Statesboro ENT Surgical Center

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

RN123377 Issued in GA

Legal business name

STATESBORO ENT SURGICAL CENTER

Practice address

106 Proctor St
Statesboro, GA 30458-1351

Phone

(912) 764-8200

NPI assigned

Aug 14, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Thomas M Crews, M.D.

Title

Owner

Phone

(912) 764-8200

Specialties & licenses 4

Addresses

Other identifiers 4

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

{
    "created_epoch": "1407974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407974400000",
    "number": "1316346471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 PROCTOR ST",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304581351",
            "telephone_number": "912-764-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 PROCTOR ST",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304581351",
            "telephone_number": "912-764-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATESBORO ENT SURGICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-14",
        "last_updated": "2014-08-14",
        "status": "A",
        "authorized_official_last_name": "CREWS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-764-8200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN123377",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN139429",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN179667",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN177700",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1750612057",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1629026851",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1033285838",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1437151123",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Statesboro Ambulatory Surgery Center, Inc
• Statesboro Cardiology, PC
• Statesboro Children's Dental Center, PC
• Statesboro ENT & FPS Clinic, P.C. (Statesboro ENT & H Clinic)
• Statesboro ENT & Sinus Center
• Statesboro ENT Surgical Center
• Statesboro Gastroenterology Inc
• Statesboro General Medical Clinic LLC
• Statesboro Gi Anesthesia LLC
• Statesboro Hma Medical Group, LLC (Total Health Center for Family Medicine)

• Certified Registered Nurse Anesthetist in Statesboro, GA
• Providers in Statesboro, GA by specialty
• Certified Registered Nurse Anesthetist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2014; 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.