ROBERT JANSEN (NPI# 1316180847) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316180847 |
| Entity Type | Individual |
| Full Name | ROBERT JANSEN |
| Practice Address |
823 82nd Pkwy Myrtle Beach SC 29572-4607 |
| Mailing Address |
2234 Colonial Blvd Attn: Payer Contracting & Relations Dept. Fort Myers FL 33907-1412 |
| Practice Telephone | 8434491010 |
| Practice Fax Number | 8434976171 |
| Mailing Telephone | 2399317342 |
| Mailing Fax Number | 2399317385 |
| Enumeration Date | 2009-04-14 |
| Last Update Date | 2015-05-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | MD36653 | SC | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | WELLCARE | 1010218 | 01 |
| NC | 1316180847 | 05 | |
| SC | 366534 | 05 | |
| SC | P01378093 | RR MEDICARE | 01 |
| SC | AETNA | 4789482 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063632412 | Robert H Jansen Jr. | Technician/Technologist | 2121 W Roosevelt Rd, Broadview, IL 60155-3850 | 2007-04-26 |
| 1780664508 | Robert W Jansen | Dentist | 923 N Oakland St, Saint Johns, MI 48879-1063 | 2006-01-18 |
| 1598860090 | Robert Jansen | Pediatrics | 8111 Township Line Rd, Indianapolis, IN 46260-2479 | 2006-09-13 |
| 1003811332 | Robert David Jansen | Specialist | 55 Whitcher St Ne, Ste 460, Marietta, GA 30060-1171 | 2005-06-14 |
| Street Address |
823 82ND PKWY |
| City | MYRTLE BEACH |
| State | SC |
| Zip Code | 29572-4607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710978903 | William K Bogache | Urology | 823 82nd Pkwy, Myrtle Beach, SC 29572-4607 | 2005-11-04 |
| 1700433778 | Lindsey Amanda Rogers | Nurse Practitioner | 823 82nd Pkwy, Myrtle Beach, SC 29572-4607 | 2019-08-23 |
| 1497297865 | Renee Flanegan | Nurse Practitioner | 823 82nd Pkwy, Myrtle Beach, SC 29572-4607 | 2016-11-16 |
| 1497142863 | Leslie Oleszkowicz | Nurse Practitioner | 823 82nd Pkwy, Myrtle Beach, SC 29572-4607 | 2015-04-22 |
| 1659611903 | Christina Nichole Weatherford | Nurse Practitioner | 823 82nd Pkwy, Myrtle Beach, SC 29572-4607 | 2013-02-25 |
| 1083980064 | Abhishek Srivastava | Urology | 823 82nd Pkwy, Myrtle Beach, SC 29572-4607 | 2012-03-23 |
| 1366744989 | Michelle L. Wirt | Physician Assistant | 823 82nd Pkwy, Myrtle Beach, SC 29572-4607 | 2010-12-02 |
| 1225199094 | Brian J Roberts Md | Non-Pharmacy Dispensing Site | 823 82nd Pkwy, Myrtle Beach, SC 29572-4607 | 2006-12-13 |
| 1982701942 | Lindsay G Nelms | Physician Assistant | 823 82nd Pkwy, Myrtle Beach, SC 29572-4607 | 2006-09-20 |
| 1518948587 | Richard W Young | Urology | 823 82nd Pkwy, Myrtle Beach, SC 29572-4607 | 2005-11-08 |
| Find all providers in the same location | ||||
| 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 | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861655318 | William R Greene | Urology | 8803 Kings Rd, Myrtle Beach, SC 29572-4723 | 2008-07-04 |
| 1609084391 | Bill Hampton Davis | Urology | 7616 Driftwood Dr, Myrtle Beach, SC 29572-4152 | 2007-05-18 |
| 1710978903 | William K Bogache | Urology | 823 82nd Pkwy, Myrtle Beach, SC 29572-4607 | 2005-11-04 |
| 1083980064 | Abhishek Srivastava | Urology | 823 82nd Pkwy, Myrtle Beach, SC 29572-4607 | 2012-03-23 |
| 1518948587 | Richard W Young | Urology | 823 82nd Pkwy, Myrtle Beach, SC 29572-4607 | 2005-11-08 |
| 1265423453 | Neal Shore | Urology | 823 82nd Pkwy, Myrtle Beach, SC 29572-4607 | 2005-11-04 |
| 1700877909 | Brian J Roberts | Urology | 823 82nd Pkwy, Myrtle Beach, SC 29572-4607 | 2005-11-04 |
| 1265423479 | Kenneth E Krzyzaniak | Urology | 823 82nd Pkwy, Myrtle Beach, SC 29572-4607 | 2005-11-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295393098 | Christopher William Ritchie | Urology | 135 Rutledge Ave Fl 5, Charleston, SC 29425-8903 | 2019-06-05 |
| 1780248211 | Spartanburg Medical Center | Urology | 2755 S Highway 14 Ste 2050a, Greer, SC 29650-4902 | 2019-04-30 |
| 1609345982 | Spartanburg Medical Center | Urology | 1552 N Limestone St Ste A, Gaffney, SC 29340-4750 | 2018-11-16 |
| 1942775952 | Roper Saint Francis Physicians Network | Urology | 300 Callen Blvd Ste 220, Summerville, SC 29486-2809 | 2018-10-05 |
| 1790131522 | Urology Clinic At Carolinas | Urology | 1594 Freedom Blvd Ste 203, Florence, SC 29505-6046 | 2016-05-11 |
| 1912368457 | Urology Clinic, Inc. | Urology | 1285 Wilson Hall Rd, Sumter, SC 29150 | 2016-03-11 |
| 1154700367 | Gregory Slachta | Urology | 407 Broadview Dr, Ridgeland, SC 29936-5157 | 2015-05-20 |
| 1467893404 | Robert Strehlow Vi | Urology | 391 Serpentine Dr Ste 500, Spartanburg, SC 29303-3083 | 2013-07-06 |
| 1326487588 | Tracy Jon Tipton | Urology | 125 Doughty St Ste 300, Charleston, SC 29403 | 2013-06-21 |
| 1790121424 | Philip Andre Fontenot Jr. | Urology | 50 Bear Dr, Greenville, SC 29605 | 2013-05-21 |
| Find all providers with the same taxonomy | ||||
| City | MYRTLE BEACH |
| Zip Code | 29572 |
Please comment or provide details below to improve the information on ROBERT JANSEN.
| 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.