Coastal Ear Nose & Throat, LLC

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

COASTAL EAR NOSE & THROAT, LLC

Doing business as

Coastal Ear Nose & Throat

Practice address

322 Commercial Dr
Suite 2
Savannah, GA 31406

Phone

(912) 355-2335

Fax

(912) 355-2301

NPI assigned

Mar 13, 2009

Last updated

Jul 13, 2018By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Rhonda Oliver

Title

Practice Administrator

Phone

(912) 355-2335

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Coastal Ear Nose & Throat Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David S Oliver, M.D.

  • Otolaryngic Allergy Physician
  • Savannah, GA
  • NPI 1922000959
  Medicare reassignment Care Compare group NPD
• Kim-Oanh H. Davis, MASTERS DEGREE

  • Audiologist
  • Goose Creek, SC
  • NPI 1891953733

  GA

  Medicare reassignment Care Compare group NPD
• Carissa Feitel, PA-C

  • Physician Assistant
  • Savannah, GA
  • NPI 1285247700
  Medicare reassignment Care Compare group
• Amanda Eileen Lowe, PA-C

  • Physician Assistant
  • Savannah, GA
  • NPI 1295137941
  Medicare reassignment Care Compare group
• Lori Sue Fisher, MSN, FNP-C

  • General Practice Registered Nurse
  • Savannah, GA
  • NPI 1942405642
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1236902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531440000000",
    "number": "1053552513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 COMMERCIAL DR",
            "address_2": "SUITE 2",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314063625",
            "telephone_number": "912-355-2335",
            "fax_number": "912-355-2301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 COMMERCIAL DR",
            "address_2": "SUITE 2",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "31406",
            "telephone_number": "912-355-2335",
            "fax_number": "912-355-2301"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Blue Moon Xing Ste 103",
            "address_purpose": "LOCATION",
            "city": "Pooler",
            "state": "GA",
            "postal_code": "313229698",
            "country_code": "US",
            "telephone_number": "912-450-2336",
            "fax_number": "770-217-3339",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COASTAL EAR NOSE & THROAT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-13",
        "last_updated": "2018-07-13",
        "status": "A",
        "authorized_official_last_name": "OLIVER",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "912-355-2335",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000602588N",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coastal Ear Nose & Throat",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Coastal Ear Nose & Throat",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Otolaryngology Physician in Savannah, GA
• Providers in Savannah, GA by specialty
• Otolaryngology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.