PHYSICIANS AT HOME PC (NPI# 1487073193) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487073193 |
| Entity Type | Organization |
| Organization Name | PHYSICIANS AT HOME PC |
| Practice Address |
9021 Bella Verde Ct Myrtle Beach SC 29579-5110 |
| Mailing Address |
Po Box 70157 Myrtle Beach SC 29572-0021 |
| Practice Telephone | 4135637534 |
| Mailing Telephone | 4135637534 |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2016-08-10 |
| Authorized Official Name | KENNETH SANTIAGO (DIRECTOR) |
| Authorized Official Telephone | 4135637534 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | SC | Allopathic & Osteopathic Physicians |
| Street Address |
9021 BELLA VERDE CT |
| City | MYRTLE BEACH |
| State | SC |
| Zip Code | 29579-5110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457538316 | Solomon Jan | Internal Medicine | 9021 Bella Verde Ct, Myrtle Beach, SC 29579-5110 | 2008-01-23 |
| 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 | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1154880102 | Dylan Chase Morgan | Internal Medicine | Grand Strand Medical Center - Gme Office, 809 82nd Pkwy, Myrtle Beach, SC 29572 | 2019-03-19 |
| 1508398074 | Jacob Vincent Hess | Internal Medicine | Grand Strand Medical Center, 809 82nd Pkwy, Gme Office, Myrtle Beach, SC 29572 | 2017-04-03 |
| 1063751709 | Jga Medical Ventures, P.C. | Internal Medicine | 4798 Woodview Ln, Myrtle Beach, SC 29575-4523 | 2013-01-31 |
| 1083967210 | Drew Medical Group, LLC | Internal Medicine | 2209 Wentworth Dr, Myrtle Beach, SC 29575-5827 | 2012-10-25 |
| 1427353085 | Wellness One, LLC | Internal Medicine | 4736a Hwy 17 Byp S, Myrtle Beach, SC 29588-5616 | 2011-01-12 |
| 1376856310 | Janet Loretta Timmerman | Internal Medicine | 197 Cabana Road, Myrtle Beach, SC 29572 | 2010-07-20 |
| 1457538316 | Solomon Jan | Internal Medicine | 9021 Bella Verde Ct, Myrtle Beach, SC 29579-5110 | 2008-01-23 |
| 1871798348 | Southeast Medical Associates LLC | Internal Medicine | 1301 48th Ave N Ste B, Myrtle Beach, SC 29577-5427 | 2007-06-15 |
| 1548475783 | Natalia Thomas | Internal Medicine | 1111 48th Ave N, Suite 115, Myrtle Beach, SC 29577 | 2007-05-11 |
| 1932247657 | Anthony C Geraci | Internal Medicine | 45 Birch Ln, Suite 500, Myrtle Beach, SC 29572-5602 | 2007-02-02 |
| 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.