SOUTHEAST LUNG & CRITICAL CARE SPECIALISTS, PC (NPI# 1447675905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447675905 |
| Entity Type | Organization |
| Organization Name | SOUTHEAST LUNG & CRITICAL CARE SPECIALISTS, PC |
| Other Organization Name | SOUTHEAST LUNG ASSOCIATES |
| Practice Address |
340 Hodgson Ct Suite #2 Savannah GA 31406-1520 |
| Practice Telephone | 9126292290 |
| Practice Fax Number | 9126292291 |
| Mailing Telephone | 9126292290 |
| Mailing Fax Number | 9126292291 |
| Enumeration Date | 2014-02-20 |
| Last Update Date | 2014-02-20 |
| Authorized Official Name | HEATHER WILLIAMS (CFO) |
| Authorized Official Telephone | 9129276270 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000526336A | 05 | |
| GA | 000473833F | 05 |
| Other Name | Type Code |
|---|---|
| Southeast Lung Associates | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770989154 | Southeast Lung & Critical Care Specialists, PC | Internal Medicine | 800 East 68th Street, Landmark Hospital, Savannah, GA 31405 | 2014-11-12 |
| 1457776916 | Southeast Lung & Critical Care Specialists, PC | Internal Medicine | 201 N River St, Claxton, GA 30417-1658 | 2014-02-20 |
| 1790020444 | Southeast Lung & Critical Care Specialists, PC | Internal Medicine | 215 Sheraton Blvd, Suite 2, Macon, GA 31210-1359 | 2012-12-06 |
| 1164789251 | Southeast Lung & Critical Care Specialists, PC | Internal Medicine | 8 Okatie Center Blvd S, Suite 101, Bluffton, SC 29909-7532 | 2012-04-13 |
| 1104346394 | Southeast Lung & Critical Care Specialists, PC | Internal Medicine | 7 Rosewood Ave, Tybee Island, GA 31328-9435 | 2017-06-20 |
| 1235591652 | Southeast Lung & Critical Care Specialists, PC | Internal Medicine | 105 Grand Central Blvd, Suite 108, Pooler, GA 31322-4148 | 2016-03-24 |
| 1447628789 | Southeast Lung & Critical Care Specialists, PC | Internal Medicine | 370 Peachtree St, Jesup, GA 31545-0244 | 2015-09-03 |
| 1972901395 | Southeast Lung & Critical Care Specialists, PC | Internal Medicine | 5354 Reynolds St, Suite #318, Savannah, GA 31405-6007 | 2014-12-17 |
| 1588060446 | Southeast Lung & Critical Care Specialists, PC | Internal Medicine | 166 Memorial Dr, Jesup, GA 31545-0101 | 2014-11-05 |
| 1922402122 | Southeast Lung & Critical Care Specialists, PC | Internal Medicine | 230 Memorial Dr, Jesup, GA 31545-0102 | 2014-10-16 |
| Street Address |
340 HODGSON CT SUITE #2 |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31406-1520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003884669 | James A Daly IIi | Internal Medicine | 340 Hodgson Ct, Suite 2, Savannah, GA 31406-1520 | 2006-03-09 |
| 1497107916 | Joshua Bonin | Physician Assistant | 340 Hodgson Ct, Suite 2, Savannah, GA 31406-1520 | 2016-07-08 |
| 1568884120 | Southeast Lung & Critical Care Specialists, PC | Internal Medicine | 340 Hodgson Ct, Suite #3, Savannah, GA 31406-1520 | 2014-01-15 |
| 1760813455 | Advanced Medical Resources | Hospitalist | 340 Hodgson Ct, Suite 4, Savannah, GA 31406-1520 | 2013-12-05 |
| 1396180030 | Aaron M Soutar | Physician Assistant | 340 Hodgson Ct, Suite #2, Savannah, GA 31406-1520 | 2013-05-08 |
| 1356560577 | Athena Joann Fountain | Nurse Practitioner | 340 Hodgson Ct, Suite 2, Savannah, GA 31406-1520 | 2007-04-25 |
| 1225115686 | Sleepwell LLC | Durable Medical Equipment & Medical Supplies | 340 Hodgson Ct, Suite 1, Savannah, GA 31406-1520 | 2006-11-01 |
