CAROLINA COASTAL PLASTIC AND RECONSTRUCTIVE SURGERY, INC.


Address: 1275 21st Ave N, Build #1, Myrtle Beach, SC 29577-7429
Phone: 8434489977

CAROLINA COASTAL PLASTIC AND RECONSTRUCTIVE SURGERY, INC. (NPI# 1003096058) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003096058
Entity Type Organization
Organization Name CAROLINA COASTAL PLASTIC AND RECONSTRUCTIVE SURGERY, INC.
Practice Address 1275 21st Ave N
Build #1
Myrtle Beach
SC 29577-7429
Mailing Address 1275 21st Ave N
Build # 1
Myrtle Beach
SC 29577-7429
Practice Telephone 8434489977
Practice Fax Number 8436267755
Mailing Telephone 8434489977
Mailing Fax Number 8436267755
Enumeration Date 2007-11-07
Last Update Date 2015-06-22
Authorized Official Name DR. STEVEN K WHITE SR. (CEO/OWNER)
Authorized Official Telephone 8434489977
Authorized Official Credential M.D
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2086S0122X Surgery
Specialization: Plastic and Reconstructive Surgery
Allopathic & Osteopathic Physicians

Office Location

Street Address 1275 21ST AVE N
BUILD #1
City MYRTLE BEACH
State SC
Zip Code 29577-7429

Providers in the same location

NPI Name Taxonomy Address Enumeration
1659325371 Steven K White Surgery 1275 21st Ave N, Myrtle Beach, SC 29577-7429 2006-05-19
1467833558 Jodi Kinkead Specialist 1275 21st Ave N, Myrtle Beach, SC 29577-7514 2015-06-15
1881905032 Carolina Coastal Family Medicine Pa Clinic/Center 1275 21st Ave N, Building 2, Myrtle Beach, SC 29577-7429 2010-06-23

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1124536446 Well Care Home Health of The Lowcountry Home Health 1039 44th Ave N Ste 101, Myrtle Beach, SC 29577 2018-01-22
1518470913 Guillot Enterprises, LLC Hearing Instrument Specialist 1294 Professional Dr., Suite C, Myrtle, SC 29577 2017-11-08
1598288227 Ryan Shepherd Pharmacist 1705 South Kings Highway, Myrtle Beach, SC 29577 2017-07-25
1184176554 Shannon Long Counselor 1293 Professional Drive, Suite D Office 222, Myrtle Beach, SC 29577 2016-11-01
1265898191 Coastal Carolina Infectious Disease, LLC Internal Medicine 1110 London St Ste 102, Myrtle Beach, SC 29577 2016-01-07
1548639933 Susan Lang Social Worker 1273 Professional Dr., Suite A #104, Myrtle Beach, SC 29577 2015-09-16
1043600893 Kenneth Edward Smith Counselor 1125 48th Avenue North, Myrtle Beach, SC 29577 2015-02-02
1902203615 Sc Nursing Services LLC Home Infusion 1297 Professional Drive, Suite 201 C3, Myrtle Beach, SC 29577 2014-11-24
1881007946 Intercoastal Endo, PC Dentist 4382 Oleander Dr, Myrtle Beach, SC 29577 2014-06-06
1891115739 Julie Hite Pharmacist 540 Seaboard Street, Myrtle Beach, SC 29577 2014-04-18
Find all providers in zip 29577

Taxonomy Information

Taxonomy Code 2086S0122X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Plastic and Reconstructive Surgery

Taxonomy Definition

A surgeon who specializes in plastic and reconstructive surgery.
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1881786820 Kimberley B Goh Surgery 4610 Oleander Drive, 101, Myrtle Beach, SC 29577 2006-09-28
1659325371 Steven K White Surgery 1275 21st Ave N, Myrtle Beach, SC 29577-7429 2006-05-19
1518501865 Lucia Troutman Surgery 3001 Newcastle Loop, Myrtle Beach, SC 29588-4502 2019-10-30

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1831796150 Lexington Health Inc Surgery 2728 Sunset Blvd Ste 105, West Columbia, SC 29169-4839 2020-10-09
1407472251 Paulina Bao Tran Le Surgery Prisma Health Medical Group Plastic Surgery, 2 Medical Park, Ste 302, Columbia, SC 29203 2020-06-17
1366788580 John Jacob Keyser Surgery 4094 Spring Is, Okatie, SC 29909-4053 2012-12-15
1780971135 Paul Diegidio Surgery 1721 Ebenezer Rd Ste 115, Rock Hill, SC 29732-1119 2011-07-06
1184757288 Ted R Vaughn Surgery 305a W Alexander Ave, Greenwood, SC 29646-4009 2007-03-14
1568535847 Griffin Plastic Surgery PC Surgery 513 S Dargan St, Florence, SC 29506-2549 2006-11-16
1780797449 Marcelo L. Hochman Surgery 2097 Henry Techlenburg Dr, Suite 212 West, Charleston, SC 29416-5739 2006-08-16
1750304333 Patrick O'neill Surgery 245 Seven Farms Dr, Suite 210, Daniel Island, SC 29492-8500 2006-07-25
1306894738 Joe Asa Griffin IIi Surgery 513 S Dargan Street, Florence, SC 29506-2549 2006-05-05
1396714713 John Barry Bishop Surgery 24 Memorial Medical Dr, Greenville, SC 29605-4452 2006-03-16
Find all providers with the same taxonomy

Competitor

Search similar providers

City MYRTLE BEACH
Zip Code 29577

Improve Information

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Dataset Information

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.

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