MICHAEL CRUSE (NPI# 1477943744) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477943744 |
| Entity Type | Individual |
| Full Name | MICHAEL CRUSE |
| Credential | N.P. |
| Practice Address |
920 Doug White Dr Ste 210 Myrtle Beach SC 29572-4120 |
| Practice Telephone | 8434976348 |
| Practice Fax Number | 8434976351 |
| Mailing Telephone | 8434976348 |
| Mailing Fax Number | 8434976351 |
| Enumeration Date | 2015-01-26 |
| Last Update Date | 2020-02-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
19759 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
APRN75848-AGPCNP | WV | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | NP3740 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316071848 | Michael Bradford Cruse | Dentist | 9601 Lile Dr, Suite 950, Little Rock, AR 72205-6321 | 2007-03-15 |
| 1760541023 | Michael D Cruse | Counselor | 6926 Ne Fourth Plain Blvd, Vancouver, WA 98661 | 2006-12-06 |
| Street Address |
920 DOUG WHITE DR STE 210 |
| City | MYRTLE BEACH |
| State | SC |
| Zip Code | 29572-4120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407826308 | Christoph R Kaufmann | Surgery | 920 Doug White Dr Ste 210, Myrtle Beach, SC 29572-4120 | 2006-01-24 |
| 1881235877 | Ashley Brooke Alley | Nurse Practitioner | 920 Doug White Dr Ste 210, Myrtle Beach, SC 29572-4120 | 2019-10-01 |
| 1588174635 | Jacqueline Susanne Crowell | Nurse Practitioner | 920 Doug White Dr Ste 210, Myrtle Beach, SC 29572-4120 | 2017-10-03 |
| 1851823744 | Katherine Ventura | Physician Assistant | 920 Doug White Dr Ste 210, Myrtle Beach, SC 29572-4120 | 2017-03-30 |
| 1013455302 | Alexander Petkovsek | Nurse Practitioner | 920 Doug White Dr Ste 210, Myrtle Beach, SC 29572-4120 | 2017-02-07 |
| 1184073843 | Daniel Brown | Physician Assistant | 920 Doug White Dr Ste 210, Myrtle Beach, SC 29572-4120 | 2016-06-03 |
| 1023482957 | La'asha Burgess | Physician Assistant | 920 Doug White Dr Ste 210, Myrtle Beach, SC 29572-4120 | 2015-11-16 |
| 1609122910 | Samuel Dean Baughman Jr. | Surgery | 920 Doug White Dr Ste 210, Myrtle Beach, SC 29572-4120 | 2012-07-24 |
| 1972862142 | Rachel Cobos | Surgery | 920 Doug White Dr Ste 210, Myrtle Beach, SC 29572-4120 | 2012-05-09 |
| 1023270287 | Allison Lundy Mccrae | Surgery | 920 Doug White Dr Ste 210, Myrtle Beach, SC 29572-4120 | 2008-06-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629684576 | Matthew David Zeuschner | Nurse Practitioner | 107 Woodwind Court, Myrtle Beach, SC 29572 | 2020-09-16 |
| 1578191789 | Julia Ruth Nelson | Student in an Organized Health Care Education/Training Program | Grand Strand Medical Center- Gme Office, 809 82nd Parkway, Myrtle Beach, SC 29572 | 2020-04-01 |
| 1407484835 | Justin Schevers | Student in an Organized Health Care Education/Training Program | 802 82nd Parkway, Myrtle Beach, SC 29572 | 2020-03-31 |
| 1922636919 | Darian Michael Quigg | Student in an Organized Health Care Education/Training Program | 809 82nd Street Parkway, Myrtle Beach, SC 29572 | 2020-03-27 |
| 1881221141 | Jonathan Alden Bryan | Student in an Organized Health Care Education/Training Program | Grand Strand Medical Center, 809 82nd Parkway, Myrtle Beach, SC 29572 | 2020-03-26 |
