COASTAL ALLERGY & ASTHMA PC (NPI# 1992742845) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992742845 |
| Entity Type | Organization |
| Organization Name | COASTAL ALLERGY & ASTHMA PC |
| Practice Address |
505 Eisenhower Dr Savannah GA 31406-2668 |
| Practice Telephone | 9123546190 |
| Practice Fax Number | 9123546172 |
| Mailing Telephone | 9123546190 |
| Mailing Fax Number | 9123546172 |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2015-01-14 |
| Authorized Official Name | TESSIE J ADAMS (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 9123546190 |
| Authorized Official Credential | CMPE |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207K00000X | Allergy & Immunology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | RAILROAD MEDICARE GROUP # | C16208 | 01 |
| Street Address |
505 EISENHOWER DR |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31406-2668 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538132857 | Timothy Jay Dare Jr. | Physician Assistant | 505 Eisenhower Dr, Savannah, GA 31406-2668 | 2006-02-08 |
| 1700239720 | Elizabeth Paige Bonin | Physician Assistant | 505 Eisenhower Dr, Savannah, GA 31406-2668 | 2016-07-14 |
| 1407816432 | Brad Henry Goodman | Allergy & Immunology | 505 Eisenhower Dr, Savannah, GA 31406-2668 | 2006-03-24 |
| 1255390829 | Monica Rama Kenney | Allergy & Immunology | 505 Eisenhower Dr, Savannah, GA 31406-2668 | 2006-03-21 |
| 1972562668 | Bruce Daniel Finkel | Allergy & Immunology | 505 Eisenhower Dr, Savannah, GA 31406-2668 | 2006-03-21 |
| 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 | 207K00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. |
| Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992890727 | Jack R Eades | Allergy & Immunology | 5223 Paulsen St, Savannah, GA 31405 | 2006-10-04 |
| 1467547281 | Southern Allergy and Asthma PC | Allergy & Immunology | 5223 Paulsen St, Savannah, GA 31405 | 2006-10-04 |
| 1407816432 | Brad Henry Goodman | Allergy & Immunology | 505 Eisenhower Dr, Savannah, GA 31406-2668 | 2006-03-24 |
| 1255390829 | Monica Rama Kenney | Allergy & Immunology | 505 Eisenhower Dr, Savannah, GA 31406-2668 | 2006-03-21 |
| 1972562668 | Bruce Daniel Finkel | Allergy & Immunology | 505 Eisenhower Dr, Savannah, GA 31406-2668 | 2006-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053935411 | St. Mary's Medical Group, Inc. | Allergy & Immunology | 1360 Caduceus Way Bldg 200-102, Watkinsville, GA 30677-7349 | 2020-06-02 |
| 1750902185 | Center for Allergy and Asthma Southern Crescent | Allergy & Immunology | 1975 Highway 54 W Ste 255, Peachtree City, GA 30269-4794 | 2020-04-27 |
| 1003472036 | Annual Wellness Centers of America | Allergy & Immunology | 753 Old Norcross Rd Ste B, Lawrenceville, GA 30046-4312 | 2019-05-15 |
| 1821567371 | Breathe Better Allergy Asthma & Sinus Center, Inc | Allergy & Immunology | 950 S Enota Dr Ne Ste A, Gainesville, GA 30501-2439 | 2018-11-14 |
| 1982111316 | Sofia Miriam Sheikh | Allergy & Immunology | 4003 Oak Forest Dr Ne, Marietta, GA 30062-8022 | 2018-01-08 |
| 1366969560 | Allergy Consulting Group, LLC | Allergy & Immunology | 5752b Buford Hwy Ne, Doraville, GA 30340-1207 | 2017-08-28 |
| 1235684192 | Heather Raborn | Allergy & Immunology | 1350 Walton Way Ste 5100, Augusta, GA 30901 | 2016-08-22 |
| 1730597196 | Allergy Testing Solutions, LLC | Allergy & Immunology | 789 Hammond Dr, Unit 2510, Sandy Springs, GA 30328-8161 | 2014-07-30 |
| 1164863999 | Chih-yin Yeh | Allergy & Immunology | 5673 Peachtree Dunwoody Rd # 445, Atlanta, GA 30342-1731 | 2013-07-09 |
| 1023352069 | Advanced Allergy Inc | Allergy & Immunology | 5512 Glenridge Dr Ne, Unit A, Atlanta, GA 30342-7213 | 2012-11-15 |
| Find all providers with the same taxonomy | ||||
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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.