COASTAL UROLOGICAL PARTNERS, LLC (NPI# 1659451029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659451029 |
| Entity Type | Organization |
| Organization Name | COASTAL UROLOGICAL PARTNERS, LLC |
| Practice Address |
11706 Mercy Blvd Plaza A, Suite 10 Savannah GA 31419-1751 |
| Practice Telephone | 9129200055 |
| Practice Fax Number | 9129203367 |
| Mailing Telephone | 9129200055 |
| Mailing Fax Number | 9129203367 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | CAROL EVANS (BILLING/INSURANCE SUPERVISOR) |
| Authorized Official Telephone | 9129200055 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| Street Address |
11706 MERCY BLVD PLAZA A, SUITE 10 |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31419-1751 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154428365 | Fuller Rehabilitation and Consulting Services Inc. | Durable Medical Equipment & Medical Supplies | 11706 Mercy Blvd, Building 3, Savannah, GA 31419-1751 | 2006-09-20 |
| 1578003810 | Ankle and Foot Assoc, LLC | Podiatrist | 11706 Mercy Blvd, Plaza A Building 8, Savannah, GA 31419-1751 | 2017-03-06 |
| 1144777657 | Atlantic Foot and Ankle Specialists | Podiatrist | 11706 Mercy Blvd, Bld 8, Savannah, GA 31419-1751 | 2016-09-01 |
| 1205193398 | Southeast Lung & Critical Care Specialists, PC | Internal Medicine | 11706 Mercy Blvd, Bldg #4, Savannah, GA 31419-1751 | 2012-04-13 |
| 1538432935 | Costrini & Meadows, PC | Internal Medicine | 11706 Mercy Blvd, Bldg #4, Savannah, GA 31419-1751 | 2012-02-15 |
| 1427372986 | James R Poston | Psychiatry & Neurology | 11706 Mercy Blvd, Plaza A Building 10, Savannah, GA 31419-1751 | 2010-03-26 |
| 1245474048 | Jonas Alexander Vanags | Psychiatry & Neurology | 11706 Mercy Blvd, Plaza A Building #10, Savannah, GA 31419-1751 | 2009-04-23 |
| 1437311180 | Jill Perry Trumble | Psychiatry & Neurology | 11706 Mercy Blvd, Plaza A Bldg. 10, Savannah, GA 31419 | 2008-06-25 |
| 1053445700 | Orthopedic Center PC | Physical Medicine & Rehabilitation | 11706 Mercy Blvd, Plaza A Bldg 8, Savannah, GA 31419-1751 | 2007-03-15 |
| 1174663306 | Randall Crum Inc. | Clinical Medical Laboratory | 11706 Mercy Blvd, Bldg. 4, Savannah, GA 31419-1751 | 2007-02-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255932653 | Loving Hands Adult Care | Home Health Aide | 101 St. Goerge Blvd, 6t, Savannah, GA 31419 | 2020-11-03 |
| 1285241265 | Jennifer Ann Hales | Surgery | 11090 Mcauley, Suite 100 2a, Savannah, GA 31419 | 2020-09-24 |
| 1699318139 | Jessica Kaitlyn Matthewson | Nurse Practitioner | 11700 Mercy Blvd Plaza D, Bldg #5, Savannah, GA 31419 | 2019-10-28 |
| 1679133219 | Rebecca Denise Brown-tuyishimire | Counselor | Savannah Outpatient Clinic, 1170 Shawnee Street, Savannah, GA 31419 | 2019-06-17 |
| 1356900856 | Julio Roberto Castellanos Jr. | Behavior Technician | 785 King George Blvd Ste 103, Savannah, GA 31419 | 2019-06-07 |
| 1669941761 | Paul-david Arthur Cooper | Peer Specialist | 117 Shawnee Street, Va Savannah Clinic, Savannah, GA 31419 | 2018-11-19 |
| 1326538521 | Jay Carter Jr. | Social Worker | 1170 Shawnee St., Savannah, GA 31419 | 2018-05-14 |
| 1245771070 | Emily Robertson | Nurse Practitioner | 11133 Abercorm Street, Suite 10, Savannah, GA 31419 | 2017-03-13 |
| 1760833750 | Cady-jo Steidle | Behavioral Analyst | 143 Sugar Mill Cir, Savannah, GA 31419 | 2016-06-30 |
| 1265881189 | Mallory Williams | Physician Assistant | 11909 D. Mcauley Drive, Savannah, GA 31419 | 2016-06-10 |
| Find all providers in zip 31419 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972849875 | Irving Victor | Urology | 3204 Abercorn St, Savannah, GA 31405-2148 | 2012-12-20 |
| 1689864860 | Urology Specialists of Coastal Georgia | Urology | 613 Stephenson Ave, Ste #208, Savannah, GA 31405 | 2007-07-25 |
| 1114998507 | John W Coursey | Urology | 230 E Derenne Ave, Savannah, GA 31405-6736 | 2006-02-01 |
| 1528358801 | Andrew Michigan | Urology | 230 E Derenne Ave, Savannah, GA 31405-6736 | 2011-04-07 |
| 1568638666 | Ruth Ann Mazo | Urology | 230 E Derenne Ave, Savannah, GA 31405-6736 | 2008-05-08 |
| 1245441690 | Michael Jon Cox | Urology | 230 E Derenne Ave, Savannah, GA 31405-6736 | 2007-05-25 |
| 1093896524 | Thomas Earl Shook | Urology | 230 E Derenne Ave, Savannah, GA 31405-6736 | 2006-10-18 |
| 1336173574 | Heather Morgan Wallace | Urology | 230 E Derenne Ave, Savannah, GA 31405-6736 | 2006-07-11 |
| 1861458440 | James C Judy | Urology | 230 E Derenne Ave, Savannah, GA 31405-6736 | 2006-04-24 |
| 1174589766 | David L Cheng | Urology | 230 E Derenne Ave, Savannah, GA 31405-6736 | 2006-04-24 |
| 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.