David Theodore Estle Jr., M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

037198 Issued in GA

Practice address

1326 Eisenhower Dr
Savannah, GA 31406-3928

Phone

(912) 691-4200

Fax

(912) 691-4209

NPI assigned

Jul 18, 2005

Last updated

Jun 25, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in GA, SC2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: davidestle@scmgllc.allscriptsdirect.net
• FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Coastal Imaging Solutions LLC

  dba Global Imaging Solutions

  • Radiology Clinic/Center
  • Savannah, GA
  • NPI 1114263456

  SC

  Medicare reassignment NPD
• Island Imaging, LLC

  • Diagnostic Radiology Physician
  • Hilton Head Island, SC
  • NPI 1447728795
  Medicare reassignment NPD
• Privia Medical Group of Georgia LLC

  • Internal Medicine Physician
  • Fayetteville, GA
  • NPI 1013313857
  NPD
• Riverside Imaging Specialists, LLC

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Macon, GA
  • NPI 1225376866
  NPD
• Chatham Radiologists, PA

  • Diagnostic Radiology Physician
  • Savannah, GA
  • NPI 1285663443
  NPD (past)
• Diagnostic Health Corporation

  dba Healthsouth Diagnostic Center of Savannah

  • Physiological Laboratory
  • Savannah, GA
  • NPI 1467401984
  NPD (past)
• Open MRI of Douglas LLC

  • Diagnostic Radiology Physician
  • Douglas, GA
  • NPI 1396825741
  NPD (past)
• Open MRI of Douglas LLC

  • Radiology Clinic/Center
  • Douglas, GA
  • NPI 1689372179
  NPD (past)
• Diagnostic Health Corporation

  dba Diagnostic Health, Orange Park

  • Physiological Laboratory
  • Orange Park, FL
  • NPI 1093764508
  NPD (past)
• KC Tan, M.D. Medical Corporation

  • Neuroradiology Physician
  • Monterey Park, CA
  • NPI 1215394036

  Diagnostic Radiology

  NPD (past)

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214352000000",
    "number": "1235138777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1326 EISENHOWER DR",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314063928",
            "telephone_number": "912-691-4200",
            "fax_number": "912-691-4209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1326 EISENHOWER DR",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314063928",
            "telephone_number": "912-691-4200",
            "fax_number": "912-691-4209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTLE",
        "first_name": "DAVID",
        "middle_name": "THEODORE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-18",
        "last_updated": "2008-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "037198",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00231505",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000558082G",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "165314",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yarin Manuel Espinal Morales, DO
• Erika Melissa Espino-Torres, MD
• Claudia Espinosa Batista, DMD
• Megan Gaines Estabrook, PA
• Forrest Reuben Estes, D.O.
• Ashley Estrada
• Kendra Nichelle Etheridge, MPH
• David G Ethridge, LPC
• Eudaimonia LLC
• Eudemonia With LB

• Diagnostic Radiology Physician in Savannah, GA
• Providers in Savannah, GA by specialty
• Diagnostic Radiology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.