Physicians At Home Pc | |
9021 Bella Verde Ct Myrtle Beach SC 29579-5110 | |
(843) 516-2024 | |
Not Available |
Full Name | Physicians At Home Pc |
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Speciality | Internal Medicine |
Location | 9021 Bella Verde Ct, Myrtle Beach, South Carolina |
Authorized Official Name and Position | Alitza Rivera (OFFICE MANAGER) |
Authorized Official Contact | 8435162024 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Physicians At Home Pc Po Box 70157 Myrtle Beach SC 29572-0021 Ph: (843) 516-2024 | Physicians At Home Pc 9021 Bella Verde Ct Myrtle Beach SC 29579-5110 Ph: (843) 516-2024 |
NPI Number | 1487073193 |
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Provider Enumeration Date | 04/09/2014 |
Last Update Date | 08/23/2021 |
Medicare PECOS PAC ID | 2365661543 |
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Medicare Enrollment ID | O20140922000188 |
Identifier | Type | State | Issuer |
---|---|---|---|
1487073193 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (South Carolina) | Primary |
Provider Name | Joan M Wiss |
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Provider Type | Practitioner - Dermatology |
Provider Identifiers | NPI Number: 1093759755 PECOS PAC ID: 8123924313 Enrollment ID: I20031209000623 |
Provider Name | Robert Joseph Healy |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1164400123 PECOS PAC ID: 0042279093 Enrollment ID: I20050510000671 |
Provider Name | Veronica Ortiz Doyle |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1811061062 PECOS PAC ID: 5991705386 Enrollment ID: I20070109000336 |
Provider Name | James W Adamson |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1114903051 PECOS PAC ID: 9234224908 Enrollment ID: I20070926001187 |
Provider Name | Fady S Grace |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1669679007 PECOS PAC ID: 4587750807 Enrollment ID: I20071018000273 |
Provider Name | Kevin Cullen |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1679769723 PECOS PAC ID: 3678645033 Enrollment ID: I20080701000214 |
Provider Name | Kimberly Cecchini Purgavie |
---|---|
Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1093774028 PECOS PAC ID: 9335100197 Enrollment ID: I20100722000215 |
Provider Name | Robert Lewis Pugh |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1407814791 PECOS PAC ID: 7719025964 Enrollment ID: I20100925000030 |
Provider Name | Lindsey D States |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457668386 PECOS PAC ID: 7719161207 Enrollment ID: I20110407000229 |
Provider Name | Srinivas Vuppala |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1235162249 PECOS PAC ID: 1557354578 Enrollment ID: I20110907000779 |
Provider Name | Amanda D Vuppala |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1730379595 PECOS PAC ID: 3971632340 Enrollment ID: I20111021000002 |
Provider Name | Nyabilondi Huguette Ebama |
---|---|
Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1467618900 PECOS PAC ID: 1850562976 Enrollment ID: I20120723000033 |
Provider Name | Kenneth Allan Santiago |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1801878186 PECOS PAC ID: 3072565431 Enrollment ID: I20120913000525 |
Provider Name | Dana Bettina Pournaras |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1205065539 PECOS PAC ID: 6800045063 Enrollment ID: I20121003000161 |
Provider Name | Christine Maggi |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245530690 PECOS PAC ID: 8022267913 Enrollment ID: I20121010000019 |
Provider Name | Ryan Law Johnson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417208091 PECOS PAC ID: 1052564523 Enrollment ID: I20130111000239 |
Provider Name | Cynthia Lynn Cuson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346676277 PECOS PAC ID: 6709013907 Enrollment ID: I20131214000028 |
Provider Name | Allyson Rae Bender |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588903397 PECOS PAC ID: 3375771587 Enrollment ID: I20140115001671 |
Provider Name | Karen L Farris |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841435252 PECOS PAC ID: 7517020662 Enrollment ID: I20140502000571 |
Provider Name | Michael A Smith |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1295046589 PECOS PAC ID: 0042435224 Enrollment ID: I20140701001967 |
Provider Name | Ashley Elisabeth Adams |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487058434 PECOS PAC ID: 3971827049 Enrollment ID: I20150120001297 |
Provider Name | Tiffany L Mahaffey |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699191262 PECOS PAC ID: 2668796707 Enrollment ID: I20150121001331 |
Provider Name | Ginny Gregory |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437544376 PECOS PAC ID: 4385965888 Enrollment ID: I20150609002870 |
Provider Name | Jodi Dee Grainger |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528458585 PECOS PAC ID: 0446562060 Enrollment ID: I20150709002060 |
Provider Name | Timothy Bruce Bradford |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1861837528 PECOS PAC ID: 1153562988 Enrollment ID: I20160815000225 |
Provider Name | Noman A Hussain |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1114361508 PECOS PAC ID: 1052552007 Enrollment ID: I20160912002246 |
Provider Name | Christopher B Zakhary |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1104168863 PECOS PAC ID: 7113213356 Enrollment ID: I20160914001183 |
Provider Name | Krishn Chris Sharma |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1962726844 PECOS PAC ID: 0941443808 Enrollment ID: I20170530000998 |
