MR. SANFORD J. HARDIN II (NPI# 1700993250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1700993250 |
Entity Type | Individual |
Full Name | MR. SANFORD J. HARDIN II |
Credential | PA-C |
Practice Address |
945 82nd Pkwy Myrtle Beach SC 29572-4612 |
Mailing Address |
Po Box 3439 North Myrtle Beach SC 29582-0439 |
Practice Telephone | 8434975929 |
Practice Fax Number | 8557236342 |
Mailing Telephone | 8438396379 |
Mailing Fax Number | 8433990123 |
Enumeration Date | 2006-08-23 |
Last Update Date | 2020-07-17 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
1795 | SC | Physician Assistants & Advanced Practice Nursing Providers |
N | 363AM0700X |
Physician Assistant Specialization: Medical |
102396 | NC | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SC | STATE LICENSE | 1795 | 01 |
Street Address |
945 82ND PKWY |
City | MYRTLE BEACH |
State | SC |
Zip Code | 29572-4612 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760485320 | Anne G. Larochelle | Internal Medicine | 945 82nd Pkwy, Myrtle Beach, SC 29572-4612 | 2005-05-27 |
1619523412 | Strand Physician Specialists, Pa | Physician Assistant | 945 82nd Pkwy, Myrtle Beach, SC 29572-4612 | 2019-08-16 |
1477111615 | Paige Alyse Weaver | Physician Assistant | 945 82nd Pkwy, Myrtle Beach, SC 29572-4612 | 2019-06-03 |
1306328588 | Taylor Blair Currall | Physician Assistant | 945 82nd Pkwy, Myrtle Beach, SC 29572-4612 | 2018-09-04 |
1528554532 | Leslie Fahy Mclamb | Nurse Practitioner | 945 82nd Pkwy, Myrtle Beach, SC 29572 | 2018-07-03 |
1619380623 | Rebecca Jane Heichel | Physician Assistant | 945 82nd Pkwy, Myrtle Beach, SC 29572-4612 | 2014-06-06 |
1194149161 | Kallie Graham Britton | Physician Assistant | 945 82nd Pkwy, Suite 3b, Myrtle Beach, SC 29572-4612 | 2014-02-12 |
1760823553 | Rabih Nayfe | Internal Medicine | 945 82nd Pkwy, Myrtle Beach, SC 29572-4612 | 2013-07-10 |
1629332911 | Ledy P Chestnut | Physician Assistant | 945 82nd Pkwy, Myrtle Beach, SC 29572-4612 | 2012-07-02 |
1225320666 | David L Lazar | Internal Medicine | 945 82nd Pkwy, Myrtle Beach, SC 29572-4612 | 2011-05-04 |
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 | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457804080 | Mcleod Physician Associates II | Physician Assistant | 945 82nd Pkwy Ste 3, Myrtle Beach, SC 29572-4612 | 2016-08-01 |
1346350089 | Amy Rose Hancock | Physician Assistant | 4900 Oleander Dr, Suite # 1, Myrtle Beach, SC 29577-5897 | 2006-08-30 |
1093292278 | Brandon Ryan Carney | Physician Assistant | 809 82nd Pkwy, Myrtle Beach, SC 29572 | 2018-07-20 |
1255704623 | Joseph W O'neal Jr. | Physician Assistant | 200 Middleburg Dr, Myrtle Beach, SC 29579-3408 | 2015-11-07 |
1972988590 | Lindsay Marie Johnson | Physician Assistant | 917 Medical Cir, Myrtle Beach, SC 29572-4116 | 2015-07-24 |
1194149161 | Kallie Graham Britton | Physician Assistant | 945 82nd Pkwy, Suite 3b, Myrtle Beach, SC 29572-4612 | 2014-02-12 |
1578908950 | Amanda Beth Belesky | Physician Assistant | 5046 Highway 17 Byp S, Suite 100, Myrtle Beach, SC 29588-4503 | 2013-04-30 |
1316177439 | Christy R Hawkins | Physician Assistant | 945 82nd Pkwy, Suite 3, Myrtle Beach, SC 29572-4610 | 2009-07-23 |
1861621773 | Sarah Elizabeth Benton | Physician Assistant | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 | 2009-07-13 |
1467698621 | Shelley M Gilbert | Physician Assistant | 4301 Dick Pond Rd, Myrtle Beach, SC 29588-6807 | 2008-12-18 |
Find all providers in MYRTLE BEACH |
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.