DR. FREDERICK WILLIAM DANIELS (NPI# 1609832351) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609832351 |
| Entity Type | Individual |
| Full Name | DR. FREDERICK WILLIAM DANIELS |
| Credential | MD |
| Practice Address |
8120 Rourk St Myrtle Beach SC 29572-4127 |
| Mailing Address |
4326 Baldwin Ave Little River SC 29566-8207 |
| Practice Telephone | 8434491438 |
| Practice Fax Number | 8434499018 |
| Mailing Telephone | 8432497400 |
| Mailing Fax Number | 8432497440 |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
14524 | SC | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902975808 | Frederick M Daniels | Dentist | 12 Goose Lane, Tolland, CT 06084 | 2006-11-06 |
| 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 |
| 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 |
| 1356306427 | Paul Lincoln Baldridge | Pediatrics | 8120 Rourk St, Myrtle Beach, SC 29572-4127 | 2006-04-20 |
| 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 | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| 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/certification - 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 |
|---|---|---|---|---|
| 1588614192 | Grand Strand Pediatrics & Adolescent Medicine, P.a. | Pediatrics | 8120 Rourk St, Myrtle Beach, SC 29572-4127 | 2006-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245486760 | Lisa E Hughes | Pediatrics | 900 Bowman Rd., Mt. Pleasant, SC 29464 | 2008-08-15 |
| 1780860205 | Herbert Lee Smyre | Pediatrics | 106 Sheffield Rd, Greer, SC 29651-1025 | 2008-01-15 |
| 1710181060 | Kudchadkar Clinic | Pediatrics | 880 West Moultrie St, Suite 100, Winnsboro, SC 29180 | 2007-06-12 |
| 1619182482 | Greer Pediatric Clinic LLC | Pediatrics | 554 Memorial Drive Ext Ste C, Greer, SC 29651-1155 | 2007-05-14 |
| 1730248220 | York Pediatrics | Pediatrics | 1538 Health Care Dr, Rock Hill, SC 29732-3857 | 2006-12-08 |
| 1407867351 | Deanne N Geurkink | Pediatrics | 11134 Broad River Rd, Suite D, Irmo, SC 29063-7616 | 2006-08-10 |
| 1114965936 | Christine K Chard | Pediatrics | 23265 Highway 76 E, Clinton, SC 29325-7532 | 2006-06-03 |
| 1164487955 | Mojibola Olayinka Solaja | Pediatrics | 120 Wildewood Park Dr, Suite B, Columbia, SC 29223-4300 | 2006-04-18 |
| 1669432779 | Linda J Crout Wingard | Pediatrics | 2525 Kinard Street, Newberry, SC 29108 | 2006-03-23 |
| 1831162387 | Monica E Silva | Pediatrics | 109 Omni Dr Ste A, Seneca, SC 29672-9448 | 2006-02-07 |
| Find all providers with the same taxonomy | ||||
| City | MYRTLE BEACH |
| Zip Code | 29572 |
Please comment or provide details below to improve the information on DR. FREDERICK WILLIAM DANIELS.
| 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.