Active NPI
Coastal Wound Physicians
- Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
- Savannah, GA
National Provider Identifier
1508007774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
- License
- 048889
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Thomas Anothony Donohue, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Undersea and Hyperbaric Medicine (Emergency Medicine) Physician | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physician Assistant
- Manchester, MO
- NPI 1164713632
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.