AMY ROSE HANCOCK (NPI# 1346350089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346350089 |
| Entity Type | Individual |
| Full Name | AMY ROSE HANCOCK |
| Credential | PAC |
| Practice Address |
4900 Oleander Dr Suite # 1 Myrtle Beach SC 29577-5897 |
| Mailing Address |
200 E Broad St Suite # 220 Greenville SC 29601-2887 |
| Practice Telephone | 8643432609 |
| Practice Fax Number | 8645464506 |
| Mailing Telephone | 8643432609 |
| Mailing Fax Number | 8645464506 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2016-06-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
OA002612 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | SOUTH CAROLINA MEDICAL LICENSE | 2433 | 01 |
| PA | PA STATE LICENSE | PN084501L | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467921403 | Amy Hancock | Counselor | 1212 W. 19th St., Panama City, FL 32405 | 2018-11-20 |
| 1912206400 | Amy Elizabeth Hancock | Counselor | 2530 S Commerce St, Building B, Ardmore, OK 73401-5519 | 2011-03-23 |
| 1144523960 | Amy Lynn Hancock | Counselor | 3248 Vandever Ave, Pekin, IL 61554-6257 | 2010-12-16 |
| 1790942225 | Amy C Hancock | Family Medicine | 555 N Duke St, Lancaster, PA 17602-2250 | 2008-05-21 |
| 1689896763 | Amy Gray Hancock | Nurse Practitioner | 307 E Fifteenth St, Yazoo City, MS 39194-2631 | 2007-05-02 |
| Street Address |
4900 OLEANDER DR SUITE # 1 |
| City | MYRTLE BEACH |
| State | SC |
| Zip Code | 29577-5897 |
| 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 | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457804080 | Mcleod Physician Associates II | Physician Assistant | 945 82nd Pkwy Ste 3, Myrtle Beach, SC 29572-4612 | 2016-08-01 |
| 1093292278 | Brandon Ryan Carney | Physician Assistant | 809 82nd Pkwy, Myrtle Beach, SC 29572 | 2018-07-20 |
| 1255704623 | Joseph W O'neal Jr. | Physician Assistant | 200 Middleburg Dr, Myrtle Beach, SC 29579-3408 | 2015-11-07 |
| 1972988590 | Lindsay Marie Johnson | Physician Assistant | 917 Medical Cir, Myrtle Beach, SC 29572-4116 | 2015-07-24 |
| 1194149161 | Kallie Graham Britton | Physician Assistant | 945 82nd Pkwy, Suite 3b, Myrtle Beach, SC 29572-4612 | 2014-02-12 |
| 1578908950 | Amanda Beth Belesky | Physician Assistant | 5046 Highway 17 Byp S, Suite 100, Myrtle Beach, SC 29588-4503 | 2013-04-30 |
| 1316177439 | Christy R Hawkins | Physician Assistant | 945 82nd Pkwy, Suite 3, Myrtle Beach, SC 29572-4610 | 2009-07-23 |
| 1861621773 | Sarah Elizabeth Benton | Physician Assistant | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 | 2009-07-13 |
| 1467698621 | Shelley M Gilbert | Physician Assistant | 4301 Dick Pond Rd, Myrtle Beach, SC 29588-6807 | 2008-12-18 |
| 1073667234 | Tanya C Bralley | Physician Assistant | 8121 Rourk St, Myrtle Beach, SC 29572-4128 | 2007-01-23 |
| Find all providers in MYRTLE BEACH | ||||
| City | MYRTLE BEACH |
| Zip Code | 29577 |
Please comment or provide details below to improve the information on AMY ROSE HANCOCK.
| 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.