MELISSA ANN MIARA (NPI# 1801231634) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1801231634 |
Entity Type | Individual |
Full Name | MELISSA ANN MIARA |
Credential | D.O. |
Practice Address |
3617 Casey St Ste C Loris SC 29569 |
Mailing Address |
3617 Casey St Ste C Loris SC 29569-2981 |
Practice Telephone | 8437167911 |
Practice Fax Number | 8437167918 |
Mailing Telephone | 8437167911 |
Mailing Fax Number | 8437167918 |
Enumeration Date | 2013-05-07 |
Last Update Date | 2019-07-01 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207R00000X | Internal Medicine | 036140060 | IL | Allopathic & Osteopathic Physicians |
Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
82104 | SC | Allopathic & Osteopathic Physicians |
N | 208M00000X | Hospitalist | 036140060 | IL | Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
28050 Grand River Ave, Farmington Hills, MI 48336 | 2488882515 | |
5145 N California Ave, Chicago, IL 606253661 | 7739893833 | 7738783753 |
Street Address |
3617 CASEY ST STE C |
City | LORIS |
State | SC |
Zip Code | 29569 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427464247 | Denise Logan | Dietitian, Registered | 3811 Walnut St, Loris, SC 29569 | 2014-07-02 |
1356684161 | Gwyn Gordon Mcgutchen | Dentist | 3681 Spivey St., Loris, SC 29569 | 2013-03-29 |
1336486174 | Winferd Dale Holt | Dentist | 3980 Main Street, Loris, SC 29569 | 2013-01-14 |
1528314325 | Southern Living Emergency Physicians LLC | Physician Assistant | 6988 Mitchell Street, Loris, SC 29569 | 2012-07-30 |
1124347604 | Regina F. Holmes | Nurse Practitioner | Agape Senior Primary Care Inc Dba Main Street Physician, 3612 Mitchell Street, Loris, SC 29569 | 2010-05-24 |
1801914122 | Dr Gwyn Gordon Mccutchen Inc | Dentist | 3681 Spivey Street, Loris, SC 29569 | 2007-03-26 |
1700911203 | Twin States Helping Hands | Home Health | 1620 Hwy 701 N, Loris, SC 29569 | 2007-02-23 |
1306922646 | Loris Community Hospital District | Clinic/Center | 3204 Casey St, Loris, SC 29569 | 2006-10-30 |
1619074119 | South Carolina Cvs Pharmacy LLC | Pharmacy | 4767 Broad St, Loris, SC 29569 | 2006-09-20 |
1982642880 | Gary J Barrett Md Pa | Internal Medicine | 3109 Casey St, Loris, SC 29569 | 2006-06-03 |
Find all providers in zip 29569 |
Taxonomy Code | 207RP1001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Pulmonary Disease |
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
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 |
---|---|---|---|---|
1558638676 | Mcleod Physician Associates II | Internal Medicine | 3710 Mishoe Street, Med Share Bldg., Loris, SC 29569-2822 | 2011-11-17 |
1215235064 | Loris Community Hospital District | Internal Medicine | 3418 Casey St, Loris, SC 29569-2904 | 2011-03-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922630912 | Medasic | Internal Medicine | 300 John St Ste 4b, Greer, SC 29651-1463 | 2020-02-07 |
1043759137 | Rober Albertini Sr. | Internal Medicine | 45 Wood Duck Rd, Hilton Head, SC 29928-7105 | 2017-02-22 |
1861863185 | Midlands Pulmonary and Critical Care Specialists, PC | Internal Medicine | 1403 E Greenville St Ste C, Anderson, SC 29621-2049 | 2015-10-13 |
1871905166 | Minuteman Medicine LLC | Internal Medicine | 8036 Hyannis Ct, North Charleston, SC 29420-8967 | 2014-05-21 |
1114355344 | Clarendon Memorial Hospital | Internal Medicine | 619 S Mill St, Manning, SC 29102-2806 | 2013-10-25 |
1699010983 | Gary B Anderson | Internal Medicine | 1892 Brigadoone Ln, Florence, SC 29505-3235 | 2012-11-28 |
1164789251 | Southeast Lung & Critical Care Specialists, PC | Internal Medicine | 8 Okatie Center Blvd S, Suite 101, Bluffton, SC 29909-7532 | 2012-04-13 |
1518259977 | Hina Chaudhry | Internal Medicine | 2750 Laurel St Ste 200a, Columbia, SC 29204-2038 | 2011-05-04 |
1104159110 | Conway Hospital Inc | Internal Medicine | 2376 Cypress Cir, Ste 100, Conway, SC 29526-8964 | 2009-09-09 |
1528203205 | Kershawhealth | Internal Medicine | 1218 Roberts St, Camden, SC 29020-3736 | 2008-12-09 |
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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.