MRS. SARA H BLACK (NPI# 1699882845) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699882845 |
| Entity Type | Individual |
| Full Name | MRS. SARA H BLACK |
| Other Name | SARA LOUISE HENDRIX |
| Credential | PA-C |
| Practice Address |
4630 Highway 17 Murrells Inlet SC 29576-5016 |
| Mailing Address |
Po Box 751649 Charlotte NC 28275-1649 |
| Practice Telephone | 8433572299 |
| Practice Fax Number | 8433572720 |
| Mailing Telephone | 8437891620 |
| Mailing Fax Number | 8437242440 |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2014-01-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
776 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 1578PA | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831653369 | Sara Rebecca Black | Counselor | 425 Broadway St, Paducah, KY 42001-0713 | 2019-01-29 |
| 1235625930 | Sara Louise Black | Registered Nurse | 4600 3rd St, Moline, IL 61265-6106 | 2018-07-05 |
| 1285159665 | Sara Elizabeth Black | Physical Therapist | 80 E Jefferson St Ste 200, Falls Church, VA 22046-3567 | 2017-08-07 |
| 1831573757 | Sara Black | Counselor | 1216 N Central Expy, Suite 104, Mckinney, TX 75070-3310 | 2015-07-10 |
| 1629479043 | Sara E. Black | Nurse Practitioner | 2301 Erwin Road, Durham, NC 27710 | 2014-09-05 |
| 1952742314 | Sara Black | Speech-Language Pathologist | 13336 Industrial Rd, Suite 105, Omaha, NE 68137-1124 | 2013-07-15 |
| 1912106113 | Sara E Black | Social Worker | 558 Pleasant St, New Bedford, MA 02740-6246 | 2007-07-17 |
| 1871538868 | Sara Black | Student in an Organized Health Care Education/Training Program | University of Wisconsin Hospital and Clinics, 600 Highland Ave., Room H4/831-8320, Madison, WI 53792-3284 | 2006-06-17 |
| Street Address |
4630 HIGHWAY 17 |
| City | MURRELLS INLET |
| State | SC |
| Zip Code | 29576-5016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518338912 | Jessica L. Harley | Physician Assistant | 4630 Highway 17, Murrells Inlet, SC 29576-5016 | 2015-10-12 |
| 1417334020 | Roper Saint Francis Physicians Network | Obstetrics & Gynecology | 4630 Highway 17, Murrells Inlet, SC 29576 | 2015-05-04 |
| 1295123339 | Roper Saint Francis Physicians Network | Internal Medicine | 4630 Highway 17, Murrells Inlet, SC 29576 | 2014-12-23 |
| 1871906354 | Roper Saint Francis Physicians Network | Internal Medicine | 4630 Highway 17, Murrells Inlet, SC 29576 | 2014-06-03 |
| 1689009656 | Roper Saint Francis Physicians Network | Internal Medicine | 4630 Highway 17, Murrells Inlet, SC 29576 | 2013-09-10 |
| 1821434986 | Roper Saint Francis Physicians Network | Internal Medicine | 4630 Highway 17, Murrells Inlet, SC 29576 | 2013-05-16 |
| 1285967018 | Roper Saint Francis Physicians Network | Neurological Surgery | 4630 Highway 17, Murrells Inlet, SC 29576 | 2009-09-11 |
| 1508009812 | Roper Saint Francis Physicians Network | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4630 Highway 17, Murrells Inlet, SC 29576-5016 | 2009-04-16 |
| 1700084431 | Michael Rosenblum | Internal Medicine | 4630 Highway 17, Murrells Inlet, SC 29576-5016 | 2007-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619577665 | Mobilityworks, LLC | Durable Medical Equipment & Medical Supplies | 11816 Frontage Rd., Murrells Inlet, SC 29576 | 2020-10-29 |
| 1457986267 | Seaside Eye Associates South LLC | Optometrist | 640 Morse Ave, Unit 11, Murrells Inlet, SC 29576 | 2020-03-12 |
| 1710443833 | Sirach Health Professional Limited Liability Company | Physical Medicine & Rehabilitation | 4070 Us Highway 17 Bypass South, Murrells Inlet, SC 29576 | 2019-02-13 |
| 1801350871 | Doctors Care, P.a. | Emergency Medicine | 12015 Highway 707, Murrells Inlet, SC 29576 | 2019-01-24 |
| 1568949154 | Melanie Lewis | Physical Therapist | 2586 Hwy 17 Business S, Murrells Inlet, SC 29576 | 2018-07-26 |
| 1528550035 | Lauren Munck | Family Medicine | Tidelands Waccamaw Community Hospital, 4070 Highway 17, Murrells Inlet, SC 29576 | 2018-05-31 |
| 1003312521 | Myrtle Beach Rehabilitation Hospital, LLC | Rehabilitation Hospital | 4070 Hwy 17 Bypass South, Murrells Inlet, SC 29576 | 2018-04-03 |
| 1467952218 | Jamaica E Alston | Student in an Organized Health Care Education/Training Program | 14 Ambassador Lane, Murrells Inlet, SC 29576 | 2018-02-19 |
| 1891209227 | Caleb Sims Whitney | Physical Medicine & Rehabilitation | 10800 Sc 707, Murrells Inlet, SC 29576 | 2017-11-21 |
| 1043720964 | Chartwell Durable Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 671 Jamestown Drive, Suite 104, Murrells Inlet, SC 29576 | 2017-10-05 |
| Find all providers in zip 29576 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245223353 | Susan K Herrington | Physician Assistant | 4959 Highway 17 Bypass S., Murrells Inlet, SC 29576-5041 | 2005-08-24 |
| 1679944839 | Bryce Edward Paull | Physician Assistant | 4040 Highway 17, Suite 101, Murrells Inlet, SC 29576-5098 | 2015-10-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639712482 | Brianna Julia Starr | Physician Assistant | 1403 E Greenville St Ste B, Anderson, SC 29621-2285 | 2019-10-24 |
| 1255974655 | Kaitlyn T Brown | Physician Assistant | 808 Farrar Drive, Conway, SC 29526-8747 | 2019-10-18 |
| 1053960914 | Chad Waddell | Physician Assistant | 107 Walnut Ln, North Augusta, SC 29860-8629 | 2019-09-04 |
| 1508429317 | Charlotte H. Hanna | Physician Assistant | 800 E Cheves St Ste 380, Florence, SC 29506-2649 | 2019-04-17 |
| 1407342116 | Thrive Essential Wellness, Inc. | Physician Assistant | 1511 9th Ave Ste A, Conway, SC 29526-4126 | 2018-07-05 |
| 1700392495 | Stephanie Meyer | Physician Assistant | 5 Medical Park Road Palmetto Health, Columbia, SC 29203 | 2017-12-18 |
| 1073022612 | Gina Marie Sanitato | Physician Assistant | 1300 Hospital Dr Ste 300, Mt Pleasant, SC 29464-3217 | 2017-09-27 |
| 1659896264 | Morgan N Warthan | Physician Assistant | Gateway Family Medicine, 406 N Poinsett Hwy, Travelers Rest, SC 29690-1667 | 2017-08-04 |
| 1366994824 | Colonial Family Practice, LLC | Physician Assistant | 3750 Savannah Hwy Ste I, Johns Island, SC 29455-7909 | 2016-11-01 |
| 1457804080 | Mcleod Physician Associates II | Physician Assistant | 945 82nd Pkwy Ste 3, Myrtle Beach, SC 29572-4612 | 2016-08-01 |
| Find all providers with the same taxonomy | ||||
| City | MURRELLS INLET |
| Zip Code | 29576 |
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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.