MYRTLE BEACH ENDOCRINOLOGY (NPI# 1083872030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083872030 |
| Entity Type | Organization |
| Organization Name | MYRTLE BEACH ENDOCRINOLOGY |
| Practice Address |
1039 44th Avenue North Suite 204 Myrtle Beach SC 29577 |
| Mailing Address |
Po Box 100523 Florence SC 29501 |
| Practice Telephone | 8438393950 |
| Practice Fax Number | 8438393955 |
| Mailing Telephone | 8436695162 |
| Mailing Fax Number | 8437714482 |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2008-07-16 |
| Authorized Official Name | PAUL DAVID BUNN (PHYSICIAN OWNER) |
| Authorized Official Telephone | 8432671535 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
MD11983 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 119838 | 05 | |
| NC | 89064V0 | 05 |
| Street Address |
1039 44TH AVENUE NORTH SUITE 204 |
| City | MYRTLE BEACH |
| State | SC |
| Zip Code | 29577 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952307100 | Paul David Bunn | Internal Medicine | 1039 44th Avenue North, Suite 204, Myrtle Beach, SC 29577 | 2005-06-22 |
| 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 Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| 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 |
|---|---|---|---|---|
| 1477163988 | Georgetown Physician Associates, LLC | Internal Medicine | 2200 Crow Ln Ste 301, Myrtle Beach, SC 29577-1663 | 2020-08-10 |
| 1114341278 | Strand Endocrinology,llc | Internal Medicine | 5046 Highway 17 Byp S, Suite 104, Myrtle Beach, SC 29588-4503 | 2014-02-10 |
| 1952307100 | Paul David Bunn | Internal Medicine | 1039 44th Avenue North, Suite 204, Myrtle Beach, SC 29577 | 2005-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053800821 | I Med Carolinas LLC | Internal Medicine | 105 Stone Village Dr, Fort Mill, SC 29708-6489 | 2018-05-07 |
| 1467992768 | Endocrinology and Diabetes of The Carolinas LLC | Internal Medicine | 901 West Meeting Street, Suite 205, Lancaster, SC 29720 | 2017-03-06 |
| 1700241379 | William Wilson Quick | Internal Medicine | 5402 Overland Trl, Retired From Medical Practice, North Charleston, SC 29420-9024 | 2015-12-23 |
| 1205214202 | St Francis Physician Services Inc | Internal Medicine | 2 Innovation Dr Ste 300b, Greenville, SC 29607-5268 | 2015-05-11 |
| 1639584683 | Mc Anto Antony | Internal Medicine | 2000 E Greenville St Ste 3100, Anderson, SC 29621 | 2014-06-29 |
| 1619226842 | Carolina Hormone and Health Center of Charleston | Internal Medicine | 300 W Coleman Blvd Ste 101, Mount Pleasant, SC 29464-5604 | 2012-09-04 |
| 1902118268 | St. Francis Physician Services | Internal Medicine | 2 Innovation Dr Ste 300-b, Greenville, SC 29607-5261 | 2010-07-02 |
| 1750619144 | James Bernard Field | Internal Medicine | 50 Stoney Creek Road, Hilton Head, SC 29928-2909 | 2009-11-24 |
| 1497906432 | Marion E Betancourt Albrecht | Internal Medicine | 901 West Meeting St Suite 205, Lancaster, SC 29720-6209 | 2008-10-08 |
| 1821257676 | Coastal Carolina Primary Care, LLC | Internal Medicine | 9221 University Blvd Ste 102, North Charleston, SC 29406-9148 | 2008-06-06 |
| Find all providers with the same taxonomy | ||||
| City | MYRTLE BEACH |
| Zip Code | 29577 |
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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.