GEORGETOWN RADIOLOGY (NPI# 1952343766) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952343766 |
| Entity Type | Organization |
| Organization Name | GEORGETOWN RADIOLOGY |
| Practice Address |
4070 Highway 17 Murrells Inlet SC 29576-5033 |
| Mailing Address |
Po Box 2249 Pawleys Island SC 29585-2249 |
| Practice Telephone | 8432373378 |
| Practice Fax Number | 8432375073 |
| Mailing Telephone | 8432373378 |
| Mailing Fax Number | 8432375073 |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2009-03-16 |
| Authorized Official Name | ROBERT WHITEHEAD (PARTNER) |
| Authorized Official Telephone | 8432373378 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 89015C0 | 05 | |
| SC | GP3589 | 05 | |
| SC | RAILROAD MEDICARE | CC7341 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538125018 | Georgetown Radiology | Radiology | 606 Black River Rd, Georgetown, SC 29440-3304 | 2006-04-25 |
| Street Address |
4070 HIGHWAY 17 |
| City | MURRELLS INLET |
| State | SC |
| Zip Code | 29576-5033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942253638 | David L Fowler | Nurse Anesthetist, Certified Registered | 4070 Highway 17, Murrells Inlet, SC 29576-5033 | 2006-05-17 |
| 1295355931 | Alison Ballard | Dietitian, Registered | 4070 Highway 17, Murrells Inlet, SC 29576-5033 | 2020-04-23 |
| 1437716529 | Jesse Tyler Lyons | Student in an Organized Health Care Education/Training Program | 4070 Highway 17, Murrells Inlet, SC 29576-5033 | 2019-05-23 |
| 1679130892 | Tara Bonilla | Student in an Organized Health Care Education/Training Program | 4070 Highway 17, Murrells Inlet, SC 29576-5033 | 2019-05-22 |
| 1215593041 | Shana Elizabeth Anton | Student in an Organized Health Care Education/Training Program | 4070 Highway 17, Murrells Inlet, SC 29576-5033 | 2019-05-16 |
| 1770148850 | Katherine Gagan | Student in an Organized Health Care Education/Training Program | 4070 Highway 17, Murrells Inlet, SC 29576-5033 | 2019-05-05 |
| 1568027639 | Erfaan Ghiassi | Student in an Organized Health Care Education/Training Program | 4070 Highway 17, Murrells Inlet, SC 29576-5033 | 2019-05-04 |
| 1871158121 | Taylor Chesser Thrash | Student in an Organized Health Care Education/Training Program | 4070 Highway 17, Murrells Inlet, SC 29576-5033 | 2019-05-02 |
| 1801450416 | Keith S Miller | Family Medicine | 4070 Highway 17, Murrells Inlet, SC 29576-5033 | 2019-04-29 |
| 1881170702 | John Wilson Coward | Family Medicine | 4070 Highway 17, Murrells Inlet, SC 29576-5033 | 2018-07-13 |
| Find all providers in the same location | ||||
| 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 | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932651908 | Long Bay Diagnostic Imaging Murrells Inlet, LLC | Radiology | 4407 Highway 17 Bypass, Murrells Inlet, SC 29576-5097 | 2016-10-26 |
| 1457524852 | Christopher Allen Daub | Radiology | 1710 Pond Rd, Murrells Inlet, SC 29576-6522 | 2008-04-07 |
| 1689655383 | Jerome F Mccabe | Radiology | 4502 Riverside Lane, Murrells Inlet, SC 29576-6813 | 2005-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609486786 | Tara Noone | Radiology | 545 Planters Loop, Mount Pleasant, SC 29464-2743 | 2020-08-04 |
| 1447728795 | Island Imaging, LLC | Radiology | 40 Palmetto Parkway, Hilton Head Island, SC 29926 | 2018-11-05 |
| 1417423088 | Bon Secours Diagnostic Imaging | Radiology | 1 Marcus Dr Ste 100, Greenville, SC 29615-4818 | 2018-10-22 |
| 1700352374 | Bon Secours Diagnostic Imaging | Radiology | 2 Innovation Dr Ste 350, Greenville, SC 29607-5269 | 2018-10-22 |
| 1548797533 | Gregory S Connor, Md, Pa | Radiology | 628 W Home Ave, Hartsville, SC 29550-4430 | 2017-05-22 |
| 1407393861 | Mcleod Physician Associates II | Radiology | 1116 W Evans St, Florence, SC 29501-3320 | 2017-01-24 |
| 1245687540 | John Frederick Hughes | Radiology | 96 Jonathan Lucas St # 323, Charleston, SC 29425-3230 | 2016-05-17 |
| 1295104073 | Arthur Knight Walter | Radiology | 737 River Rd, Columbia, SC 29212-8809 | 2015-09-22 |
| 1386030021 | Shawn Hobby | Radiology | 96 Jonathan Lucas St Charleston Sc 29425, Charleston, SC 29425-0001 | 2015-04-09 |
| 1861887671 | Jonathan Bulzan | Radiology | 32 Bateswood Dr, Greer, SC 29651-7680 | 2015-03-30 |
| 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.