| Joseph Anthony Maggioncalda Ii, MD | |
|
809 82nd Pkwy, Myrtle Beach, SC 29572-4607 | |
| (843) 692-1595 | |
| (843) 692-1122 |
| Full Name | Joseph Anthony Maggioncalda Ii |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Location | 809 82nd Pkwy, Myrtle Beach, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134626294 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 0101278984 (Virginia) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| Entity Name | American Anesthesiology Of Virginia Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417994872 PECOS PAC ID: 6800790023 Enrollment ID: O20080812000606 |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph Anthony Maggioncalda Ii, MD 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 Ph: (843) 692-1595 | Joseph Anthony Maggioncalda Ii, MD 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 Ph: (843) 692-1595 |
Ian Peace, Anesthesiology Medicare: Medicare Enrolled Practice Location: 3850 Maypop Cir, Myrtle Beach, SC 29588 Phone: 843-780-8346 | |
Dr. Derek L Horstemeyer, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 809 82nd Pkwy, Anesthesia Dept, Myrtle Beach, SC 29572 Phone: 843-692-1000 | |
Dr. Candace N Mcalpine, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 809 82nd Pkwy, Myrtle Beach, SC 29572 Phone: 843-692-1063 | |
Farayi Jonnes Mbuvah, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 811 82nd Parkway Ste B, Myrtle Beach, SC 29572 Phone: 843-839-4598 Fax: 843-839-4599 | |
Dr. Jon Michael Bennett, DO Anesthesiology Medicare: May Accept Medicare Assignments Practice Location: 7900 N Kings Hwy, Myrtle Beach, SC 29572 Phone: 843-449-3381 Fax: 843-449-9721 | |
Dr. Stephen E Boatwright, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 4736 Highway 17 Byp S, Myrtle Beach, SC 29588 Phone: 843-231-2039 Fax: 843-293-2454 |