MR. MICHAEL DENNIS CARR JR. (NPI# 1114108875) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114108875 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL DENNIS CARR JR. |
| Credential | PA-C |
| Practice Address |
809 82nd Pkwy Myrtle Beach SC 29572-4607 |
| Mailing Address |
Po Box 3439 North Myrtle Beach SC 29582-0439 |
| Practice Telephone | 8434975929 |
| Mailing Telephone | 8438394447 |
| Enumeration Date | 2007-11-21 |
| Last Update Date | 2020-07-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 1431 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
1431 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225646508 | Michael E Carr | Social Worker | 15039 W Highland Ave, Goodyear, AZ 85395-6361 | 2020-07-22 |
| 1508483983 | Michael Carr | Counselor | 379 Lawton St, Fall River, MA 02721-3327 | 2020-07-01 |
| 1962060236 | Michael Glennon Carr | Pharmacist | 317 6th Ave, Des Moines, IA 50309-4109 | 2019-06-03 |
| 1396286621 | Michael Carr | Student in an Organized Health Care Education/Training Program | University of Louisville Dept of Surgery, Louisville, KY 40292-0001 | 2017-03-20 |
| 1669892618 | Michael J Carr | Emergency Medicine | 531 Asbury Cir Dept Of, Atlanta, GA 30322 | 2014-04-17 |
| 1265855928 | Michael Carr | Counselor | 2201 Nw 122nd St Apt 2017, Oklahoma City, OK 73120 | 2014-01-30 |
| 1023384518 | Michael Joesph Carr | Pharmacist | 121 Woods Rd, Absecon, NJ 08201-2112 | 2012-03-28 |
| 1588952048 | Michael Carr Jr. | Dentist | 84 Court Street, Cuthbert, GA 39840 | 2011-07-19 |
| 1407171531 | Michael David Carr | Physical Therapist | 11277 Vernon Pl Ste 102, Meadville, PA 16335-3718 | 2010-03-31 |
| 1124289368 | Michael John Carr | Massage Therapist | 519 Greenwoods Rd, Torrington, CT 06790-2330 | 2008-06-20 |
| Street Address |
809 82ND PKWY |
| City | MYRTLE BEACH |
| State | SC |
| Zip Code | 29572-4607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679577035 | Thomas J Martel | Emergency Medicine | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 | 2005-06-13 |
| 1104455211 | Chad Byrd | Student in an Organized Health Care Education/Training Program | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 | 2020-04-02 |
| 1831727122 | Michael Ladd | Student in an Organized Health Care Education/Training Program | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 | 2020-03-31 |
| 1932737335 | Aditya Ragunathan | Student in an Organized Health Care Education/Training Program | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 | 2020-03-31 |
| 1710515242 | Elise Erin Steinberger | Student in an Organized Health Care Education/Training Program | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 | 2020-03-30 |
| 1962030866 | Mitsy Jannet Moreno | Internal Medicine | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 | 2020-03-28 |
| 1659908648 | Emma Kaitlyn Rousakis | Student in an Organized Health Care Education/Training Program | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 | 2020-03-27 |
| 1992333819 | Paul Harwood Hargrave | Student in an Organized Health Care Education/Training Program | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 | 2020-03-27 |
| 1134756109 | Oyindamola Awe | Student in an Organized Health Care Education/Training Program | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 | 2020-03-26 |
| 1003443292 | Benjamin Tyler Mckinney | Student in an Organized Health Care Education/Training Program | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 | 2020-03-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629684576 | Matthew David Zeuschner | Nurse Practitioner | 107 Woodwind Court, Myrtle Beach, SC 29572 | 2020-09-16 |
| 1578191789 | Julia Ruth Nelson | Student in an Organized Health Care Education/Training Program | Grand Strand Medical Center- Gme Office, 809 82nd Parkway, Myrtle Beach, SC 29572 | 2020-04-01 |
| 1407484835 | Justin Schevers | Student in an Organized Health Care Education/Training Program | 802 82nd Parkway, Myrtle Beach, SC 29572 | 2020-03-31 |
| 1922636919 | Darian Michael Quigg | Student in an Organized Health Care Education/Training Program | 809 82nd Street Parkway, Myrtle Beach, SC 29572 | 2020-03-27 |
| 1881221141 | Jonathan Alden Bryan | Student in an Organized Health Care Education/Training Program | Grand Strand Medical Center, 809 82nd Parkway, Myrtle Beach, SC 29572 | 2020-03-26 |
| 1215575238 | Polaris Skin Diagnostics, LLC | Dermatology | 8170 Rourk Street, Suite 100, Myrtle Beach, SC 29572 | 2019-12-20 |
| 1700348711 | Five Star Rehabilitation and Wellness Services, LLC. | Clinic/Center | 9547 N Kings Hwy, Myrtle Beach, SC 29572 | 2019-04-01 |
| 1154882975 | Michael Kouandjio | Student in an Organized Health Care Education/Training Program | Grand Strand Medical Center-gme Office, 809 82nd Parkway, Myrtle Beach, SC 29572 | 2019-03-26 |
| 1154880102 | Dylan Chase Morgan | Internal Medicine | Grand Strand Medical Center - Gme Office, 809 82nd Pkwy, Myrtle Beach, SC 29572 | 2019-03-19 |
| 1710446828 | David Redding Kingery Jr. | Student in an Organized Health Care Education/Training Program | Gme Office 809 82nd Parkway, Myrtle Beach, SC 29572 | 2019-03-18 |
| Find all providers in zip 29572 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457804080 | Mcleod Physician Associates II | Physician Assistant | 945 82nd Pkwy Ste 3, Myrtle Beach, SC 29572-4612 | 2016-08-01 |
| 1346350089 | Amy Rose Hancock | Physician Assistant | 4900 Oleander Dr, Suite # 1, Myrtle Beach, SC 29577-5897 | 2006-08-30 |
| 1093292278 | Brandon Ryan Carney | Physician Assistant | 809 82nd Pkwy, Myrtle Beach, SC 29572 | 2018-07-20 |
| 1255704623 | Joseph W O'neal Jr. | Physician Assistant | 200 Middleburg Dr, Myrtle Beach, SC 29579-3408 | 2015-11-07 |
| 1972988590 | Lindsay Marie Johnson | Physician Assistant | 917 Medical Cir, Myrtle Beach, SC 29572-4116 | 2015-07-24 |
| 1194149161 | Kallie Graham Britton | Physician Assistant | 945 82nd Pkwy, Suite 3b, Myrtle Beach, SC 29572-4612 | 2014-02-12 |
| 1578908950 | Amanda Beth Belesky | Physician Assistant | 5046 Highway 17 Byp S, Suite 100, Myrtle Beach, SC 29588-4503 | 2013-04-30 |
| 1316177439 | Christy R Hawkins | Physician Assistant | 945 82nd Pkwy, Suite 3, Myrtle Beach, SC 29572-4610 | 2009-07-23 |
| 1861621773 | Sarah Elizabeth Benton | Physician Assistant | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 | 2009-07-13 |
| 1467698621 | Shelley M Gilbert | Physician Assistant | 4301 Dick Pond Rd, Myrtle Beach, SC 29588-6807 | 2008-12-18 |
| Find all providers in MYRTLE BEACH | ||||
| City | MYRTLE BEACH |
| Zip Code | 29572 |
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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.