KRISTINA NICOLE CARSWELL (NPI# 1407174147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407174147 |
| Entity Type | Individual |
| Full Name | KRISTINA NICOLE CARSWELL |
| Credential | MD |
| Practice Address |
406 46th Ave N Myrtle Beach SC 29577-2732 |
| Mailing Address |
115 Cobblestone Ln Warner Robins GA 31088-8209 |
| Practice Telephone | 4783970947 |
| Mailing Telephone | 8434491438 |
| Mailing Fax Number | 8432861349 |
| Enumeration Date | 2010-05-05 |
| Last Update Date | 2020-08-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | MD39717 | SC | Allopathic & Osteopathic Physicians |
| Y | 208000000X | Pediatrics | 85877 | GA | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | ME116618 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 009265300 | 05 |
| Street Address |
406 46TH AVE N |
| City | MYRTLE BEACH |
| State | SC |
| Zip Code | 29577-2732 |
| 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 | 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 |
| 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 |
| 1932442886 | Sarah Prinzi | Pediatrics | 3236 Holmestown Road, Suite E1, Myrtle Beach, SC 29588-9138 | 2013-03-28 |
| Find all providers in MYRTLE BEACH | ||||
| City | MYRTLE BEACH |
| Zip Code | 29577 |
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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.