REGENERATIVE SOLUTIONS LLC (NPI# 1447801030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447801030 |
| Entity Type | Organization |
| Organization Name | REGENERATIVE SOLUTIONS LLC |
| Practice Address |
4016 River Oaks Dr Ste 4 Myrtle Beach SC 29579-6673 |
| Mailing Address |
Po Box 70026 Myrtle Beach SC 29572-0019 |
| Practice Telephone | 8432865248 |
| Mailing Telephone | 8432865248 |
| Enumeration Date | 2019-09-25 |
| Last Update Date | 2019-09-25 |
| Authorized Official Name | DR. JACK DWYER SCOTT (OWNER) |
| Authorized Official Telephone | 8432865248 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Regenerative Solutions LLC | P.o. Box 3022, Lihue, HI 96766 |
| Oregon Corporations, Companies and Business Names | REGENERATIVE SOLUTIONS LLC | 2730 N Winchell St, Portland, OR 97217 |
| Street Address |
4016 RIVER OAKS DR STE 4 |
| City | MYRTLE BEACH |
| State | SC |
| Zip Code | 29579-6673 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598323198 | P & E Company | Counselor | 4105 Carolina Commercial Dr. Unit #2, Myrtle Beach, SC 29579 | 2019-05-30 |
| 1528624632 | Matthew Meehan | Nurse Practitioner | 4016 River Oaks Dr # 6511, Myrtle Beach, SC 29579 | 2019-05-14 |
| 1427518265 | Brian Donovan Doherty | Student in an Organized Health Care Education/Training Program | Grand Strand Medical Center 809 82nd Parkway, Gme Office, Myrtle Beach, SC 29579 | 2019-03-20 |
| 1508347931 | South Carolina Cvs Pharmacy LLC | Pharmacy | 578 International Dr, Myrtle Beach, SC 29579 | 2018-08-23 |
| 1497256176 | Orthosc LLC | Orthopaedic Surgery | 185 Fresh Dr Ste B, Myrtle Beach, SC 29579 | 2018-02-27 |
| 1740708981 | Dental Professional of South Carolina, P.C. | Dentist | 568 International Dr, Myrtle Beach, SC 29579 | 2017-09-08 |
| 1093232480 | Johnathan T Steppe | Dentist | 568 International Drive, Myrtle Beach, SC 29579 | 2017-08-25 |
| 1346638483 | Little River Medical Center, Inc | Clinic/Center | 4220 Carolina Exchange Blvd, Myrtle Beach, SC 29579 | 2014-12-23 |
| 1154726818 | Mina Gaid | Pharmacist | 1303 38th Avenue North, Myrtle Beach, SC 29579 | 2014-10-23 |
| 1528471364 | Paola Goyeneche | Counselor | 5015 Carolina Forest Blvd, Myrtle Beach, SC 29579 | 2014-06-10 |
| Find all providers in zip 29579 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508466145 | Ashley Anne Smith | Nurse Practitioner | 581 Hinson Dr Apt 834, Myrtle Beach, SC 29579-4460 | 2020-10-30 |
| 1548811342 | Rachel Dorr | Nurse Practitioner | 185 Fresh Dr Ste A, Myrtle Beach, SC 29579-4436 | 2019-09-23 |
| 1700446234 | Svetlana Claire Brusyanina | Nurse Practitioner | 117 Breakers Dr Unit 233, Myrtle Beach, SC 29579-4428 | 2019-06-17 |
| 1699943399 | Terry Lynn Pratt | Nurse Practitioner | 3127 Mr Joe White Ave, Myrtle Beach, SC 29577-6712 | 2008-02-15 |
| 1871592162 | Sandra Schultz-peters | Nurse Practitioner | 1221 21st Ave N, Myrtle Beach, SC 29577 | 2005-07-19 |
| 1124657556 | Ryan Wilson | Nurse Practitioner | 2761 Agnes Ln, Myrtle Beach, SC 29577-2029 | 2020-04-07 |
| 1750922233 | Vicki Grigg Chacon | Nurse Practitioner | 1201 48th Ave N, Myrtle Beach, SC 29577-5452 | 2019-10-04 |
| 1417598186 | Caitlin Mccormick | Nurse Practitioner | 4610 Oleander Dr, Myrtle Beach, SC 29577-5752 | 2019-10-03 |
| 1881235877 | Ashley Brooke Alley | Nurse Practitioner | 920 Doug White Dr Ste 210, Myrtle Beach, SC 29572-4120 | 2019-10-01 |
| 1700433778 | Lindsey Amanda Rogers | Nurse Practitioner | 823 82nd Pkwy, Myrtle Beach, SC 29572-4607 | 2019-08-23 |
| Find all providers in MYRTLE BEACH | ||||
| City | MYRTLE BEACH |
| Zip Code | 29579 |
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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.