GEORGETOWN PHYSICIAN ASSOCIATES, LLC (NPI# 1912401399) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912401399 |
| Entity Type | Organization |
| Organization Name | GEORGETOWN PHYSICIAN ASSOCIATES, LLC |
| Other Organization Name | TIDELANDS HEALTH ORTHOPAEDICS |
| Practice Address |
2185 N Fraser St Georgetown SC 29440 |
| Mailing Address |
Po Box 421718 Georgetown SC 29442-4203 |
| Practice Telephone | 8435271800 |
| Practice Fax Number | 8435276528 |
| Mailing Telephone | 8435208883 |
| Mailing Fax Number | 8436528422 |
| Enumeration Date | 2018-03-21 |
| Last Update Date | 2020-05-01 |
| 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 | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | MEDICARE PTAN | C120 | 01 |
| Other Name | Type Code |
|---|---|
| Tidelands Health orthopaedics | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3515 Caduceus Dr, Myrtle Beach, SC 295882922 | 8435271800 | 8435276528 |
| 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 |
| 1548501976 | Georgetown Physician Associates, LLC | Obstetrics & Gynecology | 606 Black River Rd Ste 300, Georgetown, SC 29440-3304 | 2013-03-11 |
| 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 |
| Street Address |
2185 N FRASER ST |
| City | GEORGETOWN |
| State | SC |
| Zip Code | 29440 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518965375 | Mark Joseph Galloway | Physician Assistant | 2185 N Fraser St, Georgetown, SC 29440-6418 | 2005-07-14 |
| 1699311019 | Brittany Mccall Dieffenbach | Physician Assistant | 2185 N Fraser St, Georgetown, SC 29440-6418 | 2019-11-20 |
| 1053764977 | Mark Edward Boulden Jr. | Specialist/Technologist | 2185 N Fraser St, Georgetown, SC 29440-6418 | 2016-07-15 |
| 1043574882 | Earl James Han | Orthopaedic Surgery | 2185 N Fraser St, Georgetown, SC 29440-6418 | 2012-06-26 |
| 1548549017 | Georgetown Orthopaedics, LLC | Orthopaedic Surgery | 2185 N Fraser St, Georgetown, SC 29440-6418 | 2011-08-15 |
| 1922194257 | Mark Andrew Rowley | Orthopaedic Surgery | 2185 N Fraser St, Georgetown, SC 29440 | 2006-10-05 |
| 1689647588 | Mark E Triana | Orthopaedic Surgery | 2185 N Fraser St, Georgetown, SC 29440-6418 | 2006-02-10 |
| 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 | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| 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 Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174509244 | Drs A Mason Ahearn & Wright G Skinner IIi | Orthopaedic Surgery | 1001 N Fraser St, Georgetown, SC 29440-2848 | 2005-12-20 |
| 1215553201 | Premier Orthopaedic Bone & Joint Care | Orthopaedic Surgery | 8 N Race St, Georgetown, DE 19947-1404 | 2020-06-25 |
| 1043574882 | Earl James Han | Orthopaedic Surgery | 2185 N Fraser St, Georgetown, SC 29440-6418 | 2012-06-26 |
| 1548549017 | Georgetown Orthopaedics, LLC | Orthopaedic Surgery | 2185 N Fraser St, Georgetown, SC 29440-6418 | 2011-08-15 |
| 1043502263 | David Orsini | Orthopaedic Surgery | 3721 Williams Dr, Georgetown, TX 78628-2401 | 2011-05-05 |
| 1720305709 | Claire Orthopedics Pa | Orthopaedic Surgery | 1001 N Fraser St, Georgetown, SC 29440-2848 | 2010-04-29 |
| 1700076734 | Albert H. Bartschmid, Mdpa | Orthopaedic Surgery | 1904 Railroad St, Georgetown, TX 78626-7718 | 2007-07-26 |
| 1043400054 | Christopher Sean English, Mdpa | Orthopaedic Surgery | 1904 Railroad St, Georgetown, TX 78626-7718 | 2007-07-26 |
| 1376733394 | Charles Jeffrey Schwertner, Mdpa | Orthopaedic Surgery | 1904 Railroad St, Georgetown, TX 78626-7718 | 2007-07-26 |
| 1952591992 | Clifton B. O'meara, Mdpa | Orthopaedic Surgery | 1904 Railroad St, Georgetown, TX 78626-7718 | 2007-07-26 |
| Find all providers in GEORGETOWN | ||||
| City | GEORGETOWN |
| Zip Code | 29440 |
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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.