Michael Rosenblum
GRAND STRAND SURGICAL SPECIALISTS LLC


Address: 199 Village Ctr Blvd, Suite 100, Myrtle Beach, SC 29579-3589
Phone: 8434976348

Michael Rosenblum (NPI# 1700084431, PAC ID# 7416143565) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).

Physician Overview

Nation Provider ID (NPI) 1700084431
PAC ID by PECOS 7416143565
Professional Enrollment ID I20101201000459
Full Name Michael Rosenblum
Organization Legal Name GRAND STRAND SURGICAL SPECIALISTS LLC
Address 199 Village Ctr Blvd
Suite 100
Myrtle Beach
SC 29579-3589
Phone Number 8434976348
Gender M
Medical School MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduation Year 2004
Primary Specialty CARDIOVASCULAR DISEASE (CARDIOLOGY)
Secondary Specialties CRITICAL CARE (INTENSIVISTS), INTERNAL MEDICINE
Group Practice PAC ID 4082770656
Number of Group Practice Members 41
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
420085 GRAND STRAND REGIONAL MEDICAL CENTER
420049 CONWAY MEDICAL CENTER
420098 TIDELANDS WACCAMAW COMMUNITY HOSPITAL

Other Locations

Address Phone Organization
199 Village Ctr Blvd, Suite 100, Myrtle Beach, SC 29579-3589 8434976348 GRAND STRAND SURGICAL SPECIALISTS LLC

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %
MIPS_EC_047_overall Care Plan 31%

Organization Information

Organization Legal Name GRAND STRAND SURGICAL SPECIALISTS LLC
Physicians 41

Physicians with the same organization

Name Specialty Organization Address
Alexander James Petkovsek Nurse Practitioner Grand Strand Surgical Specialists LLC 849 82nd Pkwy, Myrtle Beach, SC 29572-4614
Tamiko M Jackson Nurse Practitioner Grand Strand Surgical Specialists LLC 8210 Devon Ct, Myrtle Beach, SC 29572-4178
Jeffrey T Weeden Physician Assistant Grand Strand Surgical Specialists LLC 920 Doug White Dr, Myrtle Beach, SC 29572-4120
Morgan O Phillips Physician Assistant Grand Strand Surgical Specialists LLC 933 Medical Cir, Myrtle Beach, SC 29572-4116
Stephen Alan Silbiger Internal Medicine Grand Strand Surgical Specialists LLC 4630 Hwy 17, Murrells Inlet, SC 29576-5016
Steven A Matzinger General Surgery Grand Strand Surgical Specialists LLC 809 82nd Pkwy, Myrtle Beach, SC 29572-4607
Allison Lundy Mccrae General Surgery Grand Strand Surgical Specialists LLC 849 82nd Pkwy, Myrtle Beach, SC 29572-4614
Katy Flinn Johnson Physician Assistant Grand Strand Surgical Specialists LLC 933 Medical Cir, Myrtle Beach, SC 29572-4116
Ernest W Stokes Iii Physician Assistant Grand Strand Surgical Specialists LLC 809 82nd Pkwy, Myrtle Beach, SC 29572-4607
Nicole Kane Garrett Physician Assistant Grand Strand Surgical Specialists LLC 8210 Devon Ct, Myrtle Beach, SC 29572-4178

Office Location

Street Address 199 VILLAGE CTR BLVD
SUITE 100
City MYRTLE BEACH
State SC
Zip 29579-3589

Physicians in the same location

Name Specialty Organization Address
Renee J Flanegan Nurse Practitioner Atlantic Urology Clinics LLC 199 Village Ctr Blvd, Suite 100, Myrtle Beach, SC 29579-3589
Brian James Fortman Diagnostic Radiology Carolina Radiology Associates LLC 199 Village Ctr Blvd, Suite 110, Myrtle Beach, SC 29579-3589

Physicians in the same zip code

Name Specialty Organization Address
Samantha A Crisafulli Physical Therapy Prs 7, LLC 2140 Oakheart Rd, Myrtle Beach, SC 29579-1253
Stephanie A Ferguson Nurse Practitioner Carolina Forest Family Medicine 4022 Postal Way, Myrtle Beach, SC 29579-3185
Lindsey T Budhoo Nurse Practitioner Carolina Forest Family Medicine 4022 Postal Way, Myrtle Beach, SC 29579-3185
Neal Warren Lange Jr. Chiropractic 4012 Postal Way, Suite A, Myrtle Beach, SC 29579-3298
Richard Nelson Eaton Family Medicine Doctors Care, Pa 200 Middleburg Dr, Myrtle Beach, SC 29579-3408
Ashley G Holston Nurse Practitioner Doctors Care, Pa 200 Middleburg Dr, Myrtle Beach, SC 29579-3408
Maria Baens Internal Medicine Doctors Care, Pa 200 Middleburg Dr, Myrtle Beach, SC 29579-3408
Lindsey D States Nurse Practitioner Doctors Care, Pa 200 Middleburg Dr, Myrtle Beach, SC 29579-3408
Penelope Anne Campbell Family Practice Doctors Care, Pa 200 Middleburg Dr, Myrtle Beach, SC 29579-3408
Michael Reece Cofer Oral Surgery Coastal Carolina Oral Maxillofacial Surgery Assoc. 133 Towne Centre Pkwy, Myrtle Beach, SC 29579-3493
Find all physicians in zip 29579

Competitor

Search similar physicians

City MYRTLE BEACH
Zip Code 29579
Specialty CARDIOVASCULAR DISEASE (CARDIOLOGY)
City + Specialty MYRTLE BEACH + CARDIOVASCULAR DISEASE (CARDIOLOGY)

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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