DEBBY T DESALVO


Address: 945 82nd Pkwy, Myrtle Beach, SC 29572-4612
Phone: 8434975929

DEBBY T DESALVO (NPI# 1225034192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1225034192
Entity Type Individual
Full Name DEBBY T DESALVO
Credential D.O.
Practice Address 945 82nd Pkwy
Myrtle Beach
SC 29572-4612
Mailing Address Po Box 3439
North Myrtle Beach
SC 29582-0439
Practice Telephone 8434975929
Practice Fax Number 8667789068
Mailing Telephone 8438394447
Mailing Fax Number 8433990123
Enumeration Date 2005-06-24
Last Update Date 2020-07-20
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207R00000X Internal Medicine 890 SC Allopathic & Osteopathic Physicians
Y 207RN0300X Internal Medicine
Specialization: Nephrology
890 SC Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
SC 008904 05

Office Location

Street Address 945 82ND PKWY
City MYRTLE BEACH
State SC
Zip Code 29572-4612

Providers in the same location

NPI Name Taxonomy Address Enumeration
1760485320 Anne G. Larochelle Internal Medicine 945 82nd Pkwy, Myrtle Beach, SC 29572-4612 2005-05-27
1619523412 Strand Physician Specialists, Pa Physician Assistant 945 82nd Pkwy, Myrtle Beach, SC 29572-4612 2019-08-16
1477111615 Paige Alyse Weaver Physician Assistant 945 82nd Pkwy, Myrtle Beach, SC 29572-4612 2019-06-03
1306328588 Taylor Blair Currall Physician Assistant 945 82nd Pkwy, Myrtle Beach, SC 29572-4612 2018-09-04
1528554532 Leslie Fahy Mclamb Nurse Practitioner 945 82nd Pkwy, Myrtle Beach, SC 29572 2018-07-03
1619380623 Rebecca Jane Heichel Physician Assistant 945 82nd Pkwy, Myrtle Beach, SC 29572-4612 2014-06-06
1194149161 Kallie Graham Britton Physician Assistant 945 82nd Pkwy, Suite 3b, Myrtle Beach, SC 29572-4612 2014-02-12
1760823553 Rabih Nayfe Internal Medicine 945 82nd Pkwy, Myrtle Beach, SC 29572-4612 2013-07-10
1629332911 Ledy P Chestnut Physician Assistant 945 82nd Pkwy, Myrtle Beach, SC 29572-4612 2012-07-02
1225320666 David L Lazar Internal Medicine 945 82nd Pkwy, Myrtle Beach, SC 29572-4612 2011-05-04
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207RN0300X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Nephrology

Taxonomy Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1669573119 Reynaldo Matute M.d. Internal Medicine 5046 Hwy 17 Bypass, Suite 206, Myrtle Beach, SC 29588 2006-09-26
1508853698 Strand Physician Specialists, Pa Internal Medicine 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 2005-10-04

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1811512353 Maria Creciun Browne Internal Medicine Musc 96 Jonathan Lucas Str Room 822, Msc 629, Charleston, SC 29425-0001 2020-06-10
1437718889 Samar Medani Internal Medicine Division of Nephrology, Medical Univ of South Carolina, 96 Jonathan Lucas Street, Room 822, Msc 629, Charleston, SC 29425 2019-06-10
1245719939 Keisuke Okamoto Internal Medicine 96 Jonathan Lucas Street, Suite 822, Msc 629, Charleston, SC 29425 2018-08-13
1104332774 Darius Lucian Lazarus Internal Medicine 96 Jonathan Lucas Street Musc - Csb 822 / Msc 629, Charleston, SC 29425-0001 2017-12-19
1689122749 Sudarshan Bhimbra Internal Medicine 16 Main St # 635, Hardeeville, SC 29927-5926 2016-09-19
1396198800 Karim Soliman Internal Medicine 171 Ashley Ave # Msc629, Charleston, SC 29425 2016-07-20
1427455393 Jennifer Kinnard Internal Medicine 8 Orange St, Charleston, SC 29401-2408 2014-11-20
1073854527 William Muirhead Turner Internal Medicine 131 Addis Cir, Anderson, SC 29626-5700 2013-03-08
1528313525 Charis Lloyd Ellington Internal Medicine 727 Se Main St Ste 180, Simpsonville, SC 29681-3248 2012-07-17
1013291079 Hamlet Hma Ppm LLC Internal Medicine 913 Oakwood St, Bennettsville, SC 29512-2459 2011-10-07
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Competitor

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City MYRTLE BEACH
Zip Code 29572

Improve Information

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Dataset Information

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.

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