MYLENA ANN YEE (NPI# 1144477449) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144477449 |
| Entity Type | Individual |
| Full Name | MYLENA ANN YEE |
| Credential | PA |
| Practice Address |
2200 Crow Ln Ste 301 Myrtle Beach SC 29577-1663 |
| Mailing Address |
Po Box 421718 Georgetown SC 29442-4203 |
| Practice Telephone | 8438485000 |
| Practice Fax Number | 8438485001 |
| Mailing Telephone | 8436528220 |
| Mailing Fax Number | 8436528032 |
| Enumeration Date | 2008-08-19 |
| Last Update Date | 2019-10-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 3252 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 3261PA | 05 |
| Street Address |
2200 CROW LN STE 301 |
| City | MYRTLE BEACH |
| State | SC |
| Zip Code | 29577-1663 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912980822 | Roxanne P Latimer | Family Medicine | 2200 Crow Ln Ste 301, Myrtle Beach, SC 29577-1663 | 2005-11-23 |
| 1326655333 | Georgetown Physician Associates, LLC | Otolaryngology | 2200 Crow Ln Ste 301, Myrtle Beach, SC 29577-1663 | 2020-09-24 |
| 1477163988 | Georgetown Physician Associates, LLC | Internal Medicine | 2200 Crow Ln Ste 301, Myrtle Beach, SC 29577-1663 | 2020-08-10 |
| 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 | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053910596 | Sarah Xiao Jing Jarema | Physician Assistant | 1211 Hadley Cir Unit 4301, Myrtle Beach, SC 29577-8219 | 2020-10-24 |
| 1750553152 | Daniella Deperi | Physician Assistant | 5046 Highway 17 Byp S Ste 103, Myrtle Beach, SC 29588-4503 | 2008-03-26 |
| 1831204676 | Mercedes Zimmerman Davis | Physician Assistant | 106 Lansford Pl, Myrtle Beach, SC 29588-6979 | 2006-08-20 |
| 1033181193 | Tracy Reymore Black | Physician Assistant | 8208 Devon Court, Suite B, Myrtle Beach, SC 29572 | 2006-02-03 |
| 1619969250 | Randall Paul Grove | Physician Assistant | 1101 Johnson Ave, Myrtle Beach, SC 29577-1893 | 2005-08-19 |
| 1487655106 | Ashley Smith Wilson | Physician Assistant | 945 82nd Parkway, Myrtle Beach, SC 29572 | 2005-08-03 |
| 1487294179 | Jimmy Gregory Stevens | Physician Assistant | 920 Doug White Dr Ste 130, Myrtle Beach, SC 29572-4120 | 2020-01-09 |
| 1225686835 | Kaycee Lauren Villane | Physician Assistant | 920 Doug White Dr Ste 130, Myrtle Beach, SC 29572-4120 | 2019-08-27 |
| 1477100766 | Sarah Snyder Brown | Physician Assistant | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 | 2019-08-21 |
| 1619523412 | Strand Physician Specialists, Pa | Physician Assistant | 945 82nd Pkwy, Myrtle Beach, SC 29572-4612 | 2019-08-16 |
| Find all providers in MYRTLE BEACH | ||||
| 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.