SOUTHEAST LUNG & CRITICAL CARE SPECIALISTS, PC (NPI# 1972901395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972901395 |
| Entity Type | Organization |
| Organization Name | SOUTHEAST LUNG & CRITICAL CARE SPECIALISTS, PC |
| Other Organization Name | SOUTHEAST LUNG ASSOCIATES |
| Practice Address |
5354 Reynolds St Suite #318 Savannah GA 31405-6007 |
| Mailing Address |
Po Box 14417 Savannah GA 31416-1417 |
| Practice Telephone | 9126292290 |
| Practice Fax Number | 9126292291 |
| Mailing Telephone | 9126292290 |
| Mailing Fax Number | 9126292291 |
| Enumeration Date | 2014-12-17 |
| Last Update Date | 2014-12-17 |
| Authorized Official Name | APRIL YOUNG (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 9126290457 |
| 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 |
| 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 |
| 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 |
| 1447675905 | Southeast Lung & Critical Care Specialists, PC | Internal Medicine | 340 Hodgson Ct, Suite #2, Savannah, GA 31406-1520 | 2014-02-20 |
| Street Address |
5354 REYNOLDS ST SUITE #318 |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31405-6007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891787636 | Cynthia R Ware | Internal Medicine | 5354 Reynolds St, Suite 424, Savannah, GA 31405-6007 | 2005-08-18 |
| 1437778537 | Francis John Ricchiuto | Nurse Practitioner | 5354 Reynolds St, Savannah, GA 31405-6007 | 2020-04-09 |
| 1942833769 | Felicia Scott | Nurse Practitioner | 5354 Reynolds St, Suite 424, Savannah, GA 31405 | 2020-02-20 |
| 1952931388 | Candace Jaquay Walton | Nurse Practitioner | 5354 Reynolds St, Suite 424, Savannah, GA 31405 | 2020-01-24 |
| 1730627910 | Yolanda Jones | Nurse Practitioner | 5354 Reynolds St, Suite 424, Savannah, GA 31405-6007 | 2017-02-07 |
| 1831542489 | Abid Ali Shaikh | Internal Medicine | 5354 Reynolds St, Ste 424, Savannah, GA 31405-6011 | 2016-07-19 |
| 1376956144 | Irina Goldenberg | Family Medicine | 5354 Reynolds St, Ste 424, Savannah, GA 31405-6007 | 2014-06-09 |
| 1669891545 | Dianne Nicole Thompson | Internal Medicine | 5354 Reynolds St, Savannah, GA 31405-6007 | 2014-04-08 |
| 1144659087 | Jennifer Tolliver | Internal Medicine | 5354 Reynolds St, Ste 424, Savannah, GA 31405 | 2013-11-01 |
| 1699018077 | Asma Khan | Internal Medicine | 5354 Reynolds St, Ste 424, Savannah, GA 31405 | 2013-04-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053918441 | Nicole Marie Tetro | Anesthesiology | Candler Hospital, 5353 Reynolds St, Savannah, GA 31405 | 2020-10-08 |
| 1154983880 | Nickes Medical Supply, LLC. | Durable Medical Equipment & Medical Supplies | 6020 Halsey St, Savannah, GA 31405 | 2019-07-02 |
| 1215593025 | Lee Ann Ryle | Nurse Practitioner | 5223 Paulsen St., Savannah, GA 31405 | 2019-05-16 |
| 1942765334 | Raegan Epps | Behavior Technician | 613 Stephenson Ave Ste 205, Savannah, GA 31405 | 2019-02-10 |
| 1679050454 | Phenomenal Nursing Service | Registered Nurse | 604 South St., 604 South St, Savannah, GA 31405 | 2018-07-24 |
| 1275029472 | Chelsea Amanda Keedy | Pharmacist | 836 E. 65th St., Medical Arts #4, Savannah, GA 31405 | 2018-07-11 |
| 1265933840 | Dwc-p LLC | Dentist | 5209 Paulsen Street, Savannah, GA 31405 | 2018-02-28 |
| 1386153005 | Aaron Shaw | Hearing Instrument Specialist | 5501 Abercorn St Ste E, Savannah, GA 31405 | 2017-09-26 |
| 1063946028 | Elizabeth Bentley Bruhn-danello | Dietitian, Registered | 836 East 65th Street, Medical Arts #4, Savannah, GA 31405 | 2017-04-17 |
| 1396278230 | Theresa Lynn George | Health Educator | 836 East 65 Th Street, Medical Arts #4, Savannah, GA 31405 | 2017-04-07 |
| Find all providers in zip 31405 | ||||
| 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 |
| 1447675905 | Southeast Lung & Critical Care Specialists, PC | Internal Medicine | 340 Hodgson Ct, Suite #2, Savannah, GA 31406-1520 | 2014-02-20 |
| 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.