DIABETES CENTER LLC (NPI# 1114117488) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114117488 |
| Entity Type | Organization |
| Organization Name | DIABETES CENTER LLC |
| Practice Address |
11891 Plaza Drive Murrells Inlet SC 29576 |
| Mailing Address |
Po Box 15010 Surfside Beach SC 29587-5010 |
| Practice Telephone | 8433530288 |
| Practice Fax Number | 8433579770 |
| Mailing Telephone | 8433530288 |
| Mailing Fax Number | 8432579770 |
| Enumeration Date | 2007-08-01 |
| Last Update Date | 2012-05-17 |
| Authorized Official Name | MR. BRENT RUSSELL NICOL (BUSINESS MANAGER) |
| Authorized Official Telephone | 8433530288 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 30634 | SC | Allopathic & Osteopathic Physicians |
| N | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
14684 | SC | Allopathic & Osteopathic Physicians |
| Y | 207R00000X | Internal Medicine | 14684 | SC | Allopathic & Osteopathic Physicians |
| Street Address |
11891 PLAZA DRIVE |
| City | MURRELLS INLET |
| State | SC |
| Zip Code | 29576 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619577665 | Mobilityworks, LLC | Durable Medical Equipment & Medical Supplies | 11816 Frontage Rd., Murrells Inlet, SC 29576 | 2020-10-29 |
| 1457986267 | Seaside Eye Associates South LLC | Optometrist | 640 Morse Ave, Unit 11, Murrells Inlet, SC 29576 | 2020-03-12 |
| 1710443833 | Sirach Health Professional Limited Liability Company | Physical Medicine & Rehabilitation | 4070 Us Highway 17 Bypass South, Murrells Inlet, SC 29576 | 2019-02-13 |
| 1801350871 | Doctors Care, P.a. | Emergency Medicine | 12015 Highway 707, Murrells Inlet, SC 29576 | 2019-01-24 |
| 1568949154 | Melanie Lewis | Physical Therapist | 2586 Hwy 17 Business S, Murrells Inlet, SC 29576 | 2018-07-26 |
| 1528550035 | Lauren Munck | Family Medicine | Tidelands Waccamaw Community Hospital, 4070 Highway 17, Murrells Inlet, SC 29576 | 2018-05-31 |
| 1003312521 | Myrtle Beach Rehabilitation Hospital, LLC | Rehabilitation Hospital | 4070 Hwy 17 Bypass South, Murrells Inlet, SC 29576 | 2018-04-03 |
| 1467952218 | Jamaica E Alston | Student in an Organized Health Care Education/Training Program | 14 Ambassador Lane, Murrells Inlet, SC 29576 | 2018-02-19 |
| 1891209227 | Caleb Sims Whitney | Physical Medicine & Rehabilitation | 10800 Sc 707, Murrells Inlet, SC 29576 | 2017-11-21 |
| 1043720964 | Chartwell Durable Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 671 Jamestown Drive, Suite 104, Murrells Inlet, SC 29576 | 2017-10-05 |
| Find all providers in zip 29576 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1417996554 | Philip R Nicol | Internal Medicine | 11891 Plaza Dr, Murrells Inlet, SC 29576-9351 | 2006-06-05 |
| 1407814791 | Robert L Pugh Jr. | Internal Medicine | 4111 Murrells Inlet Road, Murrells Inlet, SC 29576-0529 | 2006-05-03 |
| 1114985983 | Stephen Alan Silbiger | Internal Medicine | 4630 Hwy 17 Bypass S., Murrells Inlet, SC 29576 | 2006-05-02 |
| 1295798031 | Ivo V. Anguelov | Internal Medicine | 4914 Highway 17, Murrells Inlet, SC 29576-5040 | 2006-04-11 |
| 1851383459 | Douglas S Head | Internal Medicine | 4630 Hwy 17 Bypass, Murrells Inlet, SC 29576-2662 | 2005-08-19 |
| 1295123339 | Roper Saint Francis Physicians Network | Internal Medicine | 4630 Highway 17, Murrells Inlet, SC 29576 | 2014-12-23 |
| 1053716282 | Roper Saint Francis Physicians Network | Internal Medicine | 912 Inlet Square Dr, Suite A, Murrells Inlet, SC 29576-7812 | 2014-10-30 |
| 1316266208 | Michael Edward Haughton | Internal Medicine | 4181 Highway 17, Murrells Inlet, SC 29576-5019 | 2010-05-18 |
| 1265674238 | Kristin Etzkorn | Internal Medicine | 4835 Highway 17, Murrells Inlet, SC 29576-5037 | 2009-04-06 |
| 1497944219 | Coastal Carolina Primary Care of Murrells Inlet Inc | Internal Medicine | 4111 Murrells Inlet Road, Murrells Inlet, SC 29576-0529 | 2007-10-17 |
| Find all providers in MURRELLS INLET | ||||
| City | MURRELLS INLET |
| Zip Code | 29576 |
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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.