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

Last updated

Feb 27, 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

David S Oliver, MDNPI 1922000959

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

Practitioners 1

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
  Authorized official Same address or phone

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
• Coastal Audiology Inc. (Coastal Audiology)
• Coastal Autism Therapy Center, Inc.
• Coastal Community Health Services, Inc. (Coastal Community Pharmacy #102)
• Coastal Community Health Services, Inc. (Coastal Community Health - Pooler)
• Coastal Health Partners, LLC (Interim Healthcare of Savannah)
• Coastal Nutrition Specialists, LLC
• Coastal Pediatrics, LLC (Coastal Pediatrics)
• 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.