JAVAID H WANI (NPI# 1912191818) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912191818 |
| Entity Type | Individual |
| Full Name | JAVAID H WANI |
| Credential | MD |
| Practice Address |
5046 Highway 17 Byp S Suite 104 Myrtle Beach SC 29588-4503 |
| Practice Telephone | 8432939955 |
| Practice Fax Number | 8432939977 |
| Mailing Telephone | 8432939955 |
| Mailing Fax Number | 8432939977 |
| Enumeration Date | 2007-09-04 |
| Last Update Date | 2014-07-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | MD.201571 | LA | Allopathic & Osteopathic Physicians |
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
32116 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1002682 | 05 | |
| SC | 321164 | 05 |
| Street Address |
5046 HIGHWAY 17 BYP S SUITE 104 |
| City | MYRTLE BEACH |
| State | SC |
| Zip Code | 29588-4503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649269085 | Grand Strand Senior Health Center, LLC | Internal Medicine | 5046 Highway 17 Byp S, Suite 100, Myrtle Beach, SC 29588-4503 | 2005-10-18 |
| 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 |
| 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 | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| 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 |
|---|---|---|---|---|
| 1083872030 | Myrtle Beach Endocrinology | Internal Medicine | 1039 44th Avenue North, Suite 204, Myrtle Beach, SC 29577 | 2008-05-27 |
| 1477163988 | Georgetown Physician Associates, LLC | Internal Medicine | 2200 Crow Ln Ste 301, Myrtle Beach, SC 29577-1663 | 2020-08-10 |
| 1114341278 | Strand Endocrinology,llc | Internal Medicine | 5046 Highway 17 Byp S, Suite 104, Myrtle Beach, SC 29588-4503 | 2014-02-10 |
| 1952307100 | Paul David Bunn | Internal Medicine | 1039 44th Avenue North, Suite 204, Myrtle Beach, SC 29577 | 2005-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053800821 | I Med Carolinas LLC | Internal Medicine | 105 Stone Village Dr, Fort Mill, SC 29708-6489 | 2018-05-07 |
| 1467992768 | Endocrinology and Diabetes of The Carolinas LLC | Internal Medicine | 901 West Meeting Street, Suite 205, Lancaster, SC 29720 | 2017-03-06 |
| 1700241379 | William Wilson Quick | Internal Medicine | 5402 Overland Trl, Retired From Medical Practice, North Charleston, SC 29420-9024 | 2015-12-23 |
| 1205214202 | St Francis Physician Services Inc | Internal Medicine | 2 Innovation Dr Ste 300b, Greenville, SC 29607-5268 | 2015-05-11 |
| 1639584683 | Mc Anto Antony | Internal Medicine | 2000 E Greenville St Ste 3100, Anderson, SC 29621 | 2014-06-29 |
| 1619226842 | Carolina Hormone and Health Center of Charleston | Internal Medicine | 300 W Coleman Blvd Ste 101, Mount Pleasant, SC 29464-5604 | 2012-09-04 |
| 1902118268 | St. Francis Physician Services | Internal Medicine | 2 Innovation Dr Ste 300-b, Greenville, SC 29607-5261 | 2010-07-02 |
| 1750619144 | James Bernard Field | Internal Medicine | 50 Stoney Creek Road, Hilton Head, SC 29928-2909 | 2009-11-24 |
| 1497906432 | Marion E Betancourt Albrecht | Internal Medicine | 901 West Meeting St Suite 205, Lancaster, SC 29720-6209 | 2008-10-08 |
| 1821257676 | Coastal Carolina Primary Care, LLC | Internal Medicine | 9221 University Blvd Ste 102, North Charleston, SC 29406-9148 | 2008-06-06 |
| Find all providers with the same taxonomy | ||||
| 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.