MR. JOHN FRANCIS DALESSANDRO III (NPI# 1396877338) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396877338 |
| Entity Type | Individual |
| Full Name | MR. JOHN FRANCIS DALESSANDRO III |
| Credential | PA-C |
| Practice Address |
849 82nd Pkwy Myrtle Beach SC 29572-4614 |
| Practice Telephone | 8434976348 |
| Practice Fax Number | 8434976351 |
| Mailing Telephone | 8434976348 |
| Mailing Fax Number | 8434976351 |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2012-12-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
MA002819L | PA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629008727 | John Dalessandro | Anesthesiology | 70 Tonnacour Pl, Grosse Pointe Farms, MI 48236-3033 | 2006-07-04 |
| Street Address |
849 82ND PKWY |
| City | MYRTLE BEACH |
| State | SC |
| Zip Code | 29572-4614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649245358 | John M Davis | Specialist | 849 82nd Pkwy, Myrtle Beach, SC 29572-4614 | 2006-02-17 |
| 1376019786 | Marissa Catherine Niemeyer | Physician Assistant | 849 82nd Pkwy, Myrtle Beach, SC 29572-4614 | 2018-10-23 |
| 1023565280 | Kelly Hahn | Nurse Practitioner | 849 82nd Pkwy, Myrtle Beach, SC 29572-4614 | 2016-09-06 |
| 1063968055 | Jessica Roberson Strickland | Orthopaedic Surgery | 849 82nd Pkwy, Myrtle Beach, SC 29572-4614 | 2016-08-30 |
| 1255777603 | Tara-marie Dinitto | Surgery | 849 82nd Pkwy, Myrtle Beach, SC 29572-4614 | 2013-05-13 |
| 1164704201 | Andrea E Romano | Surgery | 849 82nd Pkwy, Myrtle Beach, SC 29572-4614 | 2011-09-14 |
| 1841465804 | Grand Strand Surgical Specialists, LLC | Orthopaedic Surgery | 849 82nd Pkwy, Myrtle Beach, SC 29572-4614 | 2008-04-29 |
| 1750594693 | Carlos A. Fernandez Acosta | Surgery | 849 82nd Pkwy, Myrtle Beach, SC 29572-4614 | 2007-05-07 |
| 1891715850 | Erin L Finley | Physician Assistant | 849 82nd Pkwy, Myrtle Beach, SC 29572-4614 | 2006-07-20 |
| 1932168986 | Eugene M. Giddens | Neurological Surgery | 849 82nd Pkwy, Myrtle Beach, SC 29572-4614 | 2006-03-20 |
| 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 | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487638227 | Felicia Anne E Denittis | Physician Assistant | 920 Doug White Dr Ste 460, Myrtle Beach, SC 29572-4120 | 2005-12-05 |
| 1316284318 | Phillip Oliveira | Physician Assistant | 933 Medical Cir, Myrtle Beach, SC 29572-4116 | 2013-01-10 |
| 1093068538 | Elizabeth M Duffy | Physician Assistant | 5046 Highway 17 Byp S Ste 103, Myrtle Beach, SC 29588 | 2012-10-22 |
| 1275839532 | Richard Roode | Physician Assistant | 1221 21st Ave N, Myrtle Beach, SC 29577-7402 | 2011-02-03 |
| 1063718807 | Ernest W Stokes IIi | Physician Assistant | 920 Doug White Dr Ste 510, Myrtle Beach, SC 29572-4120 | 2011-01-26 |
| 1538460506 | Christopher Francis Buthorn | Physician Assistant | 5046 Highway 17 Byp S Ste 103, Myrtle Beach, SC 29588 | 2010-11-08 |
| 1891715850 | Erin L Finley | Physician Assistant | 849 82nd Pkwy, Myrtle Beach, SC 29572-4614 | 2006-07-20 |
| 1518923143 | David B Lee | Physician Assistant | 210 Village Center Blvd, Suite 200, Myrtle Beach, SC 29579-6683 | 2006-04-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689140451 | Nichole Lemay | Physician Assistant | 9 Richland Medical Park Dr Ste 640, Columbia, SC 29203 | 2018-10-19 |
| 1588183909 | John Edward Carpenter | Physician Assistant | 50 E Hospital St Ste 6, Manning, SC 29102-3149 | 2017-09-18 |
| 1689116006 | Healing Hands Surgical Assisting | Physician Assistant | 456 Bates Crossing Rd, Travelers Rest, SC 29690-9277 | 2016-11-16 |
| 1003207101 | Kimberly Anne Caldwell | Physician Assistant | 306 Roosevelt Ave, Travelers Rest, SC 29690-1750 | 2015-02-10 |
| 1144653742 | Carrie Marie Thompson | Physician Assistant | 96 Jonathan Lucus Street, Csb He320e, Charleston, SC 29425 | 2013-08-19 |
| 1437400363 | William Travis Jeffcoat | Physician Assistant | 109 Health Way, Anderson, SC 29621-3333 | 2012-10-02 |
| 1609184316 | Kym L Kittle | Physician Assistant | 161 Ashley Ave, Charleston, SC 29425-8905 | 2010-09-15 |
| 1093960957 | Stephen Utenick | Physician Assistant | 105 Beason Farm Ln, Simpsonville, SC 29681-6509 | 2008-11-19 |
| 1689849457 | First Surgical Associates, LLC | Physician Assistant | 1004 Wells St, Bennettsville, SC 29512-2718 | 2008-04-23 |
| 1922270594 | Kati George Carter | Physician Assistant | 890 W Faris Rd Ste 550, Greenville, SC 29605-4286 | 2008-03-24 |
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| 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.