GEORGETOWN PHYSICIAN ASSOCIATES, LLC (NPI# 1548501976) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1548501976 |
Entity Type | Organization |
Organization Name | GEORGETOWN PHYSICIAN ASSOCIATES, LLC |
Other Organization Name | TIDELANDS HEALTH WOMEN'S CENTER |
Practice Address |
606 Black River Rd Ste 300 Georgetown SC 29440-3304 |
Mailing Address |
Po Box 421718 Georgetown SC 29442-4203 |
Practice Telephone | 8435463132 |
Practice Fax Number | 8436528441 |
Mailing Telephone | 8435208883 |
Mailing Fax Number | 8436528422 |
Enumeration Date | 2013-03-11 |
Last Update Date | 2020-06-25 |
Authorized Official Name | ELIZABETH SUTHERLAND WARD (EVP & CFO) |
Authorized Official Telephone | 8435277102 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SC | GP6200 | 05 | |
SC | GP9003 | 05 | |
SC | GP8147 | 05 | |
SC | GP9079 | 05 |
Other Name | Type Code |
---|---|
Tidelands Health Women's Center | Doing Business As Name - Organization |
Address | Telephone Number | Fax Number |
---|---|---|
4320 Holmestown Rd, Myrtle Beach, SC 295887837 | 8435463132 | 8435462268 |
1306 N Fraser St, Georgetown, SC 294402800 | 8435463132 | 8435462268 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053967943 | Georgetown Physician Associates, LLC | Pediatrics | 4320 Holmestown Rd Ste B, Myrtle Beach, SC 29588-7837 | 2019-08-15 |
1780118414 | Georgetown Physician Associates, LLC | Family Medicine | 4320 Holmestown Rd Ste A, Myrtle Beach, SC 29588-7837 | 2017-04-19 |
1053704627 | Georgetown Physician Associates, LLC | Anesthesiology | 4040 Highway 17 Unit 206, Murrells Inlet, SC 29576-5098 | 2015-03-06 |
1598179947 | Georgetown Physician Associates, LLC | Dermatology | 4033 Highway 17, Suite 105, Murrells Inlet, SC 29576-5032 | 2014-06-13 |
1548604366 | Georgetown Physician Associates, LLC | Emergency Medicine | 4367 Riverwood Dr Unit 104, Murrells Inlet, SC 29576-4381 | 2013-04-23 |
1235475930 | Georgetown Physician Associates, LLC | Family Medicine | 2347 S Highway 17, Murrells Inlet, SC 29576-7611 | 2012-12-27 |
1588716815 | Georgetown Physician Associates, LLC | Clinic/Center | 456 N Main St, Hemingway, SC 29554 | 2007-01-17 |
1326655333 | Georgetown Physician Associates, LLC | Otolaryngology | 2200 Crow Ln Ste 301, Myrtle Beach, SC 29577-1663 | 2020-09-24 |
1477163988 | Georgetown Physician Associates, LLC | Internal Medicine | 2200 Crow Ln Ste 301, Myrtle Beach, SC 29577-1663 | 2020-08-10 |
1124673793 | Georgetown Physician Associates, LLC | Clinic/Center | 2200 Crow Ln Ste 201, Myrtle Beach, SC 29577-1663 | 2019-08-09 |
Street Address |
606 BLACK RIVER RD STE 300 |
City | GEORGETOWN |
State | SC |
Zip Code | 29440-3304 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003288788 | Bartou Wilson | Pharmacist | 513 Rosemont St, Georgetown, SC 29440 | 2015-10-21 |
1538557780 | Sc Pain and Spine Specialist | Pain Medicine | 230 S Fraser Street, Georgetown, SC 29440 | 2014-12-22 |
1326393745 | Rose Carpenzano | Social Worker | 525 Lafayette Circle, Waccamaw Center for Mental Health, Georgetown, SC 29440 | 2012-07-23 |
1942575451 | Surgical Specialists of Waccamaw, LLC | Surgery | 4367 Riverwood Drive, Suite 130, Murrells Inlet, SC 29440 | 2012-03-16 |
1619296654 | Lisa Marie Holmes | Durable Medical Equipment & Medical Supplies | 1263 N. Frazer St., Georgetown, SC 29440 | 2010-05-28 |
1104156892 | Georgetown Anesthesia Consultants, PC | Anesthesiology | 606 Blackriver Road, Georgetown, SC 29440 | 2010-01-04 |
1306018999 | Heather Denise Sharpe | Pharmacist | 810 Elizabeth Street, Georgetown, SC 29440 | 2008-03-24 |
1083882054 | Advanced Chiropractic Center | Chiropractor | 705 North Fraser Street, Advanced Chiropractic Center, Georgetown, SC 29440 | 2008-02-13 |
1295922284 | Georgetown Memorial Hospital | Clinic/Center | 2361 North Frasier Street, Georgetown, SC 29440 | 2007-10-03 |
1114110863 | Thomas Clifford Rowland Jr. | Obstetrics & Gynecology | 74 Swan Point Trail, Georgetown, SC 29440 | 2007-08-24 |
Find all providers in zip 29440 |
Taxonomy Code | 207V00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Obstetrics & Gynecology |
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831351899 | Latasha A. Rabsatt | Obstetrics & Gynecology | 1900 Scenic Dr Ste 3326, Georgetown, TX 78626-7876 | 2008-06-30 |
1740441302 | Georgetown Ob Gyn LLP | Obstetrics & Gynecology | 602 High Tech Drive, Georgetown, TX 78626 | 2008-06-17 |
1114110863 | Thomas Clifford Rowland Jr. | Obstetrics & Gynecology | 74 Swan Point Trail, Georgetown, SC 29440 | 2007-08-24 |
1831219831 | William R. Baechtel, Md,pa | Obstetrics & Gynecology | 109 Lampasas Pass, Georgetown, TX 78628-5120 | 2007-03-31 |
1770511511 | Southern Ohio Health Services Network | Obstetrics & Gynecology | 5162 St. Rt. 125, Georgetown, OH 45121 | 2006-06-29 |
1245210657 | Judith A. Varnau | Obstetrics & Gynecology | 864 S Main St, Georgetown, OH 45121-8408 | 2006-01-20 |
1134107493 | Coy A Flowers | Obstetrics & Gynecology | Uk Healthcare Georgetown, 202 Bevins Ln, Georgetown, KY 40324 | 2006-01-06 |
1871574590 | John Vaneff Sherman | Obstetrics & Gynecology | 602 High Tech Dr, Georgetown, TX 78626-8185 | 2005-11-09 |
1760487409 | Barbara J. Patridge | Obstetrics & Gynecology | 425 Home St, Georgetown, OH 45121-1407 | 2005-06-18 |
1700881653 | Ene G George | Obstetrics & Gynecology | 5162 St Rt, Georgetown, OH 45121 | 2005-06-16 |
Find all providers in GEORGETOWN |
City | GEORGETOWN |
Zip Code | 29440 |
Please comment or provide details below to improve the information on GEORGETOWN PHYSICIAN ASSOCIATES, LLC.
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.