James N Hadstate Jr. (NPI# 1548436975, PAC ID# 7517135056) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
| Nation Provider ID (NPI) | 1548436975 |
| PAC ID by PECOS | 7517135056 |
| Professional Enrollment ID | I20110727000511 |
| Full Name | James N Hadstate Jr. |
| Organization Legal Name | GRAND STRAND SURGICAL SPECIALISTS LLC |
| Address |
8210 Devon Ct Myrtle Beach SC 29572-4178 |
| Phone Number | 8434977772 |
| Gender | M |
| Medical School | UNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE |
| Graduation Year | 2008 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 4082770656 |
| Number of Group Practice Members | 41 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420085 | GRAND STRAND REGIONAL MEDICAL CENTER |
| 420049 | CONWAY MEDICAL CENTER |
| 420098 | TIDELANDS WACCAMAW COMMUNITY HOSPITAL |
| 420105 | MCLEOD LORIS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 8210 Devon Ct, Myrtle Beach, SC 29572-4178 | 8434977772 | GRAND STRAND SURGICAL SPECIALISTS LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_021_overall | Perioperative Care: Selection of Prophylactic Antibiotic - First OR Second Generation Cephalosporin | 100% | |
| MIPS_EC_023_overall | Perioperative Care: Venous Thromboembolism (VTE) Prophylaxis (When Indicated in ALL Patients) | 100% | |
| MIPS_EC_047_overall | Care Plan | 100% |
| Organization Legal Name | GRAND STRAND SURGICAL SPECIALISTS LLC |
| Physicians | 41 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alexander James Petkovsek | Nurse Practitioner | Grand Strand Surgical Specialists LLC | 849 82nd Pkwy, Myrtle Beach, SC 29572-4614 |
| Tamiko M Jackson | Nurse Practitioner | Grand Strand Surgical Specialists LLC | 8210 Devon Ct, Myrtle Beach, SC 29572-4178 |
| Jeffrey T Weeden | Physician Assistant | Grand Strand Surgical Specialists LLC | 920 Doug White Dr, Myrtle Beach, SC 29572-4120 |
| Morgan O Phillips | Physician Assistant | Grand Strand Surgical Specialists LLC | 933 Medical Cir, Myrtle Beach, SC 29572-4116 |
| Stephen Alan Silbiger | Internal Medicine | Grand Strand Surgical Specialists LLC | 4630 Hwy 17, Murrells Inlet, SC 29576-5016 |
| Steven A Matzinger | General Surgery | Grand Strand Surgical Specialists LLC | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 |
| Allison Lundy Mccrae | General Surgery | Grand Strand Surgical Specialists LLC | 849 82nd Pkwy, Myrtle Beach, SC 29572-4614 |
| Katy Flinn Johnson | Physician Assistant | Grand Strand Surgical Specialists LLC | 933 Medical Cir, Myrtle Beach, SC 29572-4116 |
| Ernest W Stokes Iii | Physician Assistant | Grand Strand Surgical Specialists LLC | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 |
| Nicole Kane Garrett | Physician Assistant | Grand Strand Surgical Specialists LLC | 8210 Devon Ct, Myrtle Beach, SC 29572-4178 |
| Street Address |
8210 DEVON CT |
| City | MYRTLE BEACH |
| State | SC |
| Zip | 29572-4178 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tamiko M Jackson | Nurse Practitioner | Grand Strand Surgical Specialists LLC | 8210 Devon Ct, Myrtle Beach, SC 29572-4178 |
| Nicole Kane Garrett | Physician Assistant | Grand Strand Surgical Specialists LLC | 8210 Devon Ct, Myrtle Beach, SC 29572-4178 |
| Jerry E Watson | Cardiovascular Disease (cardiology) | Grand Strand Surgical Specialists LLC | 8210 Devon Ct, Myrtle Beach, SC 29572-4178 |
| Shannon Williamson Cribb | Nurse Practitioner | Grand Strand Surgical Specialists LLC | 8210 Devon Ct, Myrtle Beach, SC 29572-4178 |
| Jimmy L Kontos | Interventional Cardiology | Grand Strand Surgical Specialists LLC | 8210 Devon Ct, Myrtle Beach, SC 29572-4178 |
| Heather S Cahoy | Physician Assistant | Grand Strand Surgical Specialists LLC | 8210 Devon Ct, Myrtle Beach, SC 29572-4178 |
| Randall N Goodroe | Cardiovascular Disease (cardiology) | Grand Strand Surgical Specialists LLC | 8210 Devon Ct, Myrtle Beach, SC 29572-4178 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel Staples | Physical Therapy | Benchmark Healthcare Services LLC | 7955 N Kings Hwy, Suite 330, Myrtle Beach, SC 29572-3056 |
| Paul Vojtek | Physical Therapy | Benchmark Healthcare Services LLC | 7955 N Kings Hwy, Suite 330, Myrtle Beach, SC 29572-3056 |
| Stephen Swygert Ford | Physical Therapy | Benchmark Healthcare Services LLC | 7955 N Kings Hwy, Suite 330, Myrtle Beach, SC 29572-3056 |
| Kara Houston | Physical Medicine and Rehabilitation | Benchmark Healthcare Services LLC | 7955 N Kings Hwy, Suite 330, Myrtle Beach, SC 29572-3056 |
| Steven Goodman | Chiropractic | 9612n Kings Hwy, Myrtle Beach, SC 29572-4006 | |
| Barbie Suggs Anderson | Nurse Practitioner | Beach Urgent Care | 9820 N Kings Hwy, Myrtle Beach, SC 29572-4013 |
| Emily Pond Wright | Nurse Practitioner | Beach Urgent Care | 9820 N Kings Hwy, Myrtle Beach, SC 29572-4013 |
| Stephen Gordon Remine | General Surgery | Beach Urgent Care | 9820 N Kings Hwy, Myrtle Beach, SC 29572-4013 |
| Richard G Snyder | General Practice | Beach Urgent Care | 9820 N Kings Hwy, Myrtle Beach, SC 29572-4013 |
| Bleselda G Paragas | Physician Assistant | Beach Urgent Care | 9820 N Kings Hwy, Myrtle Beach, SC 29572-4013 |
| Find all physicians in zip 29572 | |||
| City | MYRTLE BEACH |
| Zip Code | 29572 |
| Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| City + Specialty | MYRTLE BEACH + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.