DR. JASON A. GOEBEL (NPI# 1548359094) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548359094 |
| Entity Type | Individual |
| Full Name | DR. JASON A. GOEBEL |
| Credential | MD |
| Practice Address |
920 Doug White Dr Ste 510 Myrtle Beach SC 29572-4120 |
| Practice Telephone | 8434977772 |
| Practice Fax Number | 8438487530 |
| Mailing Telephone | 8434977772 |
| Mailing Fax Number | 8438487530 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2020-02-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
29021 | SC | Allopathic & Osteopathic Physicians |
| Street Address |
920 DOUG WHITE DR STE 510 |
| City | MYRTLE BEACH |
| State | SC |
| Zip Code | 29572-4120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760478242 | Russell Frank Stahl | Specialist | 920 Doug White Dr Ste 510, Myrtle Beach, SC 29572-4120 | 2005-09-21 |
| 1235761768 | Tara Katherine Bruno | Nurse Practitioner | 920 Doug White Dr Ste 510, Myrtle Beach, SC 29572-4120 | 2020-02-12 |
| 1285142216 | Shannon Williamson Cribb | Nurse Practitioner | 920 Doug White Dr Ste 510, Myrtle Beach, SC 29572-4120 | 2018-01-11 |
| 1629525225 | Robert Christian Dutlinger | Physician Assistant | 920 Doug White Dr Ste 510, Myrtle Beach, SC 29572-4183 | 2016-09-01 |
| 1063875474 | Tamiko Jackson | Nurse Practitioner | 920 Doug White Dr Ste 510, Myrtle Beach, SC 29572-4120 | 2016-04-01 |
| 1932515558 | Shashikanth Nagabandi | Internal Medicine | 920 Doug White Dr Ste 510, Myrtle Beach, SC 29572-4183 | 2014-07-02 |
| 1023443231 | Morgan Overton Phillips | Physician Assistant | 920 Doug White Dr Ste 510, Myrtle Beach, SC 29572-4120 | 2013-09-06 |
| 1043505092 | Katy Johnson | Physician Assistant | 920 Doug White Dr Ste 510, Myrtle Beach, SC 29572-4120 | 2011-06-17 |
| 1710285051 | Heather Suzannah Cahoy | Physician Assistant | 920 Doug White Dr Ste 510, Myrtle Beach, SC 29572-4120 | 2011-03-10 |
| 1063718807 | Ernest W Stokes IIi | Physician Assistant | 920 Doug White Dr Ste 510, Myrtle Beach, SC 29572-4120 | 2011-01-26 |
| 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 | 207RC0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Clinical Cardiac Electrophysiology |
| A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154934305 | Roper Saint Francis Physicians Network | Internal Medicine | 3508 S Live Oak Dr, Moncks Corner, SC 29461-8737 | 2020-08-27 |
| 1275800492 | Anmed Health | Internal Medicine | 107-2 Wall St, Clemson, SC 29631-2921 | 2011-11-17 |
| 1477708089 | Lorena Doctor | Internal Medicine | 5531 Savannah Hwy, Ravenel, Ravenel, SC 29470-5585 | 2008-11-24 |
| 1073770624 | St Francis Physician Services Inc | Internal Medicine | 2 Innovation Dr Ste 400, Greenville, SC 29607-5270 | 2008-05-21 |
| 1669538062 | Arrhythmia Consultants, P.a. | Internal Medicine | 712 Grove Rd, Greenville, SC 29605-4211 | 2006-12-29 |
| 1811097108 | Lawrence Tye Weston | Internal Medicine | 712 Grove Road, Greenville, SC 29605-4211 | 2006-09-25 |
| 1245266139 | Columbia Heart Clinic, Pa | Internal Medicine | 8 Richland Medical Park Drive., Suite 300, Columbia, SC 29203 | 2006-06-23 |
| 1972560225 | Cardiology Consultants Pa | Internal Medicine | 1083 Boiling Springs Rd, Spartanburg, SC 29303-2298 | 2006-04-28 |
| 1861458853 | Brett M Baker | Internal Medicine | 897 Von Kolnitz Rd Ste 101, Mt Pleasant, SC 29464-3630 | 2006-04-26 |
| 1053377507 | Bryan H Frain | Internal Medicine | 897 Von Kolnitz Road, Suite 101, Mt Pleasant, SC 29464-3630 | 2006-04-25 |
| Find all providers with the same taxonomy | ||||
| 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.