ALEXANDER JOHN ANETAKIS (NPI# 1003842220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003842220 |
| Entity Type | Individual |
| Full Name | ALEXANDER JOHN ANETAKIS |
| Credential | MD |
| Practice Address |
4600 Oleander Dr Retina of Coastal Carolina Myrtle Beach SC 29577-5736 |
| Mailing Address |
1801 New Hanover Medical Park Drive Retina of Coastal Carolina Wilmington NC 28403-5351 |
| Practice Telephone | 9102542023 |
| Practice Fax Number | 9102540242 |
| Mailing Telephone | 9102542023 |
| Mailing Fax Number | 9102540242 |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2007-10-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 28771 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 5903710 | 05 | |
| SC | QPA675 | 05 | |
| SC | 287718 | 05 | |
| RAILROAD MEDICARE | P00326375 | 01 | |
| SC | SC BCBS | 562162061 | 01 |
| NC | 790129C | 05 |
| Street Address |
4600 OLEANDER DR RETINA OF COASTAL CAROLINA |
| City | MYRTLE BEACH |
| State | SC |
| Zip Code | 29577-5736 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861958365 | Brittany Nicole Childers | Nurse Practitioner | 4600 Oleander Dr, Myrtle Beach, SC 29577-5897 | 2019-02-20 |
| 1134666787 | Aundrea Nikole Browning | Nurse Practitioner | 4600 Oleander Dr, Ltc Health Solutions, Myrtle Beach, SC 29577-5897 | 2017-01-20 |
| 1891060802 | Barry H Hellman | Internal Medicine | 4600 Oleander Dr, Suite 2a, Myrtle Beach, SC 29577-5897 | 2012-03-09 |
| 1083718332 | Firstchoice Healthcare, PC | Anesthesiology | 4600 Oleander Dr, Suite B, Myrtle Beach, SC 29577-5897 | 2006-09-08 |
| 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 Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669622163 | Eye-mergency, Inc | Ophthalmology | 350 Hilton Rd Ste 100, Myrtle Beach, SC 29572-6623 | 2008-09-22 |
| 1992984470 | Specialty Eye Care of The Carolinas, PC | Ophthalmology | 1115 48th Ave N Ste 121, Myrtle Beach, SC 29577-5420 | 2007-10-31 |
| 1851310783 | Gail M. Royal | Ophthalmology | 401 79th Ave N, Myrtle Beach, SC 29572-4310 | 2006-07-19 |
| 1265499693 | Stephen J. Phillips | Ophthalmology | 8609 Montague Ln, Myrtle Beach, SC 29588-4504 | 2006-04-28 |
| 1003873894 | Shawn F Riley | Ophthalmology | 1115 48th Ave N, Suite 121, Myrtle Beach, SC 29577 | 2006-04-27 |
| 1285615369 | Neil Bostrom Griffin | Ophthalmology | 900 Medical Cir, Myrtle Beach, SC 29572-4114 | 2005-11-07 |
| 1245693993 | Griffin Eye Center Pllc | Ophthalmology | 900 Medical Cir, Myrtle Beach, SC 29572-4114 | 2016-03-31 |
| 1245493212 | Reinhardt Hans Schindler | Ophthalmology | 8609 Montague Ln, Myrtle Beach, SC 29588-4504 | 2008-07-09 |
| 1235350117 | Carl F Sloan | Ophthalmology | 401 79th Ave N, Myrtle Beach, SC 29572-4310 | 2007-05-01 |
| 1336212083 | Reuben Ryder Tipton, IIi | Ophthalmology | 900 Medical Cir, Myrtle Beach, SC 29572-4114 | 2006-11-17 |
| Find all providers in MYRTLE BEACH | ||||
| City | MYRTLE BEACH |
| Zip Code | 29577 |
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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.