SUN PM&R LLC (NPI# 1689208399) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689208399 |
| Entity Type | Organization |
| Organization Name | SUN PM&R LLC |
| Practice Address |
4810 N Kings Hwy Myrtle Beach SC 29577-2558 |
| Mailing Address |
1525 Genoa Ct Myrtle Beach SC 29579-5249 |
| Practice Telephone | 7322415585 |
| Practice Fax Number | 7326625226 |
| Mailing Telephone | 9089023474 |
| Mailing Fax Number | 7326625226 |
| Enumeration Date | 2020-03-03 |
| Last Update Date | 2020-03-03 |
| Authorized Official Name | JIDONG SUN (SOLE PROPRIETER) |
| Authorized Official Telephone | 7322415585 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities |
| Street Address |
4810 N KINGS HWY |
| City | MYRTLE BEACH |
| State | SC |
| Zip Code | 29577-2558 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043202211 | Karen Elia | Massage Therapist | 4810 N Kings Hwy, Myrtle Beach, SC 29577-2504 | 2005-08-15 |
| 1275003196 | Ricardo E Nelson | Massage Therapist | 4810 N Kings Hwy, Myrtle Beach, SC 29577-2558 | 2018-12-04 |
| 1215426457 | Monica L Hilton | Acupuncturist | 4810 N Kings Hwy, Myrtle Beach, SC 29577-2558 | 2018-05-03 |
| 1962881268 | 360 Health Care | Clinic/Center | 4810 N Kings Hwy, Myrtle Beach, SC 29577-2558 | 2015-05-20 |
| 1619228467 | Angie Hahn | Massage Therapist | 4810 N Kings Hwy, Myrtle Beach, SC 29577-2558 | 2012-09-19 |
| 1639400591 | Brian L Brown | Chiropractor | 4810 N Kings Hwy, Myrtle Beach, SC 29577-2558 | 2010-01-15 |
| 1609808609 | Alternative Health Clinic | Acupuncturist | 4810 N Kings Hwy, Myrtle Beach, SC 29577-2504 | 2006-07-07 |
| 1518912286 | Jin Li Dong | Chiropractor | 4810 N Kings Hwy, Myrtle Beach, SC 29577-2504 | 2006-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124536446 | Well Care Home Health of The Lowcountry | Home Health | 1039 44th Ave N Ste 101, Myrtle Beach, SC 29577 | 2018-01-22 |
| 1518470913 | Guillot Enterprises, LLC | Hearing Instrument Specialist | 1294 Professional Dr., Suite C, Myrtle, SC 29577 | 2017-11-08 |
| 1598288227 | Ryan Shepherd | Pharmacist | 1705 South Kings Highway, Myrtle Beach, SC 29577 | 2017-07-25 |
| 1184176554 | Shannon Long | Counselor | 1293 Professional Drive, Suite D Office 222, Myrtle Beach, SC 29577 | 2016-11-01 |
| 1265898191 | Coastal Carolina Infectious Disease, LLC | Internal Medicine | 1110 London St Ste 102, Myrtle Beach, SC 29577 | 2016-01-07 |
| 1548639933 | Susan Lang | Social Worker | 1273 Professional Dr., Suite A #104, Myrtle Beach, SC 29577 | 2015-09-16 |
| 1043600893 | Kenneth Edward Smith | Counselor | 1125 48th Avenue North, Myrtle Beach, SC 29577 | 2015-02-02 |
| 1902203615 | Sc Nursing Services LLC | Home Infusion | 1297 Professional Drive, Suite 201 C3, Myrtle Beach, SC 29577 | 2014-11-24 |
| 1881007946 | Intercoastal Endo, PC | Dentist | 4382 Oleander Dr, Myrtle Beach, SC 29577 | 2014-06-06 |
| 1891115739 | Julie Hite | Pharmacist | 540 Seaboard Street, Myrtle Beach, SC 29577 | 2014-04-18 |
| Find all providers in zip 29577 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851356331 | Strand Lung Center | Clinic/Center | Suite C 1304 48th Ave, Myrtle Beach, SC 29577-5427 | 2006-04-19 |
| 1770605479 | Grand Strand Regional Medical Center, LLC | Clinic/Center | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 | 2007-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245843804 | Holistic Healthcare | Clinic/Center | 1024 Cane Branch Rd, Walterboro, SC 29488-0802 | 2020-08-24 |
| 1043846595 | Vip Cosmetic Surgery, Pa | Clinic/Center | 10 William Pope Dr Ste 4, Bluffton, SC 29909-7550 | 2020-03-17 |
| 1720638026 | Veinart Diagnostics and Aesthetics | Clinic/Center | 531 Pine Trl, Williamston, SC 29697-9263 | 2019-09-18 |
| 1780164541 | Suval Psychiatric Services, Pa | Clinic/Center | 33 Market Point Dr Ste 2023, Greenville, SC 29607 | 2018-08-20 |
| 1477881126 | Baptist Easley Hospital | Clinic/Center | 1807a East Main St., Easley, SC 29640-0000 | 2009-11-18 |
| 1265674253 | Plastic Surgery Center of The Carolinas | Clinic/Center | 391 Serpentine Dr Ste 300, Spartanburg, SC 29303-3080 | 2009-04-06 |
| 1770723512 | May River Dermatology | Clinic/Center | 350 Fording Island Rd, Suite 100, Bluffton, SC 29910-5168 | 2009-03-05 |
| 1215183215 | The Head and Neck Center: for Otolaryngology, Facial Plastic and Recon | Clinic/Center | 2 Leas Courtyard Dr, Seneca, SC 29672-6660 | 2008-08-11 |
| 1447468111 | George Richmond Mushet | Clinic/Center | 117 Pine Needle Rd, Aiken, SC 29803-2631 | 2007-05-18 |
| 1730225178 | Caroline R. Price Md Pa | Clinic/Center | 10 Enterprise Blvd Ste 107, Greenville, SC 29615-3534 | 2007-01-30 |
| Find all providers with the same taxonomy | ||||
| City | MYRTLE BEACH |
| Zip Code | 29577 |
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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.