DR. CARL EDWARD WEIMER JR.


Address: 1240 21st Avenue N, Suite 106, Myrtle Beach, SC 29577-7431
Phone: 8438391414

DR. CARL EDWARD WEIMER JR. (NPI# 1982641106) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1982641106
Entity Type Individual
Full Name DR. CARL EDWARD WEIMER JR.
Credential MD
Practice Address 1240 21st Avenue N
Suite 106
Myrtle Beach
SC 29577-7431
Mailing Address 1240 21st Avenue N.
Suite 106
Myrtle Beach
SC 29577-7431
Practice Telephone 8438391414
Practice Fax Number 8438391413
Mailing Telephone 8438391414
Mailing Fax Number 8438391413
Enumeration Date 2006-05-31
Last Update Date 2011-07-26
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207N00000X Dermatology 11497 SC Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
SC 114977 05

Office Location

Street Address 1240 21ST AVENUE N
SUITE 106
City MYRTLE BEACH
State SC
Zip Code 29577-7431

Providers in the same location

NPI Name Taxonomy Address Enumeration
1306072566 Weimer Skin Clinic, P.a. Dermatology 1240 21st Avenue N, Suite 106, Myrtle Beach, SC 29577-7431 2009-06-02

Providers in the same zip code

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 Information

Taxonomy Code 207N00000X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology

Taxonomy Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1962449181 Waccamaw Dermatology, LLC Dermatology 917 Medical Circle, Myrtle Beach, SC 29572 2006-05-31
1033160213 Grand Strand Dermatology Dermatology 3001 Newcastle Loop, Myrtle Beach, SC 29588-4502 2006-05-13
1306819990 Daniel B Ward Jr. Dermatology 8208 Devon Ct, Suite B, Myrtle Beach, SC 29572-4178 2006-02-13
1497759278 Luther Rawls Williams Jr. Dermatology 4573 Oleander Dr, Myrtle Beach, SC 29577-5755 2005-06-09
1245627439 Michael Xiong Dermatology 917 Medical Cir, Myrtle Beach, SC 29572-4116 2015-04-25
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
1215223326 Michael Robert Centilli Dermatology 5046 Highway 17 Byp S Ste 103, Myrtle Beach, SC 29588-4503 2011-06-27
1720309941 Mary Hollingsworth Bowdre Glover Dermatology 3001 Newcastle Loop, Myrtle Beach, SC 29588-4502 2010-06-22
1306072566 Weimer Skin Clinic, P.a. Dermatology 1240 21st Avenue N, Suite 106, Myrtle Beach, SC 29577-7431 2009-06-02
1437308814 Waccamaw Dermatology and Plastic Surgery Dermatology 917 Medical Circle, Myrtle Beach, SC 29572-4116 2008-09-10
Find all providers in MYRTLE BEACH

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City MYRTLE BEACH
Zip Code 29577

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Dataset Information

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.

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