DR. MARK GRINMAN (NPI# 1164489829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164489829 |
| Entity Type | Individual |
| Full Name | DR. MARK GRINMAN |
| Credential | MD |
| Practice Address |
920 Doug White Dr Ste 460 Myrtle Beach SC 29572-4120 |
| Practice Telephone | 8434492336 |
| Practice Fax Number | 8436922174 |
| Mailing Telephone | 8434492336 |
| Mailing Fax Number | 8436922174 |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2020-02-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
20455 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 020455800 | 05 |
| Street Address |
920 DOUG WHITE DR STE 460 |
| City | MYRTLE BEACH |
| State | SC |
| Zip Code | 29572-4120 |
| 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 |
| 1043663750 | Kathryn Renee Mczeke | Nurse Practitioner | 920 Doug White Dr Ste 460, Myrtle Beach, SC 29572-4120 | 2016-07-18 |
| 1912315698 | Rasesh Sheth | Physician Assistant | 920 Doug White Dr Ste 460, Myrtle Beach, SC 29572-4120 | 2014-07-25 |
| 1942612684 | Lydia J. Cote | Physician Assistant | 920 Doug White Dr Ste 460, Myrtle Beach, SC 29572-4120 | 2014-05-29 |
| 1831475730 | Andrea Jennifer Chamczuk | Neurological Surgery | 920 Doug White Dr Ste 460, Myrtle Beach, SC 29572-4120 | 2011-10-25 |
| 1750676524 | James Haywood Smith Jr. | Neurological Surgery | 920 Doug White Dr Ste 460, Myrtle Beach, SC 29572-4182 | 2011-06-09 |
| 1114023991 | Robert J. Coni | Psychiatry & Neurology | 920 Doug White Dr Ste 460, Myrtle Beach, SC 29572-4120 | 2006-09-16 |
| 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 | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215031653 | Carolina Rheumatology & Neurology Assoc. | Psychiatry & Neurology | 8220 Nigels Drive, Myrtle Beach, SC 29572-4125 | 2006-09-07 |
| 1285680397 | Francis M Benz | Psychiatry & Neurology | 8220 Nigels Dr, Carolina Rheumatology & Neurology, Myrtle Beach, SC 29572-4125 | 2006-05-26 |
| 1902863103 | Michael Mccaffrey | Psychiatry & Neurology | 107 Mcleod Health Blvd Ste 102, Myrtle Beach, SC 29579-4477 | 2006-05-01 |
| 1487072823 | Olinda P. Spencer | Psychiatry & Neurology | 107 Mcleod Health Blvd Ste 102, Myrtle Beach, SC 29579-4477 | 2014-04-02 |
| 1902183759 | Mcleod Physician Associates II | Psychiatry & Neurology | 107 Mcleod Health Blvd Ste 102, Myrtle Beach, SC 29579-4477 | 2011-11-08 |
| 1821398512 | Grand Strand Specialty Associates, LLC | Psychiatry & Neurology | 8170 Rourk St, Myrtle Beach, SC 29572-4127 | 2010-10-27 |
| 1114023991 | Robert J. Coni | Psychiatry & Neurology | 920 Doug White Dr Ste 460, Myrtle Beach, SC 29572-4120 | 2006-09-16 |
| 1972569457 | Julian N Hayes | Psychiatry & Neurology | 8170 Rourk St, Myrtle Beach, SC 29572-4127 | 2006-04-25 |
| 1821057779 | Jeff A Benjamin | Psychiatry & Neurology | 8170 Rourk St, Myrtle Beach, SC 29572-4127 | 2006-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720693039 | Ppcp Specialty Physicians, LLC | Psychiatry & Neurology | 5500 Front St Ste 230, Summerville, SC 29486-7735 | 2020-09-14 |
| 1093323875 | Carolina Neurology & Neuroimaging LLC | Psychiatry & Neurology | 111 Shire Dr, Anderson, SC 29621-3675 | 2020-07-17 |
| 1891312799 | Kathryn Victoria Steverson | Psychiatry & Neurology | Prisma Health Medical Group Psychiatry Center, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-26 |
| 1336764240 | Jal Ankeeth Ved | Psychiatry & Neurology | Prisma Health Medical Group Neurology, 8 Medical Park, Ste 420, Columbia, SC 29203 | 2020-06-16 |
| 1427608819 | Ppcp Specialty Physicians, LLC | Psychiatry & Neurology | 9221 University Blvd Ste 2d, North Charleston, SC 29406-9148 | 2019-09-17 |
| 1801454830 | Mark Joshua Rosenberg | Psychiatry & Neurology | 96 Jonathan Lucas St Csb 301, Msc 606, Charleston, SC 29425-0001 | 2019-06-04 |
| 1851955413 | David Alan Lockwood Jr. | Psychiatry & Neurology | Neurology Patient Care, 8 Medical Park, Ste 420, Columbia, SC 29203 | 2019-04-29 |
| 1164995700 | Amy Elizabeth Gallozzi | Psychiatry & Neurology | 531 Tributary Dr, Fort Lawn, SC 29714-8625 | 2019-01-07 |
| 1952896789 | Lauren Crawford | Psychiatry & Neurology | 96 Jonathan Street Suite 301, Charleston, SC 29425-0001 | 2018-06-25 |
| 1831610989 | Christopher Bruck Zust | Psychiatry & Neurology | 8 Medical Park Ste 420, Neurology Clinic, Columbia, SC 29203 | 2017-06-29 |
| Find all providers with the same taxonomy | ||||
| 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.