| 1215575238 | Polaris Skin Diagnostics, LLC | Dermatology | 8170 Rourk Street, Suite 100, Myrtle Beach, SC 29572 | 2019-12-20 |
| 1700348711 | Five Star Rehabilitation and Wellness Services, LLC. | Clinic/Center | 9547 N Kings Hwy, Myrtle Beach, SC 29572 | 2019-04-01 |
| 1154882975 | Michael Kouandjio | Student in an Organized Health Care Education/Training Program | Grand Strand Medical Center-gme Office, 809 82nd Parkway, Myrtle Beach, SC 29572 | 2019-03-26 |
| 1154880102 | Dylan Chase Morgan | Internal Medicine | Grand Strand Medical Center - Gme Office, 809 82nd Pkwy, Myrtle Beach, SC 29572 | 2019-03-19 |
| 1710446828 | David Redding Kingery Jr. | Student in an Organized Health Care Education/Training Program | Gme Office 809 82nd Parkway, Myrtle Beach, SC 29572 | 2019-03-18 |
| Find all providers in zip 29572 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952558215 | Angela Maria Brinegar | Nurse Practitioner | 8121 Rourk Street, Myrtle Beach, SC 29572-4128 | 2008-08-19 |
| 1417076175 | Ellen Ianelli | Nurse Practitioner | 7075 Swansong Cir, Myrtle Beach, SC 29579-4363 | 2007-03-27 |
| 1790139558 | Yolanda Lang | Nurse Practitioner | 5010 Carolina Forest Blvd, Myrtle Beach, SC 29579-3579 | 2016-04-19 |
| 1821460346 | Maria Floresca | Nurse Practitioner | 9820 N Kings Hwy, Myrtle Beach, SC 29572-4013 | 2015-10-23 |
| 1760813190 | Brandy Van Heyde | Nurse Practitioner | 3236 Holmestown Rd, Ste E1, Myrtle Beach, SC 29588-7495 | 2013-12-11 |
| 1952657843 | Jacqueline D Thomas | Nurse Practitioner | 3381 Phillis Blvd, Myrtle Beach, SC 29577-1560 | 2012-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841898038 | Latoya Gibson | Nurse Practitioner | 48 Centennial Way, Greenville, SC 29605-4662 | 2020-10-12 |
| 1003413469 | South Carolina Provider Services | Nurse Practitioner | 413 Wildflower Rd, Easley, SC 29642-8642 | 2020-10-07 |
| 1578173555 | Amy Kelly | Nurse Practitioner | 115 N Sumter St Ste 300, Sumter, SC 29150-4967 | 2020-08-05 |
| 1588293278 | Kimberly Dianne Billie Jackson | Nurse Practitioner | 940 Morningside Dr, Sumter, SC 29153-7724 | 2020-04-04 |
| 1427696475 | Porscha Rush | Nurse Practitioner | 1040 Frye Rd, Galivants Ferry, SC 29544-8018 | 2019-12-19 |
| 1306483011 | Julie Marie Sim | Nurse Practitioner | 35 Bill Fries Dr Bldg F, Hilton Head Island, SC 29926-2731 | 2019-12-02 |
| 1144780909 | Chantal Pilar Debreceny | Nurse Practitioner | 1167 Basketweave Drive, #204, Mount Pleasant, SC 29466 | 2019-03-20 |
| 1396225769 | Kristin Claude | Nurse Practitioner | 421 Se Main St Ste 100, Simpsonville, SC 29681-2697 | 2018-08-15 |
| 1376031732 | Migina Anica Timpson | Nurse Practitioner | 317 Saint Francis Dr Ste 220, Greenville, SC 29601-3976 | 2018-05-01 |
| 1932601903 | Jamie Andrews Odom | Nurse Practitioner | 2720 Sunset Blvd Ste 300, West Columbia, SC 29169-4810 | 2018-03-06 |
| Find all providers with the same taxonomy | ||||
| City | MYRTLE BEACH |
| Zip Code | 29572 |
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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.