NIRVANA PLASTIC SURGERY, P.A. (NPI# 1023245966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023245966 |
| Entity Type | Organization |
| Organization Name | NIRVANA PLASTIC SURGERY, P.A. |
| Practice Address |
8208a Devon Ct Myrtle Beach SC 29572-4178 |
| Practice Telephone | 8438392004 |
| Practice Fax Number | 8438392011 |
| Mailing Telephone | 8438392004 |
| Mailing Fax Number | 8438392011 |
| Enumeration Date | 2009-06-18 |
| Last Update Date | 2017-01-18 |
| Authorized Official Name | DR. STEPHEN DAVID DUFFY (PRESIDENT) |
| Authorized Official Telephone | 8438392004 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | 31460 | SC | Allopathic & Osteopathic Physicians |
| Street Address |
8208A DEVON CT |
| City | MYRTLE BEACH |
| State | SC |
| Zip Code | 29572-4178 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629684576 | Matthew David Zeuschner | Nurse Practitioner | 107 Woodwind Court, Myrtle Beach, SC 29572 | 2020-09-16 |
| 1578191789 | Julia Ruth Nelson | Student in an Organized Health Care Education/Training Program | Grand Strand Medical Center- Gme Office, 809 82nd Parkway, Myrtle Beach, SC 29572 | 2020-04-01 |
| 1407484835 | Justin Schevers | Student in an Organized Health Care Education/Training Program | 802 82nd Parkway, Myrtle Beach, SC 29572 | 2020-03-31 |
| 1922636919 | Darian Michael Quigg | Student in an Organized Health Care Education/Training Program | 809 82nd Street Parkway, Myrtle Beach, SC 29572 | 2020-03-27 |
| 1881221141 | Jonathan Alden Bryan | Student in an Organized Health Care Education/Training Program | Grand Strand Medical Center, 809 82nd Parkway, Myrtle Beach, SC 29572 | 2020-03-26 |
| 1215575238 | Polaris Skin Diagnostics, LLC | Dermatology | 8170 Rourk Street, Suite 100, Myrtle Beach, SC 29572 | 2019-12-20 |
| 1700348711 | Five Star Rehabilitation and Wellness Services, LLC. | Clinic/Center | 9547 N Kings Hwy, Myrtle Beach, SC 29572 | 2019-04-01 |
| 1154882975 | Michael Kouandjio | Student in an Organized Health Care Education/Training Program | Grand Strand Medical Center-gme Office, 809 82nd Parkway, Myrtle Beach, SC 29572 | 2019-03-26 |
| 1154880102 | Dylan Chase Morgan | Internal Medicine | Grand Strand Medical Center - Gme Office, 809 82nd Pkwy, Myrtle Beach, SC 29572 | 2019-03-19 |
| 1710446828 | David Redding Kingery Jr. | Student in an Organized Health Care Education/Training Program | Gme Office 809 82nd Parkway, Myrtle Beach, SC 29572 | 2019-03-18 |
| Find all providers in zip 29572 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043502016 | Myles Goldflies | Plastic Surgery | 8212 Devon Ct, Myrtle Beach, SC 29572-4178 | 2011-05-10 |
| 1114915956 | Ralph F Cozart | Plastic Surgery | 1021 Cipriana Dr, Ste 230, Myrtle Beach, SC 29572-4621 | 2005-10-06 |
| 1245557172 | Horatiu Muresan | Plastic Surgery | 920 Doug White Dr Ste 430, Myrtle Beach, SC 29572-4182 | 2010-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013574839 | Tarik Mujadzic | Plastic Surgery | Plastic Surgery, 2 Medical Park, Ste 300, Columbia, SC 29203 | 2019-05-28 |
| 1134462146 | Smith Plastic Surgery | Plastic Surgery | 16 Okatie Center Blvd S Ste 101, Okatie, SC 29909-7535 | 2013-03-28 |
| 1285980128 | Finger and Associates Plastic Surgery Center | Plastic Surgery | 71 Lighthouse Rd, Suite 613, Hilton Head, SC 29928-7216 | 2012-07-30 |
| 1386902435 | Emily Grace Clark | Plastic Surgery | 115 N Sumter St Ste 115, Sumter, SC 29150-4968 | 2012-04-26 |
| 1871883116 | Spartanburg Medical Center | Plastic Surgery | 2801 Woodruff Rd Ste 202, Simpsonville, SC 29681-4807 | 2011-04-07 |
| 1578872941 | Steven Jeffrey Goodman | Plastic Surgery | 1314 Hidden Lakes Dr, Mount Pleasant, SC 29464-9470 | 2010-10-01 |
| 1588803530 | Terrence Weston Bruner | Plastic Surgery | 7 Linwa Blvd, Anderson, SC 29621-4486 | 2009-02-16 |
| 1992951883 | Manuel G Trujillo Jr. | Plastic Surgery | 2755 S Highway 14 Ste 2050, Greer, SC 29650-4933 | 2008-08-12 |
| 1659541464 | Carolina Plastic Surgery and Laser Center, Pa | Plastic Surgery | 1721 Ebenezer Rd Ste 205, Rock Hill, SC 29732-1119 | 2008-03-07 |
| 1558540567 | East Cooper Plastic Surgery LLC | Plastic Surgery | 1300 Hospital Dr Ste 120, Mount Pleasant, SC 29464-3204 | 2007-10-25 |
| Find all providers with the same taxonomy | ||||
| City | MYRTLE BEACH |
| Zip Code | 29572 |
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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.