DR. PAUL LINCOLN BALDRIDGE (NPI# 1356306427) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356306427 |
| Entity Type | Individual |
| Full Name | DR. PAUL LINCOLN BALDRIDGE |
| Credential | MD |
| Practice Address |
8120 Rourk St Myrtle Beach SC 29572-4127 |
| Practice Telephone | 8434491438 |
| Practice Fax Number | 8432861349 |
| Mailing Telephone | 8434491438 |
| Mailing Fax Number | 8432861349 |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2015-07-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 14214 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | FED TAX ID | 570783896 | 01 |
| Street Address |
8120 ROURK ST |
| City | MYRTLE BEACH |
| State | SC |
| Zip Code | 29572-4127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346213485 | Erin E.w. Smith | Pediatrics | 8120 Rourk St, Myrtle Beach, SC 29572 | 2006-02-09 |
| 1700430345 | Korreda Gause | Physician Assistant | 8120 Rourk St, Myrtle Beach, SC 29572-4127 | 2019-07-31 |
| 1184936189 | Virginia Caroline Williams | Pediatrics | 8120 Rourk St, Myrtle Beach, SC 29572-4127 | 2010-07-07 |
| 1215157417 | Frank Nicholas Colvard | Pediatrics | 8120 Rourk St, Myrtle Beach, SC 29572-4127 | 2007-04-27 |
| 1598884942 | Karla M Vana | Pediatrics | 8120 Rourk St, Myrtle Beach, SC 29572-4127 | 2007-03-28 |
| 1588614192 | Grand Strand Pediatrics & Adolescent Medicine, P.a. | Pediatrics | 8120 Rourk St, Myrtle Beach, SC 29572-4127 | 2006-05-12 |
| 1609832351 | Frederick William Daniels | Pediatrics | 8120 Rourk St, Myrtle Beach, SC 29572-4127 | 2006-04-21 |
| 1154387801 | Kristin Emily Moore | Pediatrics | 8120 Rourk St, Myrtle Beach, SC 29572-4127 | 2006-04-21 |
| 1346206018 | Daniel Lloyd Shuler | Pediatrics | 8120 Rourk St, Myrtle Beach, SC 29572-4127 | 2006-04-21 |
| 1942266788 | Thomas William Petrusick | Pediatrics | 8120 Rourk St, Myrtle Beach, SC 29572-4127 | 2006-04-21 |
| 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 | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053967943 | Georgetown Physician Associates, LLC | Pediatrics | 4320 Holmestown Rd Ste B, Myrtle Beach, SC 29588-7837 | 2019-08-15 |
| 1801328471 | Alyse Elkins | Pediatrics | 8120 Rourk Street, Myrtle Beach, SC 29572 | 2017-04-01 |
| 1407174147 | Kristina Nicole Carswell | Pediatrics | 406 46th Ave N, Myrtle Beach, SC 29577-2732 | 2010-05-05 |
| 1790905867 | Corinne M Adkins | Pediatrics | Grand Stand Pediatrics, 8120 Rourk Street, Myrtle Beach, SC 29572 | 2007-04-30 |
| 1801931910 | Ocean Sands Pediatrics | Pediatrics | 4728 Jenn Dr, Suite 103, Myrtle Beach, SC 29577-5714 | 2007-02-20 |
| 1346213485 | Erin E.w. Smith | Pediatrics | 8120 Rourk St, Myrtle Beach, SC 29572 | 2006-02-09 |
| 1659373108 | William E Nichols | Pediatrics | 4022 Postal Way Ste C, Myrtle Beach, SC 29579-3537 | 2005-08-15 |
| 1184623530 | Rebecca S Eglen | Pediatrics | 6010 Highway 707, Ste 100, Myrtle Beach, SC 29588-7321 | 2005-07-19 |
| 1699156364 | Megan Thompson Hall | Pediatrics | 5010 Carolina Forest Blvd, Myrtle Beach, SC 29579-3579 | 2015-06-17 |
| 1316342504 | Sheridan Children's Healthcare Services of South Carolina, Pa | Pediatrics | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 | 2014-10-30 |
| Find all providers in MYRTLE BEACH | ||||
| City | MYRTLE BEACH |
| Zip Code | 29572 |
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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.