COASTAL EAR NOSE & THROAT, LLC (NPI# 1972744258) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972744258 |
| Entity Type | Organization |
| Organization Name | COASTAL EAR NOSE & THROAT, LLC |
| Practice Address |
322 Commercial Dr Savannah GA 31406 |
| Mailing Address |
322 Commercial Dr Suite 2 Savannah GA 31406-3625 |
| Practice Telephone | 9123552335 |
| Practice Fax Number | 7702173339 |
| Mailing Telephone | 9123552335 |
| Mailing Fax Number | 9123552301 |
| Enumeration Date | 2009-03-16 |
| Last Update Date | 2018-07-13 |
| Authorized Official Name | MS. RHONDA OLIVER (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 9123552335 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QH0700X |
Clinic/Center Specialization: Hearing and Speech |
Ambulatory Health Care Facilities | ||
| Y | 207Y00000X | Otolaryngology | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 200 Blue Moon Xing Ste 103, Pooler, GA 313229698 | 9123552335 | 7702173339 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053552513 | Coastal Ear Nose & Throat, LLC | Physical Therapist | 322 Commercial Dr, Suite 2, Savannah, GA 31406 | 2009-03-13 |
| Street Address |
322 COMMERCIAL DR |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043316417 | Patricia Fall | Nurse Practitioner | 322 Commercial Dr, Ste 2, Savannah, GA 31406-3639 | 2006-09-15 |
| 1184102568 | Elizabeth A Benson | Physical Therapist | 322 Commercial Dr, Savannah, GA 31406-3625 | 2018-07-30 |
| 1003312430 | Amanda D Hermida | Physical Therapy Assistant | 322 Commercial Dr, Savannah, GA 31406-3625 | 2018-04-04 |
| 1265953574 | Rima A. Mahida | Physical Therapist | 322 Commercial Dr, Savannah, GA 31406 | 2017-06-28 |
| 1104186337 | Karla Pyle Mckenzie | Audiologist | 322 Commercial Dr, Suite 2, Savannah, GA 31406 | 2012-05-22 |
| 1841518917 | Jagadish D Navare | Otolaryngology | 322 Commercial Dr, Savannah, GA 31406-3625 | 2010-05-13 |
| 1023342995 | John Dennis Sheffield | Physician Assistant | 322 Commercial Dr, Suite 2, Savannah, GA 31406-3625 | 2009-09-25 |
| 1053552513 | Coastal Ear Nose & Throat, LLC | Physical Therapist | 322 Commercial Dr, Suite 2, Savannah, GA 31406 | 2009-03-13 |
| 1942405642 | Lori Sue Fisher | Registered Nurse | 322 Commercial Dr, Suite 2, Savannah, GA 31406-3625 | 2007-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891324042 | Magnolia Home Health, LLC Dba Home Instead Senior Care | Homemaker | 6709 Forest Park Drive, Suite B, Savannah, GA 31406 | 2020-04-08 |
| 1831737949 | Sumona Mitchell | Specialist | 1100 Eisenhower Drive 15, Suite 7, Savannah, GA 31406 | 2019-12-19 |
| 1295373090 | Gateway Behavioral Health Services | Community/Behavioral Health | 2121 East Derenne Ave, Savannah, GA 31406 | 2019-12-12 |
| 1114578820 | Kenya Burns | Technician | 6 Castle Ct, Savannah, GA 31406 | 2019-09-24 |
| 1841755287 | Southside Emergency Dental Center LLC | Dentist | 10515 White Bluff Rd., Savannah, GA 31406 | 2019-02-08 |
| 1639651003 | Rachael Putman | Physical Therapist | 37 W Fairmont Ave Suite 323, Savannah, GA 31406 | 2018-09-03 |
| 1417439852 | Happy Kids Therapies, LLC | Physical Therapist | 37 W. Fairmont Avenue Suite 102, Savannah, GA 31406 | 2018-09-01 |
| 1487146619 | Georgia Occmed LLC | Clinic/Center | 310 Eisenhower Dr Bldg 12 Ste C, Savannah, GA 31406 | 2018-06-04 |
| 1023517505 | Antioch Vascular Center, LLC | Surgery | 9104 Middleground Road, Suite 2, Savannah, GA 31406 | 2018-02-09 |
| 1518496116 | Janay C Russell | Counselor | 6711 Forest Park Drive, Savannah, GA 31406 | 2017-06-07 |
| Find all providers in zip 31406 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295154748 | Tyler Keith Deblieux | Otolaryngology | 5356 Reynolds St Ste 505, Savannah, GA 31405-6017 | 2014-04-14 |
| 1245523554 | Adam Price Campbell | Otolaryngology | 4750 Waters Ave Ste 112, Savannah, GA 31404-6267 | 2011-05-19 |
| 1124252226 | Frank Hoffman | Otolaryngology | 6 Boar's Nest Lane, Savannah, GA 31411 | 2009-05-05 |
| 1285706309 | Diane Watkins Davis | Otolaryngology | 5201 Frederick St, Savannah, GA 31405-4501 | 2006-11-14 |
| 1841518917 | Jagadish D Navare | Otolaryngology | 322 Commercial Dr, Savannah, GA 31406-3625 | 2010-05-13 |
| 1558517466 | Ear, Nose & Throat Associates of Savannah, P.C. | Otolaryngology | 13040 Abercorn St, Suite 1, Savannah, GA 31419-1955 | 2008-08-12 |
| 1497917975 | Brad A Rawlings | Otolaryngology | 5201 Frederick St, Savannah, GA 31405-4501 | 2008-06-26 |
| 1134322142 | Ear, Nose & Throat Associates of Savannah, PC | Otolaryngology | 5201 Frederick Street, Savannah, GA 31405-4501 | 2007-06-07 |
| 1871614297 | William H Moretz IIi | Otolaryngology | 5201 Frederick Street, Savannah, GA 31405-4501 | 2007-04-03 |
| 1790829950 | Georgia Nasal & Sinus Institute, PC | Otolaryngology | 4750 Waters Ave, Suite 112, Savannah, GA 31404-6200 | 2007-02-19 |
| 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.