Coastal Empire Surgical Assistants LLC

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

License

75377 Issued in GA

Legal business name

COASTAL EMPIRE SURGICAL ASSISTANTS LLC

Practice address

6715 Forest Park Dr
Savannah, GA 31406-2507

Phone

(912) 844-7513

NPI assigned

Dec 11, 2017

Organization subpart

No

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

Authorized official

Name

Lori Wechsler

Title

Billing Manager

Phone

(912) 844-7513

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1512950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512950400000",
    "number": "1871008086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 MODENA RD",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314112121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6715 FOREST PARK DR",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314062507",
            "telephone_number": "912-844-7513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL EMPIRE SURGICAL ASSISTANTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-11",
        "last_updated": "2017-12-11",
        "status": "A",
        "authorized_official_last_name": "WECHSLER",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "912-844-7513"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "GA",
            "license": "75377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Coastal Health District

• Sports Medicine (Orthopaedic Surgery) Physician in Savannah, GA
• Providers in Savannah, GA by specialty
• Sports Medicine (Orthopaedic Surgery) Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2017; 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.