James P Mccormick | Internal Medicine | 121 Medical Center Drive, Suite 3300, Brunswick, ME 04011 | 2006-09-06 |
| 1467555789 | Hal I Sreden | Internal Medicine | 121 Medical Center Dr, Suite 3300, Brunswick, ME 04011-2653 | 2006-09-06 |
| 1609988914 | Paul J Laprad | Internal Medicine | 121 Medical Center Drive, Suite 3300, Brunswick, ME 04011 | 2006-08-31 |
| 1437182862 | Donald R Woloszyn | Internal Medicine | 329 Maine Street, Ste C, Brunswick, ME 04011 | 2006-07-09 |
| 1184610313 | Herman Levy | Internal Medicine | 2500 Starling St, Suite 504, Brunswick, GA 31520-4265 | 2005-09-22 |
| Find all providers in BRUNSWICK | ||||
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| 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.