NPIMap

Organization Active NPI

Coastal Ear Nose & Throat, LLC

  • Otolaryngology Physician
  • Savannah, GA
National Provider Identifier
1972744258
Registry record updated Jul 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
COASTAL EAR NOSE & THROAT, LLC
Practice address
322 Commercial Dr
Savannah, GA 31406
Phone
(912) 355-2335
Fax
(770) 217-3339
NPI assigned
Mar 16, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2018

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

Authorized official

Name
Ms. Rhonda Oliver
Title
Practice Administrator
Phone
(912) 355-2335

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X Primary
Hearing and Speech Clinic/Center 261QH0700X

Addresses

Primary practice location

322 Commercial Dr
Savannah, GA 31406

Mailing address

322 Commercial Dr
Suite 2
Savannah, GA 31406-3625
Phone (912) 355-2335

Other practice location 1

200 Blue Moon Xing Ste 103
Pooler, GA 31322-9698
Phone (912) 355-2335

National Provider Directory

National Provider Directory
Tax ID family
Coastal Ear Nose Throat2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

200 Blue Moon Xing
Ste 103
Pooler, GA 31322
Phone (912) 355-2335

Practitioners & affiliated clinicians

Practitioners 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1237161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531440000000",
    "number": "1972744258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 COMMERCIAL DR",
            "address_2": "SUITE 2",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314063625",
            "telephone_number": "912-355-2335",
            "fax_number": "912-355-2301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 COMMERCIAL DR",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "31406",
            "telephone_number": "912-355-2335",
            "fax_number": "770-217-3339"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Blue Moon Xing Ste 103",
            "address_purpose": "LOCATION",
            "city": "Pooler",
            "state": "GA",
            "postal_code": "313229698",
            "country_code": "US",
            "telephone_number": "912-355-2335",
            "fax_number": "770-217-3339",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COASTAL EAR NOSE & THROAT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-16",
        "last_updated": "2018-07-13",
        "status": "A",
        "authorized_official_last_name": "OLIVER",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "912-355-2335",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Jul 13, 2018; 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.