Southeastern Hospitalist Services Pc | |
809 82nd Pkwy Myrtle Beach SC 29572-4607 | |
(843) 692-1000 | |
Not Available |
Full Name | Southeastern Hospitalist Services Pc |
---|---|
Speciality | Hospitalist |
Location | 809 82nd Pkwy, Myrtle Beach, South Carolina |
Authorized Official Name and Position | David Wesley Templeton (PRESIENT) |
Authorized Official Contact | 8004243672 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Southeastern Hospitalist Services Pc Po Box 638981 Cincinnati OH 45263-8981 Ph: (800) 424-3672 | Southeastern Hospitalist Services Pc 809 82nd Pkwy Myrtle Beach SC 29572-4607 Ph: (843) 692-1000 |
NPI Number | 1003280108 |
---|---|
Provider Enumeration Date | 11/30/2015 |
Last Update Date | 05/19/2016 |
Medicare PECOS PAC ID | 3476855420 |
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Medicare Enrollment ID | O20160107001140 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003280108 | NPI | - | NPPES |
GP7097 | Medicaid | GA | |
GP7099 | Medicaid | SC | |
GP7085 | Medicaid | SC | |
GP7098 | Medicaid | GA |
Provider Name | Mahsheed Khajavi |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1114945979 PECOS PAC ID: 2769370873 Enrollment ID: I20040310000027 |
Provider Name | Guruman Singh Kalra |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1790720357 PECOS PAC ID: 8921024324 Enrollment ID: I20051014000552 |
Provider Name | Babajide Falana |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1003867334 PECOS PAC ID: 1456379775 Enrollment ID: I20051104000691 |
Provider Name | Harsh Singh |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1801888433 PECOS PAC ID: 3971582149 Enrollment ID: I20060629000271 |
Provider Name | Richard Kwasi Agbeko Kessey |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1760496228 PECOS PAC ID: 5395749360 Enrollment ID: I20060905000523 |
Provider Name | Ingrid Tanubrata |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1659394542 PECOS PAC ID: 8820098726 Enrollment ID: I20061227000108 |
Provider Name | Harold O Boye |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1790745115 PECOS PAC ID: 7416960083 Enrollment ID: I20070720000258 |
Provider Name | Grant J Scarborough |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1790736262 PECOS PAC ID: 9436161742 Enrollment ID: I20070918000277 |
Provider Name | Silas O Gbenle |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1932218872 PECOS PAC ID: 9133206592 Enrollment ID: I20080409000396 |
Provider Name | Mary Grace Soon |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1730384421 PECOS PAC ID: 8527126986 Enrollment ID: I20081029000410 |
Provider Name | Olusegun John |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1174796130 PECOS PAC ID: 2062578164 Enrollment ID: I20090225000299 |
Provider Name | Sunil John |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1821074261 PECOS PAC ID: 6002896537 Enrollment ID: I20090804000578 |
Provider Name | Tammy M Allen |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1861550865 PECOS PAC ID: 0244256196 Enrollment ID: I20091022000009 |
Provider Name | Yimei M Qian |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1487801163 PECOS PAC ID: 3173690625 Enrollment ID: I20100122000202 |
Provider Name | Ayodeji George |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1255521126 PECOS PAC ID: 1052405511 Enrollment ID: I20100614000270 |
Provider Name | Bamidele Ayotunde Ajibola |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1669644589 PECOS PAC ID: 4082809009 Enrollment ID: I20101116000257 |
Provider Name | Ike A Nwaobi |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1417112475 PECOS PAC ID: 8224218391 Enrollment ID: I20110207000356 |
Provider Name | Olayinka A Elesha |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1083887954 PECOS PAC ID: 8729237391 Enrollment ID: I20120926000357 |
Provider Name | Monica Angela Hoffmeister-becerra |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1639307754 PECOS PAC ID: 3476702655 Enrollment ID: I20121003000353 |
Provider Name | Chibuzor Nkiruka Nnaji |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1740418177 PECOS PAC ID: 5395997175 Enrollment ID: I20121129000487 |
Provider Name | Amaka Eunice Ezimora |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1902121122 PECOS PAC ID: 5799939799 Enrollment ID: I20130128000489 |
Provider Name | Mary O Nwoke |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1588891261 PECOS PAC ID: 3476707381 Enrollment ID: I20130130000356 |