Provider Name | Junzhi Lin |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1437564788 PECOS PAC ID: 8022233642 Enrollment ID: I20170829001486 |
Provider Name | Sandhya Talakokkla |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1588070254 PECOS PAC ID: 7214155738 Enrollment ID: I20170925000272 |
Provider Name | Anish Atulkumar Brahmbhatt |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1437579778 PECOS PAC ID: 5395063127 Enrollment ID: I20171006001105 |
Provider Name | Kimberly D Hunsucker |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134656606 PECOS PAC ID: 6305974320 Enrollment ID: I20171023000090 |
Provider Name | Victor J Aguin Melendez |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1538563903 PECOS PAC ID: 6305160193 Enrollment ID: I20171025001236 |
Provider Name | Bronwyn Dougherty |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376059543 PECOS PAC ID: 4981968443 Enrollment ID: I20180509000518 |
Provider Name | Thomas James Smith |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1174919963 PECOS PAC ID: 5799031647 Enrollment ID: I20180706000928 |
Provider Name | Kathy Juanita Horne Burgess |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043698848 PECOS PAC ID: 7810290137 Enrollment ID: I20180709003386 |
Provider Name | Annette M Joyce, |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1316997471 PECOS PAC ID: 5294648051 Enrollment ID: I20180718004257 |
Provider Name | Robin M Mclean-rimkus |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316458953 PECOS PAC ID: 9830448497 Enrollment ID: I20180815003321 |
Provider Name | Faisal Majeed |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1225411838 PECOS PAC ID: 7113218124 Enrollment ID: I20180926004195 |
Provider Name | Kara A Ott |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386120301 PECOS PAC ID: 9133471964 Enrollment ID: I20181005001960 |
Provider Name | Crystal Marie Leoffler |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780176396 PECOS PAC ID: 1557605490 Enrollment ID: I20181204003502 |
Provider Name | Heidi Davis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184124091 PECOS PAC ID: 4385989979 Enrollment ID: I20190102000190 |
Provider Name | Barbie Suggs Anderson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104396605 PECOS PAC ID: 6709127368 Enrollment ID: I20190408002315 |
Provider Name | Jennifer M Ferguson |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1841743010 PECOS PAC ID: 5193019495 Enrollment ID: I20190618000945 |
Provider Name | Jarrett L Brown |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1881057818 PECOS PAC ID: 7719279108 Enrollment ID: I20190802002267 |
Provider Name | Christopher D Ferguson |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1295186724 PECOS PAC ID: 8123312535 Enrollment ID: I20190813003786 |
Provider Name | Johanna Maggio |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053729616 PECOS PAC ID: 5799003836 Enrollment ID: I20190904003185 |
Provider Name | Cyril Cheriyan |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1225424872 PECOS PAC ID: 4486961901 Enrollment ID: I20190909000145 |
Provider Name | Amid Hamidi |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1568813327 PECOS PAC ID: 1153650445 Enrollment ID: I20190911003815 |
Provider Name | Ashleigh Ammons Hotaling |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538625876 PECOS PAC ID: 8628300720 Enrollment ID: I20191022002690 |
Provider Name | Brandi L Fowler |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629623202 PECOS PAC ID: 8921433905 Enrollment ID: I20200122000157 |
Provider Name | Jessica L Cvinar |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1255794780 PECOS PAC ID: 6103113758 Enrollment ID: I20200818000531 |
Provider Name | Sally B Baker |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1396196754 PECOS PAC ID: 9335434323 Enrollment ID: I20201008002325 |
Provider Name | Kaila Robbins Grove |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336775154 PECOS PAC ID: 7911314067 Enrollment ID: I20210407002666 |
Provider Name | Courtney Sturgill |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275115354 PECOS PAC ID: 1052715208 Enrollment ID: I20210810001720 |
Provider Name | Beth Sue Jaeger |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508433608 PECOS PAC ID: 0042618894 Enrollment ID: I20211007002769 |
Provider Name | Karen Beth Gatwood |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609531516 PECOS PAC ID: 5698168409 Enrollment ID: I20220131000548 |
Provider Name | Latrera Campbell Woodberry |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679037444 PECOS PAC ID: 0042642159 Enrollment ID: I20220707003872 |
Provider Name | Steven Paul Sponaugle |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679161129 PECOS PAC ID: 4183039670 Enrollment ID: I20230823003248 |
Provider Name | Sweta J Thakur |
---|---|
Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1255892642 PECOS PAC ID: 9032445580 Enrollment ID: I20230823004754 |
Provider Name | Jessica Durham Spring |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396501250 PECOS PAC ID: 0648618538 Enrollment ID: I20240411001116 |
Provider Name | Susan Rainey |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871186437 PECOS PAC ID: 3274928932 Enrollment ID: I20240521003680 |
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La Bella Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2020 Oakheart Rd, Myrtle Beach, SC 29579 Phone: 843-424-3015 | |
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