SEACOAST ENT & FACIAL PLASTIC SURGERY, PA (NPI# 1386698165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386698165 |
| Entity Type | Organization |
| Organization Name | SEACOAST ENT & FACIAL PLASTIC SURGERY, PA |
| Practice Address |
4000 Highway 9 E Suite 270 Little River SC 29566-7833 |
| Practice Telephone | 8433904200 |
| Mailing Telephone | 8433904200 |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. MICHAEL DAVID PETERS (PRESIDENT) |
| Authorized Official Telephone | 8433904200 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YS0123X |
Otolaryngology Specialization: Facial Plastic Surgery |
28577 | SC | Allopathic & Osteopathic Physicians |
| Street Address |
4000 HIGHWAY 9 E SUITE 270 |
| City | LITTLE RIVER |
| State | SC |
| Zip Code | 29566-7833 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316933989 | Sandra L Kozel-diamond | Optometrist | 4000 Highway 9 E, Suite 260, Little River, SC 29566-7833 | 2005-09-20 |
| 1376141317 | Ovsanna Gallo | Hospitalist | 4000 Highway 9 E, Little River, SC 29566-7833 | 2020-10-13 |
| 1528665684 | Esperanza Adriano Macalincag | Nurse Practitioner | 4000 Highway 9 E, Little River, SC 29566-7833 | 2020-10-02 |
| 1215561360 | Mcleod Occupational Health, LLC | Preventive Medicine | 4000 Highway 9 E, Little River, SC 29566-7833 | 2020-02-27 |
| 1417320383 | Horizon Emergency Physicians, LLC | Physician Assistant | 4000 Highway 9 E, Little River, SC 29566-7833 | 2015-11-02 |
| 1720451560 | Symposium Emergency Physicians, LLC | Physician Assistant | 4000 Highway 9 E, Little River, SC 29566-7833 | 2015-11-02 |
| 1649517327 | Sam W Marcos | Pharmacist | 4000 Highway 9 E, Little River, SC 29566-7833 | 2013-01-15 |
| 1265782551 | Brandi Leigh Nobles | Nurse Anesthetist, Certified Registered | 4000 Highway 9 E, Little River, SC 29566-7833 | 2012-09-13 |
| 1437408861 | South Carolina Em-1 Medical Services, PC | Physician Assistant | 4000 Highway 9 E, Little River, SC 29566-7833 | 2012-08-30 |
| 1255687059 | Williams Creek Emergency Physicians, LLC | Physician Assistant | 4000 Highway 9 E, Little River, SC 29566-7833 | 2012-07-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134736309 | Holly Leanne Poplin | Nurse Practitioner | 3600 Sea Mountain Hwy, Suite C, Main Street Physicians/sc House Calls Inc, Little River, SC 29566 | 2020-09-30 |
| 1619534112 | Mcleod Loris Seacoast Hospital | Pharmacy | 4000 Hwy 9 East, Outpatient Pharmacy, Little River, SC 29566 | 2019-05-21 |
| 1366960585 | Sasha Hayes | Dentist | 1247 Highway 17 S, Little River, SC 29566 | 2017-09-07 |
| 1639557531 | Mary Lucille Harding | Nurse Practitioner | 3600 Sea Mountain Hwy, Suite, Main Street Physicians, Little River, SC 29566 | 2015-05-12 |
| 1770900771 | Dottie Randall-cox | Registered Nurse | 107 Hwy 57-north, Little River, SC 29566 | 2014-03-27 |
| 1689091688 | Carolyn Howe | Registered Nurse | 107 Highway 57 North, Dhec, Little River, SC 29566 | 2014-03-27 |
| 1376977884 | Southern Surgical Group, LLC | Specialist | 3600 Sea Mountain Hwy Suite A, Little River, SC 29566 | 2013-09-03 |
| 1144570888 | Laura Gore | Pharmacist | 2492 Hwy 9 East, Little River, SC 29566 | 2012-09-10 |
| 1255611406 | Belliams Home Health Services | Home Health | 687c Williamson Rd, Longs, SC 29566 | 2011-08-19 |
| 1083878813 | Lacie E. Edmison | Internal Medicine | 3980 Highway 9 E Ste 320, Little River, SC 29566 | 2008-07-10 |
| Find all providers in zip 29566 | ||||
| Taxonomy Code | 207YS0123X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Facial Plastic Surgery |
| An otolaryngologist who specializes in facial plastic surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate was, but is no longer issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386989028 | Coastal Carolina Ent, Do, Pa | Otolaryngology | 110 Highway 17 S, Suite 112 - Sundial Center, North Myrtle Beach, SC 29582-3118 | 2012-12-06 |
| 1316917057 | Peter C Bondy | Otolaryngology | 808 Farrar Dr, Conway, SC 29526-8747 | 2006-01-25 |
| 1194144493 | Charleston Facial Plastic Surgery LLC | Otolaryngology | 67 Broad St, Suite 200, Charleston, SC 29401-2936 | 2014-04-15 |
| 1043471394 | Stephen J. Kroll, M.d. Pa | Otolaryngology | 338 Harbison Blvd, Columbia, SC 29212-2248 | 2008-06-19 |
| 1063687325 | David Watson Rodwell IIi | Otolaryngology | 67 Broad St, Suite 200, Charleston, SC 29401-2936 | 2008-04-28 |
| 1487857272 | Patrick Constantine Angelos | Otolaryngology | 2295 Henry Tecklenburg Dr, Charleston, SC 29414-7801 | 2007-06-07 |
| 1629299375 | Drew V Collins | Otolaryngology | 105 Carter Park Dr, Suite B, Seneca, SC 29678-1152 | 2007-05-01 |
| 1518181148 | Daniel Frederick Boxwell | Otolaryngology | 105 Carter Park Dr, Suite B, Seneca, SC 29678-1152 | 2007-04-13 |
| 1679594261 | Carolina Facial Plastic Surgery Pa | Otolaryngology | 1714 Gregg Ave, Florence, SC 29501-4120 | 2006-07-21 |
| City | LITTLE RIVER |
| Zip Code | 29566 |
Please comment or provide details below to improve the information on SEACOAST ENT & FACIAL PLASTIC SURGERY, PA.
| 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.