Joshua Gore, MD | |
1621 Highway 17 N, North Myrtle Beach, SC 29582-2229 | |
(843) 353-3460 | |
Not Available |
Full Name | Joshua Gore |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 15 Years |
Location | 1621 Highway 17 N, North Myrtle Beach, South Carolina |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891015061 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 37602 (South Carolina) | Secondary |
207L00000X | Anesthesiology | 27876 (Oklahoma) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mcleod Loris Hospital | Loris, SC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Orthosc Llc | 8022370030 | 81 |
Entity Name | Coastal Anesthesia Medical Group, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609813179 PECOS PAC ID: 1850295650 Enrollment ID: O20031124000145 |
Entity Name | Mcleod Physician Associates Ii |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801990494 PECOS PAC ID: 8224031307 Enrollment ID: O20060926000568 |
Entity Name | Beach Anesthesia, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215061429 PECOS PAC ID: 6103924014 Enrollment ID: O20070530000620 |
Entity Name | Bon Secours St Francis Xavier Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740502822 PECOS PAC ID: 8325008717 Enrollment ID: O20100607000884 |
Entity Name | Anesthesia Sc Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295271948 PECOS PAC ID: 6800172453 Enrollment ID: O20170413000961 |
Entity Name | Orthosc Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861902728 PECOS PAC ID: 8022370030 Enrollment ID: O20180501000455 |
Mailing Address | Practice Location Address |
---|---|
Joshua Gore, MD 4131 Nw 122nd St, Oklahoma City, OK 73120-8869 Ph: (405) 775-9350 | Joshua Gore, MD 1621 Highway 17 N, North Myrtle Beach, SC 29582-2229 Ph: (843) 353-3460 |