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).
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 |
Claim Control Number (CCN) | Legal Business Name |
---|---|
420085 | GRAND STRAND REGIONAL MEDICAL CENTER |
420049 | CONWAY MEDICAL CENTER |
420098 | TIDELANDS WACCAMAW COMMUNITY HOSPITAL |
Address | Phone | Organization |
---|---|---|
199 Village Ctr Blvd, Suite 100, Myrtle Beach, SC 29579-3589 | 8434976348 | GRAND STRAND SURGICAL SPECIALISTS LLC |
Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
---|---|---|---|
ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
MIPS_EC_047_overall | Care Plan | 31% |
Organization Legal Name | GRAND STRAND SURGICAL SPECIALISTS LLC |
Physicians | 41 |
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 |
Street Address |
199 VILLAGE CTR BLVD SUITE 100 |
City | MYRTLE BEACH |
State | SC |
Zip | 29579-3589 |
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 |
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 |
City | MYRTLE BEACH |
Zip Code | 29579 |
Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
City + Specialty | MYRTLE BEACH + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
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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.