UROLOGY SPECIALISTS OF COASTAL GEORGIA (NPI# 1689864860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689864860 |
| Entity Type | Organization |
| Organization Name | UROLOGY SPECIALISTS OF COASTAL GEORGIA |
| Practice Address |
613 Stephenson Ave Ste #208 Savannah GA 31405 |
| Practice Telephone | 9123545779 |
| Practice Fax Number | 9123565421 |
| Mailing Telephone | 9123545779 |
| Mailing Fax Number | 9123565421 |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2007-07-25 |
| Authorized Official Name | DR. THOMAS EARL SHOOK (SENIOR PARTNER) |
| Authorized Official Telephone | 9123545779 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| Street Address |
613 STEPHENSON AVE STE #208 |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104392984 | Keith Tatum | Behavior Technician | 613 Stephenson Ave, Savannah, GA 31405-5986 | 2018-10-18 |
| 1386130235 | Mandip Kaur | Behavioral Analyst | 613 Stephenson Ave, Savannah, GA 31405-5986 | 2018-07-03 |
| 1205337243 | Elias Frazier | Behavior Technician | 613 Stephenson Ave, Savannah, GA 31405-5986 | 2018-02-26 |
| 1639437783 | Triad Isotopes Inc | Pharmacy | 613 Stephenson Ave, Ste 108, Savannah, GA 31405-5986 | 2012-04-26 |
| 1962680017 | Savannah Health Services LLC | Durable Medical Equipment & Medical Supplies | 613 Stephenson Ave, Suite 103, Savannah, GA 31405-5986 | 2008-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053918441 | Nicole Marie Tetro | Anesthesiology | Candler Hospital, 5353 Reynolds St, Savannah, GA 31405 | 2020-10-08 |
| 1154983880 | Nickes Medical Supply, LLC. | Durable Medical Equipment & Medical Supplies | 6020 Halsey St, Savannah, GA 31405 | 2019-07-02 |
| 1215593025 | Lee Ann Ryle | Nurse Practitioner | 5223 Paulsen St., Savannah, GA 31405 | 2019-05-16 |
| 1942765334 | Raegan Epps | Behavior Technician | 613 Stephenson Ave Ste 205, Savannah, GA 31405 | 2019-02-10 |
| 1679050454 | Phenomenal Nursing Service | Registered Nurse | 604 South St., 604 South St, Savannah, GA 31405 | 2018-07-24 |
| 1275029472 | Chelsea Amanda Keedy | Pharmacist | 836 E. 65th St., Medical Arts #4, Savannah, GA 31405 | 2018-07-11 |
| 1265933840 | Dwc-p LLC | Dentist | 5209 Paulsen Street, Savannah, GA 31405 | 2018-02-28 |
| 1386153005 | Aaron Shaw | Hearing Instrument Specialist | 5501 Abercorn St Ste E, Savannah, GA 31405 | 2017-09-26 |
| 1063946028 | Elizabeth Bentley Bruhn-danello | Dietitian, Registered | 836 East 65th Street, Medical Arts #4, Savannah, GA 31405 | 2017-04-17 |
| 1396278230 | Theresa Lynn George | Health Educator | 836 East 65 Th Street, Medical Arts #4, Savannah, GA 31405 | 2017-04-07 |
| Find all providers in zip 31405 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972849875 | Irving Victor | Urology | 3204 Abercorn St, Savannah, GA 31405-2148 | 2012-12-20 |
| 1114998507 | John W Coursey | Urology | 230 E Derenne Ave, Savannah, GA 31405-6736 | 2006-02-01 |
| 1528358801 | Andrew Michigan | Urology | 230 E Derenne Ave, Savannah, GA 31405-6736 | 2011-04-07 |
| 1568638666 | Ruth Ann Mazo | Urology | 230 E Derenne Ave, Savannah, GA 31405-6736 | 2008-05-08 |
| 1245441690 | Michael Jon Cox | Urology | 230 E Derenne Ave, Savannah, GA 31405-6736 | 2007-05-25 |
| 1093896524 | Thomas Earl Shook | Urology | 230 E Derenne Ave, Savannah, GA 31405-6736 | 2006-10-18 |
| 1659451029 | Coastal Urological Partners, LLC | Urology | 11706 Mercy Blvd, Plaza A, Suite 10, Savannah, GA 31419-1751 | 2006-10-17 |
| 1336173574 | Heather Morgan Wallace | Urology | 230 E Derenne Ave, Savannah, GA 31405-6736 | 2006-07-11 |
| 1861458440 | James C Judy | Urology | 230 E Derenne Ave, Savannah, GA 31405-6736 | 2006-04-24 |
| 1174589766 | David L Cheng | Urology | 230 E Derenne Ave, Savannah, GA 31405-6736 | 2006-04-24 |
| Find all providers in SAVANNAH | ||||
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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.