| 1932286390 | Respiratory Care LLC | Clinic/Center | 340 Hodgson Ct, Ste 3, Savannah, GA 31406-1520 | 2006-11-01 |
| 1801838818 | Lawrence J Mcdermott IIi | Internal Medicine | 340 Hodgson Ct, Suite #2, Savannah, GA 31406-1520 | 2006-06-12 |
| 1740244276 | Southeast Lung & Critical Care Specialists P C | Specialist | 340 Hodgson Ct, Suite #2, Savannah, GA 31406-1520 | 2006-04-13 |
| Find all providers in the same location | ||||
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|---|---|---|---|---|
| 1891324042 | Magnolia Home Health, LLC Dba Home Instead Senior Care | Homemaker | 6709 Forest Park Drive, Suite B, Savannah, GA 31406 | 2020-04-08 |
| 1831737949 | Sumona Mitchell | Specialist | 1100 Eisenhower Drive 15, Suite 7, Savannah, GA 31406 | 2019-12-19 |
| 1295373090 | Gateway Behavioral Health Services | Community/Behavioral Health | 2121 East Derenne Ave, Savannah, GA 31406 | 2019-12-12 |
| 1114578820 | Kenya Burns | Technician | 6 Castle Ct, Savannah, GA 31406 | 2019-09-24 |
| 1841755287 | Southside Emergency Dental Center LLC | Dentist | 10515 White Bluff Rd., Savannah, GA 31406 | 2019-02-08 |
| 1639651003 | Rachael Putman | Physical Therapist | 37 W Fairmont Ave Suite 323, Savannah, GA 31406 | 2018-09-03 |
| 1417439852 | Happy Kids Therapies, LLC | Physical Therapist | 37 W. Fairmont Avenue Suite 102, Savannah, GA 31406 | 2018-09-01 |
| 1487146619 | Georgia Occmed LLC | Clinic/Center | 310 Eisenhower Dr Bldg 12 Ste C, Savannah, GA 31406 | 2018-06-04 |
| 1023517505 | Antioch Vascular Center, LLC | Surgery | 9104 Middleground Road, Suite 2, Savannah, GA 31406 | 2018-02-09 |
| 1518496116 | Janay C Russell | Counselor | 6711 Forest Park Drive, Savannah, GA 31406 | 2017-06-07 |
| Find all providers in zip 31406 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235659814 | Southeast Lung & Criticial Care Specialists, PC | Internal Medicine | 5356 Reynolds St Ste 303, Savannah, GA 31405-6018 | 2017-06-23 |
| 1770989154 | Southeast Lung & Critical Care Specialists, PC | Internal Medicine | 800 East 68th Street, Landmark Hospital, Savannah, GA 31405 | 2014-11-12 |
| 1174780472 | Robert James Dibenedetto | Internal Medicine | 8 Cedar Marsh Retreat, Savannah, GA 31411-2922 | 2008-05-22 |
| 1255489019 | Masood Ahmed | Internal Medicine | 5356 Reynolds Street, Suite 303, Savannah, GA 31405-6016 | 2007-01-08 |
| 1982769568 | Savannah Medical Specialists PC | Internal Medicine | 5354 Reynolds St Ste 505, Savannah, GA 31405-6012 | 2006-12-26 |
| 1689672438 | Patricia Ann Costanzo | Internal Medicine | 4 Sea Oats Ln, Savannah, GA 31411-3102 | 2005-07-14 |
| 1972901395 | Southeast Lung & Critical Care Specialists, PC | Internal Medicine | 5354 Reynolds St, Suite #318, Savannah, GA 31405-6007 | 2014-12-17 |
| 1194153874 | Southeast Lung & Critical Care Specialists, PC | Internal Medicine | 11800 Abercorn St, Savannah, GA 31419-1908 | 2013-10-16 |
| 1205193398 | Southeast Lung & Critical Care Specialists, PC | Internal Medicine | 11706 Mercy Blvd, Bldg #4, Savannah, GA 31419-1751 | 2012-04-13 |
| 1104183268 | Southeast Lung & Critical Care Specialists, PC | Internal Medicine | 11909 Mcauley Dr, Plaza C, Suite A-1, Savannah, GA 31419-1793 | 2012-04-13 |
| Find all providers in SAVANNAH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.