Organization Active NPI

Seaworthy Anesthesia, LLC

  • Anesthesiology Physician
  • St Simons Island, GA
National Provider Identifier
1215404892
Registry record updated Oct 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
SEAWORTHY ANESTHESIA, LLC
Practice address
109 Worthing Rd
St Simons Island, GA 31522-1928
Phone
(912) 506-6368
NPI assigned
Oct 31, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2018

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

Authorized official

Name
Micheal D Erwin, MD
Title
Owner
Phone
(912) 506-6368

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

109 Worthing Rd
St Simons Island, GA 31522-1928

Mailing address

109 Worthing Rd
St Simons Island, GA 31522-1928
Phone (912) 506-6368

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1540944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540944000000",
    "number": "1215404892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 WORTHING RD",
            "city": "ST SIMONS ISLAND",
            "state": "GA",
            "postal_code": "315221928",
            "telephone_number": "912-506-6368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 WORTHING RD",
            "city": "ST SIMONS ISLAND",
            "state": "GA",
            "postal_code": "315221928",
            "telephone_number": "912-506-6368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEAWORTHY ANESTHESIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-31",
        "last_updated": "2018-10-31",
        "status": "A",
        "authorized_official_last_name": "ERWIN",
        "authorized_official_first_name": "MICHEAL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-506-6368",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Simons Island, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.