OMAR JARAKI (NPI# 1225233497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225233497 |
| Entity Type | Individual |
| Full Name | OMAR JARAKI |
| Credential | MD |
| Practice Address |
4420 Oleander Dr Myrtle Beach SC 29577-5720 |
| Mailing Address |
Po Box 810 North Myrtle Beach SC 29597-0810 |
| Practice Telephone | 8436026262 |
| Mailing Telephone | 8436026262 |
| Mailing Fax Number | 8439460022 |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2008-04-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
22341 | SC | Allopathic & Osteopathic Physicians |
| N | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
22341 | SC | Allopathic & Osteopathic Physicians |
| N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
22341 | SC | Allopathic & Osteopathic Physicians |
| N | 207UN0901X |
Nuclear Medicine Specialization: Nuclear Cardiology |
22341 | SC | Allopathic & Osteopathic Physicians |
| N | 208U00000X | Clinical Pharmacology | 22341 | SC | Allopathic & Osteopathic Physicians |
| N | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
22341 | SC | Allopathic & Osteopathic Physicians |
| N | 207RS0012X |
Internal Medicine Specialization: Sleep Medicine |
22341 | SC | Allopathic & Osteopathic Physicians |
| Street Address |
4420 OLEANDER DR |
| City | MYRTLE BEACH |
| State | SC |
| Zip Code | 29577-5720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710935523 | Coastal Sleep Lab, Inc | Clinic/Center | 4420 Oleander Dr, Myrtle Beach, SC 29577-5720 | 2006-05-04 |
| 1437355666 | Institute of Electrophysiology | Independent Medical Examiner | 4420 Oleander Dr, Suite 102, Myrtle Beach, SC 29577-5720 | 2007-06-25 |
| 1609079201 | Institute of Electrophysiology | Clinic/Center | 4420 Oleander Dr, Suite 102, Myrtle Beach, SC 29577-5720 | 2007-06-09 |
| 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 | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1750544680 | Kay Goring | Internal Medicine | 2215 Brewster Dr, Myrtle Beach, SC 29577-1748 | 2008-07-10 |
| 1245752294 | Mcleod Physician Associates II | Internal Medicine | 907 Startek Dr, Myrtle Beach, SC 29579-4471 | 2017-07-12 |
| 1124481296 | Veritas Executive Healthcare | Internal Medicine | 5046 Highway 17 Byp S, Suite 100, Myrtle Beach, SC 29588-4503 | 2016-04-05 |
| 1124442611 | Veritas Healthcare Solutions, LLC | Internal Medicine | 5046 Highway 17 Byp S, Suite 100, Myrtle Beach, SC 29588-4503 | 2014-02-05 |
| 1891060802 | Barry H Hellman | Internal Medicine | 4600 Oleander Dr, Suite 2a, Myrtle Beach, SC 29577-5897 | 2012-03-09 |
| 1831414135 | Strand Physician Specialists, Pa | Internal Medicine | 809 82nd Parkway, Myrtle Beach, SC 29572 | 2010-03-30 |
| 1033290440 | Anthony James Bashall | Internal Medicine | 920 Doug White Dr Ste 510, Myrtle Beach, SC 29572-4183 | 2006-10-19 |
| 1497784185 | Vaishali M Swami | Internal Medicine | 945 82nd Pkwy, Myrtle Beach, SC 29572-4612 | 2006-07-03 |
| 1760471130 | William A. Jackson Jr. | Internal Medicine | 945 82nd Pkwy, Ste 3b, Myrtle Beach, SC 29572-4612 | 2005-10-19 |
| 1750379202 | Erol Lale | Internal Medicine | 207 Chartwell Ct, Myrtle Beach, SC 29588-9999 | 2005-10-10 |
| Find all providers in MYRTLE BEACH | ||||
| City | MYRTLE BEACH |
| Zip Code | 29577 |
Please comment or provide details below to improve the information on OMAR JARAKI.
| 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.