Organization Active NPI

Coastal Wound Physicians

  • Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
  • Savannah, GA
National Provider Identifier
1508007774
Registry record updated Apr 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Undersea and Hyperbaric Medicine (Emergency Medicine) PhysicianTaxonomy code 207PE0005X
License
048889 Issued in GA
Legal business name
COASTAL WOUND PHYSICIANS
Practice address
5356 Reynolds St Ste 201
Savannah, GA 31405-6019
Phone
(912) 232-9700
NPI assigned
Mar 17, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2021

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

Authorized official

Name
Dr. Thomas Anothony Donohue, MDNPI 1427099522
Title
Owner
Phone
(912) 232-9700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Undersea and Hyperbaric Medicine (Emergency Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207PE0005X 048889 GA Primary

Addresses

Primary practice location

5356 Reynolds St Ste 201
Savannah, GA 31405-6019

Mailing address

PO Box 30490
Savannah, GA 31410-0490
Phone (912) 232-9700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090527000471 GA Part B Supplier - Clinic/Group Practice 5496804262 Receives reassigned benefits from 1 practitioner
Practice locations: Hinesville, GA; Savannah, GA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1237248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618790400000",
    "number": "1508007774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30490",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314100490",
            "telephone_number": "912-232-9700",
            "fax_number": "912-748-0270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5356 REYNOLDS ST STE 201",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314056019",
            "telephone_number": "912-232-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL WOUND PHYSICIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-17",
        "last_updated": "2021-04-19",
        "certification_date": "2021-04-19",
        "status": "A",
        "authorized_official_last_name": "DONOHUE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "ANOTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-232-9700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207PE0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine, Undersea and Hyperbaric Medicine",
            "state": "GA",
            "license": "048889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.