COASTAL CAROLINA INFECTIOUS DISEASE, LLC (NPI# 1265898191) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265898191 |
| Entity Type | Organization |
| Organization Name | COASTAL CAROLINA INFECTIOUS DISEASE, LLC |
| Practice Address |
1110 London St Ste 102 Myrtle Beach SC 29577 |
| Mailing Address |
1110 London St Ste 102 Myrtle Beach SC 29577-5799 |
| Practice Telephone | 8436682376 |
| Practice Fax Number | 8437480613 |
| Mailing Telephone | 8436682376 |
| Mailing Fax Number | 8437480613 |
| Enumeration Date | 2016-01-07 |
| Last Update Date | 2018-05-17 |
| Authorized Official Name | MARLENE THORNHILL (BILLING MANAGER) |
| Authorized Official Telephone | 8436682376 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
SC | Allopathic & Osteopathic Physicians |
| Street Address |
1110 LONDON ST STE 102 |
| City | MYRTLE BEACH |
| State | SC |
| Zip Code | 29577 |
| 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 |
| 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 |
| 1942632526 | Spencer Walker Josey | Counselor | 1304-a Azalea Cou, Myrtle Beach, SC 29577 | 2013-08-06 |
| Find all providers in zip 29577 | ||||
| Taxonomy Code | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| 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 |
|---|---|---|---|---|
| 1467790428 | Strand Infectious Disease, P.C. | Internal Medicine | 831 82nd Pkwy, Myrtle Beach, SC 29572-4607 | 2013-01-26 |
| 1043508708 | Eunice Luz Guzman | Internal Medicine | 4220 Carolina Exchange Dr, Myrtle Beach, SC 29579-4220 | 2011-07-15 |
| 1962602516 | James Nichols Powers | Internal Medicine | 831 82nd Pkwy, Myrtle Beach, SC 29572-4607 | 2007-07-23 |
| 1265474324 | Kevin W Shea | Internal Medicine | 920 Doug White Dr Ste 250, Myrtle Beach, SC 29572-4120 | 2006-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336627371 | Truesdale Medical Center LLC | Internal Medicine | 6296 Rivers Ave., Suite 310, N. Charleston, SC 29406 | 2018-08-01 |
| 1518377829 | Stella Ifeoma Okoye | Internal Medicine | 6439 Garners Ferry Rd Rm 5c129, Columbia, SC 29209-1638 | 2014-05-08 |
| 1912293085 | Gary L Lattimer | Internal Medicine | 17 Durban Pl, Hilton Head Island, SC 29926-2217 | 2011-06-27 |
| 1336435205 | William D Largen | Internal Medicine | 1520 Old Trolley Rd, Ste 101, Summerville, SC 29485-5292 | 2011-06-20 |
| 1700105376 | James Crawford Allen | Internal Medicine | 3237 Middle Dam Ct, Johns Island, SC 29455-6044 | 2010-05-21 |
| 1124356498 | Eric Brener | Internal Medicine | 724 Holly St, Columbia, SC 29205-1852 | 2009-11-25 |
| 1841499217 | Nitesh Upadhyay | Internal Medicine | 200 S Herlong Ave Ste E, Rock Hill, SC 29732-1182 | 2007-07-16 |
| 1912095738 | Jehad S Abdalla | Internal Medicine | 1511 Carolina Ave, Orangeburg, SC 29115-4940 | 2006-10-10 |
| 1538192190 | Anmed Health | Internal Medicine | 703 N Fant St, Anderson, SC 29621-5705 | 2006-07-08 |
| 1255397840 | Palmetto Infectious Disease Physicians | Internal Medicine | 2850 Jackson Dr, Orangeburg, SC 29118 | 2006-04-24 |
| Find all providers with the same taxonomy | ||||
| City | MYRTLE BEACH |
| Zip Code | 29577 |
Please comment or provide details below to improve the information on COASTAL CAROLINA INFECTIOUS DISEASE, LLC.
| 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.