TIDELANDS HEALTH ASC LLC (NPI# 1194344606) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194344606 |
| Entity Type | Organization |
| Organization Name | TIDELANDS HEALTH ASC LLC |
| Other Organization Name | TIDELANDS HEALTH SURGERY CENTER AT THE MARKET COMMON |
| Practice Address |
2200 Crow Ln Ste 102 Myrtle Beach SC 29577-1663 |
| Mailing Address |
Po Box 421718 Georgetown SC 29442-4203 |
| Practice Telephone | 8438485120 |
| Practice Fax Number | 8438485125 |
| Mailing Telephone | 8435277000 |
| Enumeration Date | 2020-04-14 |
| Last Update Date | 2020-04-16 |
| Authorized Official Name | ELIZABETH S WARD (EVP & CFP) |
| Authorized Official Telephone | 8435277000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Tidelands Health Surgery Center at The Market Common | Doing Business As Name - Organization |
| Street Address |
2200 CROW LN STE 102 |
| City | MYRTLE BEACH |
| State | SC |
| Zip Code | 29577-1663 |
| 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 | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508840893 | Parkway Surgery Center | Clinic/Center | 827 82nd Pkwy, Myrtle Beach, SC 29572-4607 | 2005-12-01 |
| 1073546875 | Strand Gastrointestinal Endoscopy Center | Clinic/Center | 945 82nd Parkway, Suite 2, Myrtle Beach, SC 29572 | 2006-07-08 |
| 1437186988 | Oasc, LLC | Clinic/Center | 839 82nd Pkwy, Myrtle Beach, SC 29572-4614 | 2006-06-27 |
| 1275596264 | Carolina Regional Surgery Center. Ltd | Clinic/Center | 1021 Medical Cir, Suite 100, Myrtle Beach, SC 29572-4618 | 2006-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528602455 | Cornerstone Surgery Centers, LLC | Clinic/Center | 3911 Highway 17 Ste B, Murrells Inlet, SC 29576-5014 | 2019-11-04 |
| 1598227431 | Surgery Center of Conway Inc | Clinic/Center | 1405 Main Street, Conway, SC 29526 | 2019-04-01 |
| 1265999197 | Medical University Hospital Authority | Clinic/Center | 1580 Freedom Blvd Ste 300, Florence, SC 29505-6074 | 2019-02-27 |
| 1194233189 | Chapin Orthopedic Surgery Center | Clinic/Center | 106 Ellett Road, Chapin, SC 29036-8248 | 2018-01-12 |
| 1124547617 | Southeastern Anesthesia Associates, LLC | Clinic/Center | 1 Wellness Blvd Ste 111, Irmo, SC 29063-2873 | 2017-09-15 |
| 1518338052 | Center for Advanced Surgery LLC | Clinic/Center | 3821 Commercial Center Drive, Ladson, SC 29456-4146 | 2015-10-09 |
| 1881094894 | Center for Colon and Digestive Diseases LLC | Clinic/Center | 103 Gregg Ave Nw, Suite 100, Aiken, SC 29801-6357 | 2014-08-27 |
| 1578986550 | Summerville Endoscopy Center, LLC | Clinic/Center | 328 Midland Pkwy, Summerville, SC 29485-8102 | 2014-01-28 |
| 1295176139 | Lowcountry Ambulatory Center, LLC | Clinic/Center | 1844 Wallace School Rd, Charleston, SC 29407-4822 | 2013-07-08 |
| 1780998633 | Parkridge Surgery Center LLC | Clinic/Center | 190 Parkridge Dr Ste 108, Columbia, SC 29212-1748 | 2010-08-03 |
| Find all providers with the same taxonomy | ||||
| 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.