ELIZABETH M DUFFY (NPI# 1093068538) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093068538 |
| Entity Type | Individual |
| Full Name | ELIZABETH M DUFFY |
| Credential | PA-C |
| Practice Address |
5046 Highway 17 Byp S Ste 103 Myrtle Beach SC 29588 |
| Mailing Address |
35 Green Pond Rd Ste C Rockaway NJ 07866-2057 |
| Practice Telephone | 8436684104 |
| Practice Fax Number | 8436684108 |
| Mailing Telephone | 9736250600 |
| Mailing Fax Number | 9736253434 |
| Enumeration Date | 2012-10-22 |
| Last Update Date | 2018-06-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
25MP00296100 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306275755 | Elizabeth Bronwyn Duffy | Social Worker | 208 Cornwall St Nw, Leesburg, VA 20176-2701 | 2013-11-06 |
| 1942357009 | Elizabeth Ann Duffy | Nurse Practitioner | 5729 Pebbleshire Road, Bloomfield Hills, MI 48301-1115 | 2007-01-04 |
| 1871045351 | Elizabeth Ann Duffy | Nurse Practitioner | 211 Old Lexington Rd, Thomasville, NC 27360 | 2016-10-31 |
| 1962870220 | Elizabeth S Duffy | Nurse Practitioner | 950 Winter St, 4th Floor, Waltham, MA 02451-1424 | 2015-09-03 |
| 1184032674 | Elizabeth Duffy | Nurse Practitioner | 100 Hospital Rd, Prince Frederick, MD 20678-4017 | 2014-07-28 |
| 1568704609 | Elizabeth Ward Duffy | Counselor | 1170 Fairgrove Church Rd, Hickory, NC 28602-9695 | 2013-03-26 |
| 1124286786 | Elizabeth Juanita Duffy | Occupational Therapist | 9120 Springbrook Dr Nw, Coon Rapids, MN 55433-5845 | 2008-05-29 |
| 1477730836 | Elizabeth Duffy | Occupational Therapist | 330 Main St, Chatham, NJ 07928-2238 | 2008-01-29 |
| 1396867115 | Elizabeth Sachie Duffy | Registered Nurse | 11484 B Ave, Auburn, CA 95603-2603 | 2007-04-04 |
| 1275533978 | Elizabeth Duffy | Acupuncturist | 1515 Nw 18th Ave, Ste 400, Pettygrove Physical Therapy and Sports Rehab., Portland, OR 97209-2515 | 2005-07-26 |
| Street Address |
5046 HIGHWAY 17 BYP S STE 103 |
| City | MYRTLE BEACH |
| State | SC |
| Zip Code | 29588 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750553152 | Daniella Deperi | Physician Assistant | 5046 Highway 17 Byp S Ste 103, Myrtle Beach, SC 29588-4503 | 2008-03-26 |
| 1942700091 | Ashley G Parker | Nurse Practitioner | 5046 Highway 17 Byp S Ste 103, Myrtle Beach, SC 29588-4503 | 2018-02-15 |
| 1558735878 | Matthew Janowicz | Physician Assistant | 5046 Highway 17 Byp S Ste 103, Myrtle Beach, SC 29588-4503 | 2015-11-24 |
| 1215223326 | Michael Robert Centilli | Dermatology | 5046 Highway 17 Byp S Ste 103, Myrtle Beach, SC 29588-4503 | 2011-06-27 |
| 1538460506 | Christopher Francis Buthorn | Physician Assistant | 5046 Highway 17 Byp S Ste 103, Myrtle Beach, SC 29588 | 2010-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740819309 | Forrest Halsey Westley | Pharmacist | 3072 Dick Pond Rd. Suite 2, Myrtle Beach, SC 29588 | 2020-04-06 |
| 1588124176 | The Counseling Center of Sayebrook | Counselor | 106 Lansford Court Suite 202, Myrtle Beach, SC 29588 | 2019-03-21 |
| 1134631443 | Solid Foundations, LLC | Clinic/Center | 4325 Dick Pond Road, Suite E, Myrtle Beach, SC 29588 | 2017-10-26 |
| 1316496037 | Grand Strand Rehab and Nursing Center, LLC | Skilled Nursing Facility | 4452 Socastee Boulevard, Myrtle Beach, SC 29588 | 2016-09-22 |
