C T BEEBE (NPI# 1093773418) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093773418 |
Entity Type | Individual |
Full Name | C T BEEBE |
Credential | PA |
Practice Address |
4731 Highway 17 Murrells Inlet SC 29576-5090 |
Mailing Address |
Po Box 100523 Florence SC 29501-0523 |
Practice Telephone | 8438397246 |
Practice Fax Number | 8438397323 |
Mailing Telephone | 8436695162 |
Mailing Fax Number | 8436674573 |
Enumeration Date | 2006-05-03 |
Last Update Date | 2020-07-09 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
A00716 | SC | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SC | SELECT HEALTH | 621077 | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
8170 Rourk St, Myrtle Beach, SC 295724127 | 8434492336 | 8434970625 |
Street Address |
4731 HIGHWAY 17 |
City | MURRELLS INLET |
State | SC |
Zip Code | 29576-5090 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396290995 | Meggett Tiva LLC | Nurse Anesthetist, Certified Registered | 4731 Highway 17, Murrells Inlet, SC 29576-5090 | 2016-08-24 |
1558734517 | Lisa Marie O'brien | Physical Therapist | 4731 Highway 17, Murrells Inlet, SC 29576-5090 | 2015-11-12 |
1346681467 | Sc Pain & Spine Specialists, LLC | Psychiatry & Neurology | 4731 Highway 17, Murrells Inlet, SC 29576-5090 | 2013-07-17 |
1083051668 | Matthew C Davies | Physical Medicine & Rehabilitation | 4731 Highway 17, Murrells Inlet, SC 29576-5090 | 2013-05-23 |
1952649956 | Prs 4, LLC | Physical Therapist | 4731 Highway 17, Murrells Inlet, SC 29576-5090 | 2013-01-25 |
1003197328 | Sc Pain & Spine Specialists, LLC | Physical Medicine & Rehabilitation | 4731 Highway 17, Murrells Inlet, SC 29576-5090 | 2011-08-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619577665 | Mobilityworks, LLC | Durable Medical Equipment & Medical Supplies | 11816 Frontage Rd., Murrells Inlet, SC 29576 | 2020-10-29 |
1457986267 | Seaside Eye Associates South LLC | Optometrist | 640 Morse Ave, Unit 11, Murrells Inlet, SC 29576 | 2020-03-12 |
1710443833 | Sirach Health Professional Limited Liability Company | Physical Medicine & Rehabilitation | 4070 Us Highway 17 Bypass South, Murrells Inlet, SC 29576 | 2019-02-13 |
1801350871 | Doctors Care, P.a. | Emergency Medicine | 12015 Highway 707, Murrells Inlet, SC 29576 | 2019-01-24 |
1568949154 | Melanie Lewis | Physical Therapist | 2586 Hwy 17 Business S, Murrells Inlet, SC 29576 | 2018-07-26 |
1528550035 | Lauren Munck | Family Medicine | Tidelands Waccamaw Community Hospital, 4070 Highway 17, Murrells Inlet, SC 29576 | 2018-05-31 |
1003312521 | Myrtle Beach Rehabilitation Hospital, LLC | Rehabilitation Hospital | 4070 Hwy 17 Bypass South, Murrells Inlet, SC 29576 | 2018-04-03 |
1467952218 | Jamaica E Alston | Student in an Organized Health Care Education/Training Program | 14 Ambassador Lane, Murrells Inlet, SC 29576 | 2018-02-19 |
1891209227 | Caleb Sims Whitney | Physical Medicine & Rehabilitation | 10800 Sc 707, Murrells Inlet, SC 29576 | 2017-11-21 |
1043720964 | Chartwell Durable Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 671 Jamestown Drive, Suite 104, Murrells Inlet, SC 29576 | 2017-10-05 |
Find all providers in zip 29576 |
Taxonomy Code | 363AS0400X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Surgical Technologist |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689140451 | Nichole Lemay | Physician Assistant | 9 Richland Medical Park Dr Ste 640, Columbia, SC 29203 | 2018-10-19 |
1588183909 | John Edward Carpenter | Physician Assistant | 50 E Hospital St Ste 6, Manning, SC 29102-3149 | 2017-09-18 |
1689116006 | Healing Hands Surgical Assisting | Physician Assistant | 456 Bates Crossing Rd, Travelers Rest, SC 29690-9277 | 2016-11-16 |
1003207101 | Kimberly Anne Caldwell | Physician Assistant | 306 Roosevelt Ave, Travelers Rest, SC 29690-1750 | 2015-02-10 |
1144653742 | Carrie Marie Thompson | Physician Assistant | 96 Jonathan Lucus Street, Csb He320e, Charleston, SC 29425 | 2013-08-19 |
1437400363 | William Travis Jeffcoat | Physician Assistant | 109 Health Way, Anderson, SC 29621-3333 | 2012-10-02 |
1609184316 | Kym L Kittle | Physician Assistant | 161 Ashley Ave, Charleston, SC 29425-8905 | 2010-09-15 |
1093960957 | Stephen Utenick | Physician Assistant | 105 Beason Farm Ln, Simpsonville, SC 29681-6509 | 2008-11-19 |
1689849457 | First Surgical Associates, LLC | Physician Assistant | 1004 Wells St, Bennettsville, SC 29512-2718 | 2008-04-23 |
1922270594 | Kati George Carter | Physician Assistant | 890 W Faris Rd Ste 550, Greenville, SC 29605-4286 | 2008-03-24 |
Find all providers with the same taxonomy |
City | MURRELLS INLET |
Zip Code | 29576 |
Please comment or provide details below to improve the information on C T BEEBE.
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.