Coastal Ear, Nose & Throat

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

38323 Issued in GA

Legal business name

COASTAL EAR, NOSE & THROAT

Practice address

200 Blue Moon Xing Ste 103
Pooler, GA 31322-9698

Phone

(912) 450-2336

NPI assigned

Feb 27, 2018

Organization subpart

No

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

Authorized official

Name

David S Oliver, MD

Title

Ceo

Phone

(912) 355-2335

Specialties & licenses 1

Addresses

Tax ID family

Coastal Ear Nose Throat2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Coastal Ear Nose & Throat, LLC

  • Otolaryngology Physician
  • Savannah, GA
  • NPI 1972744258
  NPD tax ID

Locations

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

{
    "created_epoch": "1519689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519689600000",
    "number": "1154822971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 COMMERCIAL DR",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314063625",
            "telephone_number": "912-355-2335",
            "fax_number": "770-217-3339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BLUE MOON XING STE 103",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313229698",
            "telephone_number": "912-450-2336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL EAR, NOSE & THROAT",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-27",
        "last_updated": "2018-02-27",
        "status": "A",
        "authorized_official_last_name": "OLIVER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "912-355-2335",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": "GA",
            "license": "38323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen A. Clary, OD
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• Coastal Autism Therapy Center, Inc.
• Coastal Community Health Services, Inc.
• Coastal Community Health Services, Inc.
• Coastal Health Partners, LLC
• Coastal Nutrition Specialists, LLC
• Coastal Pediatrics, LLC
• Shavarea Shakayla Cody
• Thalia Elena Coffey-Arthur

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.