| 1386092039 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 1370 South Commons Drive, Suite 102, Myrtle Beach, SC 29588 | 2016-06-02 |
| 1114314531 | Allison Smith | Physical Therapy Assistant | 4870 Socastee Blvd, Myrtle Beach, SC 29588 | 2015-04-23 |
| 1760806160 | Myrtle Beach Physical Medicine & Rehab, LLC | Family Medicine | 4736 17 Bypass South, Myrtle Beach, SC 29588 | 2014-02-06 |
| 1801228499 | Robin Ruth Gause | Lactation Consultant, Non-RN | 510 Fairwood Lakes Ave, 14-c, Myrtle Beach, SC 29588 | 2013-08-06 |
| 1124386438 | Horace Earl Ferguson Jr. | Technician/Technologist | 4535 Dick Pond Road, A, Myrtle Beach, SC 29588 | 2012-04-25 |
| 1831463652 | Medeyecare, LLC | Technician/Technologist | 4335 Socastee Blvd, Unit A, Myrtle Beach, SC 29588 | 2012-02-24 |
| Find all providers in zip 29588 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487638227 | Felicia Anne E Denittis | Physician Assistant | 920 Doug White Dr Ste 460, Myrtle Beach, SC 29572-4120 | 2005-12-05 |
| 1316284318 | Phillip Oliveira | Physician Assistant | 933 Medical Cir, Myrtle Beach, SC 29572-4116 | 2013-01-10 |
| 1275839532 | Richard Roode | Physician Assistant | 1221 21st Ave N, Myrtle Beach, SC 29577-7402 | 2011-02-03 |
| 1063718807 | Ernest W Stokes IIi | Physician Assistant | 920 Doug White Dr Ste 510, Myrtle Beach, SC 29572-4120 | 2011-01-26 |
| 1538460506 | Christopher Francis Buthorn | Physician Assistant | 5046 Highway 17 Byp S Ste 103, Myrtle Beach, SC 29588 | 2010-11-08 |
| 1396877338 | John Francis Dalessandro IIi | Physician Assistant | 849 82nd Pkwy, Myrtle Beach, SC 29572-4614 | 2007-03-12 |
| 1891715850 | Erin L Finley | Physician Assistant | 849 82nd Pkwy, Myrtle Beach, SC 29572-4614 | 2006-07-20 |
| 1518923143 | David B Lee | Physician Assistant | 210 Village Center Blvd, Suite 200, Myrtle Beach, SC 29579-6683 | 2006-04-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689140451 | Nichole Lemay | Physician Assistant | 9 Richland Medical Park Dr Ste 640, Columbia, SC 29203 | 2018-10-19 |
| 1588183909 | John Edward Carpenter | Physician Assistant | 50 E Hospital St Ste 6, Manning, SC 29102-3149 | 2017-09-18 |
| 1689116006 | Healing Hands Surgical Assisting | Physician Assistant | 456 Bates Crossing Rd, Travelers Rest, SC 29690-9277 | 2016-11-16 |
| 1003207101 | Kimberly Anne Caldwell | Physician Assistant | 306 Roosevelt Ave, Travelers Rest, SC 29690-1750 | 2015-02-10 |
| 1144653742 | Carrie Marie Thompson | Physician Assistant | 96 Jonathan Lucus Street, Csb He320e, Charleston, SC 29425 | 2013-08-19 |
| 1437400363 | William Travis Jeffcoat | Physician Assistant | 109 Health Way, Anderson, SC 29621-3333 | 2012-10-02 |
| 1609184316 | Kym L Kittle | Physician Assistant | 161 Ashley Ave, Charleston, SC 29425-8905 | 2010-09-15 |
| 1093960957 | Stephen Utenick | Physician Assistant | 105 Beason Farm Ln, Simpsonville, SC 29681-6509 | 2008-11-19 |
| 1689849457 | First Surgical Associates, LLC | Physician Assistant | 1004 Wells St, Bennettsville, SC 29512-2718 | 2008-04-23 |
| 1922270594 | Kati George Carter | Physician Assistant | 890 W Faris Rd Ste 550, Greenville, SC 29605-4286 | 2008-03-24 |
| Find all providers with the same taxonomy | ||||
| City | MYRTLE BEACH |
| Zip Code | 29588 |
Please comment or provide details below to improve the information on ELIZABETH M DUFFY.
| 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.