GRAND STRAND SURGICAL SPECIALISTS, LLC (NPI# 1841465804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841465804 |
| Entity Type | Organization |
| Organization Name | GRAND STRAND SURGICAL SPECIALISTS, LLC |
| Practice Address |
849 82nd Pkwy Myrtle Beach SC 29572-4614 |
| Mailing Address |
2000 Health Park Dr Brentwood TN 37027-4525 |
| Practice Telephone | 8434976348 |
| Practice Fax Number | 8434976351 |
| Mailing Telephone | 6153725426 |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2020-01-29 |
| Authorized Official Name | MR. ALI FAILE (VP HCA PHYSICIAN SERVICES) |
| Authorized Official Telephone | 8434976348 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians | ||
| N | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
Allopathic & Osteopathic Physicians | ||
| N | 2086S0120X |
Surgery Specialization: Pediatric Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 2086S0127X |
Surgery Specialization: Trauma Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
Allopathic & Osteopathic Physicians | ||
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| Street Address |
849 82ND PKWY |
| City | MYRTLE BEACH |
| State | SC |
| Zip Code | 29572-4614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649245358 | John M Davis | Specialist | 849 82nd Pkwy, Myrtle Beach, SC 29572-4614 | 2006-02-17 |
| 1376019786 | Marissa Catherine Niemeyer | Physician Assistant | 849 82nd Pkwy, Myrtle Beach, SC 29572-4614 | 2018-10-23 |
| 1023565280 | Kelly Hahn | Nurse Practitioner | 849 82nd Pkwy, Myrtle Beach, SC 29572-4614 | 2016-09-06 |
| 1063968055 | Jessica Roberson Strickland | Orthopaedic Surgery | 849 82nd Pkwy, Myrtle Beach, SC 29572-4614 | 2016-08-30 |
| 1255777603 | Tara-marie Dinitto | Surgery | 849 82nd Pkwy, Myrtle Beach, SC 29572-4614 | 2013-05-13 |
| 1164704201 | Andrea E Romano | Surgery | 849 82nd Pkwy, Myrtle Beach, SC 29572-4614 | 2011-09-14 |
| 1750594693 | Carlos A. Fernandez Acosta | Surgery | 849 82nd Pkwy, Myrtle Beach, SC 29572-4614 | 2007-05-07 |
| 1396877338 | John Francis Dalessandro IIi | Physician Assistant | 849 82nd Pkwy, Myrtle Beach, SC 29572-4614 | 2007-03-12 |
| 1891715850 | Erin L Finley | Physician Assistant | 849 82nd Pkwy, Myrtle Beach, SC 29572-4614 | 2006-07-20 |
| 1932168986 | Eugene M. Giddens | Neurological Surgery | 849 82nd Pkwy, Myrtle Beach, SC 29572-4614 | 2006-03-20 |
| 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 | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356984322 | Katelyn Tuley | Surgery | 210 Village Center Blvd Ste 140, Myrtle Beach, SC 29579-6706 | 2019-10-23 |
| 1174780605 | Valentino Piacentino IIi | Surgery | 199 Village Center Blvd Ste 100, Myrtle Beach, SC 29579 | 2008-05-21 |
| 1528121795 | Hania B. Bednarski | Surgery | 920 Doug White Dr Ste 430, Myrtle Beach, SC 29572-4182 | 2006-12-19 |
| 1407826308 | Christoph R Kaufmann | Surgery | 920 Doug White Dr Ste 210, Myrtle Beach, SC 29572-4120 | 2006-01-24 |
| 1023094935 | Steven A Matzinger | Surgery | 849 82nd Parkway, Myrtle Beach, SC 29572 | 2005-12-22 |
| 1205810041 | Mark Richard Borowicz | Surgery | 845 82nd Pkwy, Myrtle Beach, SC 29572-4614 | 2005-12-05 |
| 1053960088 | Rourke Douglas Decker | Surgery | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 | 2019-09-11 |
| 1962961813 | Benjamin Allen Howie | Surgery | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 | 2019-03-19 |
| 1578943833 | David Little Carter | Surgery | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 | 2015-06-02 |
| 1285011767 | Neal Thomas Cooper | Surgery | 809 82nd Parkway, Myrtle Beach, SC 29572 | 2015-05-04 |
| Find all providers in MYRTLE BEACH | ||||
| 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.