ASSOCIATED MEDICAL SPECIALISTS, PA (NPI# 1205856556) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205856556 |
| Entity Type | Organization |
| Organization Name | ASSOCIATED MEDICAL SPECIALISTS, PA |
| Other Organization Name | COASTAL CANCER CENTER |
| Practice Address |
3008 Bayboro St Loris SC 29569-2714 |
| Mailing Address |
8121 Rourk St Myrtle Beach SC 29572-4128 |
| Practice Telephone | 8437560932 |
| Practice Fax Number | 8436925015 |
| Mailing Telephone | 8436925000 |
| Mailing Fax Number | 8436925015 |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2014-07-01 |
| Authorized Official Name | MR. VIJAY B PAUDEL (PRESIDENT) |
| Authorized Official Telephone | 8436925000 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
11181 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 7902490 | 05 | |
| SC | GP2479 | 05 |
| Other Name | Type Code |
|---|---|
| COASTAL CANCER CENTER | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063432391 | Associated Medical Specialists, Pa | Durable Medical Equipment & Medical Supplies | 817 Farrar Dr, Conway, SC 29526-8747 | 2006-07-20 |
| 1336169531 | Associated Medical Specialists, Pa | Durable Medical Equipment & Medical Supplies | 4620 Highway 17, Murrells Inlet, SC 29576-5016 | 2006-07-20 |
| 1013937226 | Associated Medical Specialists, Pa | Durable Medical Equipment & Medical Supplies | 7 Medical Center Dr, Supply, NC 28462-3350 | 2006-07-20 |
| 1447756762 | Associated Medical Specialists, Pa | Pharmacy | 8121 Rourk St, Myrtle Beach, SC 29572-4128 | 2018-04-04 |
| 1881614170 | Associated Medical Specialists, Pa | Durable Medical Equipment & Medical Supplies | 8121 Rourk St, Myrtle Beach, SC 29572-4128 | 2006-07-20 |
| Street Address |
3008 BAYBORO ST |
| City | LORIS |
| State | SC |
| Zip Code | 29569-2714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427464247 | Denise Logan | Dietitian, Registered | 3811 Walnut St, Loris, SC 29569 | 2014-07-02 |
| 1801231634 | Melissa Ann Miara | Internal Medicine | 3617 Casey St Ste C, Loris, SC 29569 | 2013-05-07 |
| 1356684161 | Gwyn Gordon Mcgutchen | Dentist | 3681 Spivey St., Loris, SC 29569 | 2013-03-29 |
| 1336486174 | Winferd Dale Holt | Dentist | 3980 Main Street, Loris, SC 29569 | 2013-01-14 |
| 1528314325 | Southern Living Emergency Physicians LLC | Physician Assistant | 6988 Mitchell Street, Loris, SC 29569 | 2012-07-30 |
| 1124347604 | Regina F. Holmes | Nurse Practitioner | Agape Senior Primary Care Inc Dba Main Street Physician, 3612 Mitchell Street, Loris, SC 29569 | 2010-05-24 |
| 1801914122 | Dr Gwyn Gordon Mccutchen Inc | Dentist | 3681 Spivey Street, Loris, SC 29569 | 2007-03-26 |
| 1700911203 | Twin States Helping Hands | Home Health | 1620 Hwy 701 N, Loris, SC 29569 | 2007-02-23 |
| 1306922646 | Loris Community Hospital District | Clinic/Center | 3204 Casey St, Loris, SC 29569 | 2006-10-30 |
| 1619074119 | South Carolina Cvs Pharmacy LLC | Pharmacy | 4767 Broad St, Loris, SC 29569 | 2006-09-20 |
| Find all providers in zip 29569 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508361809 | Santee Oncology, LLC | Internal Medicine | 1105 N Lafayette Dr Ste A, Sumter, SC 29150-2984 | 2018-03-28 |
| 1689080129 | Gregory Michael Haidemenos | Internal Medicine | 169 Ashley Ave # Msc322, Charleston, SC 29425-8908 | 2014-07-04 |
| 1558507848 | Shelly Christiansen Shand | Internal Medicine | 2085 Henry Tecklenburg Dr Fl 2, Charleston, SC 29414 | 2008-12-17 |
| 1598922650 | Xuezhong Yang | Internal Medicine | 317 Saint Francis Dr Ste 340, Greenville, SC 29601-3914 | 2008-05-16 |
| 1891817656 | Carolina Cancer Specialists | Internal Medicine | 225 S Herlong Ave, Suite 201, Rock Hill, SC 29732-2730 | 2007-04-04 |
| 1730200031 | Niyati Anand Nathwani | Internal Medicine | 902 W Meeting St, Lancaster, SC 29720-6219 | 2007-04-03 |
| 1770601734 | Ziad Georges Skaff | Internal Medicine | 8950 University Blvd Ste 100, North Charleston, SC 29406-9115 | 2007-03-27 |
| 1407947757 | Asutosh S Gor | Internal Medicine | 1583 Healthcare Drive, Rock Hill, SC 29732 | 2006-09-28 |
| 1821192949 | Sitki M Ergul | Internal Medicine | 111 Miracle Drive, Aiken, SC 29801 | 2006-09-11 |
| 1295742294 | Palmetto Hematology Oncology PC | Internal Medicine | 406 Tiffany Park, Suites A & B, Gaffney, SC 29341-1262 | 2006-08-02 |
| Find all providers with the same taxonomy | ||||
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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.