Eastern Shore Medical Specialists, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

5959 Issued in AL

Legal business name

EASTERN SHORE MEDICAL SPECIALISTS, LLC

Practice address

3 Medical Park
Fairhope, AL 36532-1873

Phone

(251) 928-8804

Fax

(251) 990-9379

NPI assigned

Jan 17, 2007

Last updated

Nov 29, 2007By 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

William E Goetter, M.D.NPI 1942301577

Title

Doctor

Phone

(251) 928-8804

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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.

• William E Goetter, MD

  • Pulmonary Disease Physician
  • Fairhope, AL
  • NPI 1942301577
  NPD Authorized official
• Judson K Menefee, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Fairhope, AL
  • NPI 1407957046
  NPD
• William F Sullivan, MD

  • Rheumatology Physician
  • Fairhope, AL
  • NPI 1144311663
  NPD

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196294400000",
    "number": "1366594780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 MEDICAL PARK",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365321873",
            "telephone_number": "251-928-8804",
            "fax_number": "251-990-9379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 MEDICAL PARK",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365321873",
            "telephone_number": "251-928-8804",
            "fax_number": "251-990-9379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN SHORE MEDICAL SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2007-11-29",
        "status": "A",
        "authorized_official_last_name": "GOETTER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "251-928-8804",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AL",
            "license": "5959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eastern Shore Eye Care, PC (Eastern Shore Eye Care)
• Eastern Shore Gastroenterology, P.C.
• Eastern Shore Health Center, LLC (Suzanne Tormoen, MD)
• Eastern Shore Heart Center
• Eastern Shore Internal Medicine, LLC
• Eastern Shore Mental Wellness Center
• Eastern Shore Oral, Facial and Implant Surgery Center, P.C.
• Eastern Shore Orthopaedic Center, P.C.
• Eastern Shore Orthotics & (Hanger Clinic)
• Eastern Shore Pharmacy, LLC (Eastern Shore Pharmacy)

• Specialist in Fairhope, AL
• Providers in Fairhope, AL by specialty
• Specialist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2007; 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.