BEACH MEDICAL SPECIALISTS PA (NPI# 1942219977) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942219977 |
| Entity Type | Organization |
| Organization Name | BEACH MEDICAL SPECIALISTS PA |
| Practice Address |
241 Singleton Ridge Road Suite A Beach Medical Specialists Pa Conway SC 29526 |
| Mailing Address |
241 Singleton Ridge Road Suite A Conway SC 29526 |
| Practice Telephone | 8433478887 |
| Practice Fax Number | 8433478889 |
| Mailing Telephone | 8433478887 |
| Mailing Fax Number | 8433478889 |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | RAJAN GUPTA (PRESIDENT) |
| Authorized Official Telephone | 8433478887 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
18480 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | GP1451 | 05 |
| Street Address |
241 SINGLETON RIDGE ROAD SUITE A BEACH MEDICAL SPECIALISTS PA |
| City | CONWAY |
| State | SC |
| Zip Code | 29526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457975237 | Terri L Champion | Massage Therapist | 172 Waccamaw Medical Park Court, Conway, SC 29526 | 2020-06-08 |
| 1689204398 | Alayna Defalco | Clinical Exercise Physiologist | 1320 501 Business, Unit E, Conway, SC 29526 | 2020-01-22 |
| 1124672662 | Proxsys Rx - Sc, LLC | Pharmacy | 300 Singelton Ridge Road, Conway, SC 29526 | 2019-08-01 |
| 1598227431 | Surgery Center of Conway Inc | Clinic/Center | 1405 Main Street, Conway, SC 29526 | 2019-04-01 |
| 1801374962 | Trevor James Hess | Specialist/Technologist | 905 One Landon Loop, Conway, SC 29526 | 2018-08-01 |
| 1851800817 | Katherine Ann Nimphius | Behavioral Analyst | 105 Timberline Dr, Conway, SC 29526 | 2017-09-21 |
| 1922544253 | William Houck | Specialist/Technologist | 925 One Landon Loop, Conway, SC 29526 | 2017-01-10 |
| 1952857278 | Courtney Jeanette Smith | Counselor | 164 Waccamaw Medical Park Dr., Conway, SC 29526 | 2016-08-28 |
| 1336502632 | Jebediah S. Christy, D.d.s - Conway, Pllc | Dentist | 2756 Church St, Conway, SC 29526 | 2016-04-04 |
| 1447615208 | Abl Enterprises, LLC | Optometrist | 113 Citadel Drive, Conway, SC 29526 | 2015-12-22 |
| Find all providers in zip 29526 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal 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 |
|---|---|---|---|---|
| 1376054155 | Conway Regional Medical Center, Inc | Internal Medicine | 2200 Ada Ave Ste 201, Conway, AR 72034-4984 | 2017-10-19 |
| 1114254588 | Karl H. Landberg, M.d., P.a. | Internal Medicine | 1375 Highway 64 W, Conway, AR 72032-2778 | 2009-11-05 |
| 1265493241 | Karl H Landberg | Internal Medicine | 1375 Hwy 64 West, Conway, AR 72032 | 2006-03-30 |
| 1992702336 | Kevin David Heath | Internal Medicine | 455 Hogan Ln, Conway, AR 72034-8201 | 2005-06-30 |
| 1144499468 | Samer C Charbel | Internal Medicine | 2376 Cypress Circle, Suite 203, Conway, SC 29526-8994 | 2008-02-21 |
| 1124152236 | Job Jacob Md Pllc | Internal Medicine | 965 Carson Cv Ste A, Conway, AR 72034 | 2007-03-14 |
| 1053472175 | Richard H. Eisenman | Internal Medicine | 2376 Cypress Circle, Suite 203, Conway, SC 29526-8994 | 2006-12-12 |
| 1790886463 | Conway Digestive Health Center, Inc. | Internal Medicine | 2200 Ada Ave, Suite 201, Conway, AR 72034-4985 | 2006-09-26 |
| 1518950823 | Frank Martin Moix Jr. | Internal Medicine | 2200 Ada Ave, Suite 201, Conway, AR 72034-4985 | 2005-08-23 |
| 1528065976 | Conway Gastroenterology, Pa | Internal Medicine | 455 Hogan Ln, Conway, AR 72034-8201 | 2005-06-30 |
| Find all providers in CONWAY | ||||
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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.