GRAND STRAND SENIOR HEALTH CENTER, LLC (NPI# 1649269085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649269085 |
| Entity Type | Organization |
| Organization Name | GRAND STRAND SENIOR HEALTH CENTER, LLC |
| Practice Address |
5046 Highway 17 Byp S Suite 100 Myrtle Beach SC 29588-4503 |
| Practice Telephone | 8438396192 |
| Practice Fax Number | 8438396164 |
| Mailing Telephone | 8438396192 |
| Mailing Fax Number | 8438396164 |
| Enumeration Date | 2005-10-18 |
| Last Update Date | 2008-01-23 |
| Authorized Official Name | MR. PATRICK BIRMINGHAM (DIRECTOR) |
| Authorized Official Telephone | 6153737625 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | GP3814 | 05 |
| Street Address |
5046 HIGHWAY 17 BYP S SUITE 100 |
| City | MYRTLE BEACH |
| State | SC |
| Zip Code | 29588-4503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124481296 | Veritas Executive Healthcare | Internal Medicine | 5046 Highway 17 Byp S, Suite 100, Myrtle Beach, SC 29588-4503 | 2016-04-05 |
| 1720449036 | All About Therapy, LLC | Physical Therapist | 5046 Highway 17 Byp S, Suite 205, Myrtle Beach, SC 29588-4503 | 2016-03-14 |
| 1700290129 | Cassie Mcdonald Barkley | Specialist/Technologist | 5046 Highway 17 Byp S, Suite 202 and 203, Myrtle Beach, SC 29588-4503 | 2014-06-13 |
| 1659797306 | Taylor J Rowe | Physical Therapist | 5046 Highway 17 Byp S, Unit 201, Myrtle Beach, SC 29588-4503 | 2014-03-05 |
| 1114341278 | Strand Endocrinology,llc | Internal Medicine | 5046 Highway 17 Byp S, Suite 104, Myrtle Beach, SC 29588-4503 | 2014-02-10 |
| 1124442611 | Veritas Healthcare Solutions, LLC | Internal Medicine | 5046 Highway 17 Byp S, Suite 100, Myrtle Beach, SC 29588-4503 | 2014-02-05 |
| 1073946315 | Dermatology and Skin Cancer Center of South Carolina PC | Dermatology | 5046 Highway 17 Byp S, Suite 103, Myrtle Beach, SC 29588-4503 | 2013-08-09 |
| 1578908950 | Amanda Beth Belesky | Physician Assistant | 5046 Highway 17 Byp S, Suite 100, Myrtle Beach, SC 29588-4503 | 2013-04-30 |
| 1912191818 | Javaid H Wani | Internal Medicine | 5046 Highway 17 Byp S, Suite 104, Myrtle Beach, SC 29588-4503 | 2007-09-04 |
| 1114131356 | Mary B Kelly | Nurse Practitioner | 5046 Highway 17 Byp S, Suite 202 and Suite 203, Myrtle Beach, SC 29588-4503 | 2007-05-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740819309 | Forrest Halsey Westley | Pharmacist | 3072 Dick Pond Rd. Suite 2, Myrtle Beach, SC 29588 | 2020-04-06 |
| 1588124176 | The Counseling Center of Sayebrook | Counselor | 106 Lansford Court Suite 202, Myrtle Beach, SC 29588 | 2019-03-21 |
| 1134631443 | Solid Foundations, LLC | Clinic/Center | 4325 Dick Pond Road, Suite E, Myrtle Beach, SC 29588 | 2017-10-26 |
| 1316496037 | Grand Strand Rehab and Nursing Center, LLC | Skilled Nursing Facility | 4452 Socastee Boulevard, Myrtle Beach, SC 29588 | 2016-09-22 |
| 1386092039 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 1370 South Commons Drive, Suite 102, Myrtle Beach, SC 29588 | 2016-06-02 |
| 1114314531 | Allison Smith | Physical Therapy Assistant | 4870 Socastee Blvd, Myrtle Beach, SC 29588 | 2015-04-23 |
| 1760806160 | Myrtle Beach Physical Medicine & Rehab, LLC | Family Medicine | 4736 17 Bypass South, Myrtle Beach, SC 29588 | 2014-02-06 |
| 1801228499 | Robin Ruth Gause | Lactation Consultant, Non-RN | 510 Fairwood Lakes Ave, 14-c, Myrtle Beach, SC 29588 | 2013-08-06 |
| 1124386438 | Horace Earl Ferguson Jr. | Technician/Technologist | 4535 Dick Pond Road, A, Myrtle Beach, SC 29588 | 2012-04-25 |
| 1831463652 | Medeyecare, LLC | Technician/Technologist | 4335 Socastee Blvd, Unit A, Myrtle Beach, SC 29588 | 2012-02-24 |
| Find all providers in zip 29588 | ||||
| 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 | 29588 |
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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.