Provider Name | Gopi Yogesh Vora |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1396056032 PECOS PAC ID: 8729212980 Enrollment ID: I20131002000312 |
Provider Name | Amena Samar |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1942515531 PECOS PAC ID: 1153556501 Enrollment ID: I20131021001393 |
Provider Name | Whitney Creed |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831448059 PECOS PAC ID: 2769617984 Enrollment ID: I20131024000606 |
Provider Name | Kemisha L Key |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1487975132 PECOS PAC ID: 8022243153 Enrollment ID: I20131028000497 |
Provider Name | Raymond Kostromin |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1578668992 PECOS PAC ID: 7810110947 Enrollment ID: I20140519001129 |
Provider Name | Michael N Metry |
---|---|
Provider Type | Practitioner - Critical Care (intensivists) |
Provider Identifiers | NPI Number: 1124187695 PECOS PAC ID: 7113818410 Enrollment ID: I20140912000998 |
Provider Name | Katie Lynn Westerfield |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1336480912 PECOS PAC ID: 2860717964 Enrollment ID: I20150212001345 |
Provider Name | Christopher C Ezeihuaku |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1275672099 PECOS PAC ID: 2567553894 Enrollment ID: I20150415002362 |
Provider Name | Teresa Davila |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235523044 PECOS PAC ID: 0840519245 Enrollment ID: I20150506002750 |
Provider Name | Marian Hood |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689067597 PECOS PAC ID: 4284953688 Enrollment ID: I20150506002854 |
Provider Name | Dwayne A Wright |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1578841300 PECOS PAC ID: 8921312158 Enrollment ID: I20150801017382 |
Provider Name | Gabriele Polk-seldon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023491172 PECOS PAC ID: 3375859440 Enrollment ID: I20150903002033 |
Provider Name | Misty Grove |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689057879 PECOS PAC ID: 1557679438 Enrollment ID: I20150925000795 |
Provider Name | Ronald Collier |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1942466750 PECOS PAC ID: 2466777602 Enrollment ID: I20160513001923 |
Provider Name | Michael Lemke |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437506318 PECOS PAC ID: 2769775394 Enrollment ID: I20160720000518 |
Provider Name | Jaynald Caoile Cruz |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972052462 PECOS PAC ID: 8022399500 Enrollment ID: I20161220002228 |
Provider Name | Jenna R Combs |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447797584 PECOS PAC ID: 4082998885 Enrollment ID: I20170222001832 |
Provider Name | Tricia Charlene Fields |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1205036431 PECOS PAC ID: 8729277991 Enrollment ID: I20170419002990 |
Provider Name | Kevin J Shiver |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215388160 PECOS PAC ID: 3678841913 Enrollment ID: I20170830004017 |
Provider Name | Wenlan Duan |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1336374446 PECOS PAC ID: 5799081030 Enrollment ID: I20170906002581 |
Provider Name | Girmay G Hailu |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1841605201 PECOS PAC ID: 1658646351 Enrollment ID: I20171005002238 |
Provider Name | Akash Mukesh Shah |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1164833190 PECOS PAC ID: 2961797121 Enrollment ID: I20180219001460 |
Provider Name | Farhan Ahmed |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1912318940 PECOS PAC ID: 3375832025 Enrollment ID: I20180710001687 |
Provider Name | Promise Chidi |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1336534122 PECOS PAC ID: 2466747183 Enrollment ID: I20180801000628 |
Provider Name | Jada Rhymes |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1124400353 PECOS PAC ID: 8224336409 Enrollment ID: I20181102001938 |
Provider Name | Scharri Richmond |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063968535 PECOS PAC ID: 9931449352 Enrollment ID: I20190321002875 |
Provider Name | Abigail Copeland Zakrzewski |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316424690 PECOS PAC ID: 1759631054 Enrollment ID: I20190425002793 |
Provider Name | Ameet Kumar |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1548667934 PECOS PAC ID: 2961773585 Enrollment ID: I20190503000579 |
Provider Name | Hafsa Bhatti |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1184044679 PECOS PAC ID: 7315260684 Enrollment ID: I20190517001137 |
Provider Name | Jametria Qwanice Howard-jones |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1487064317 PECOS PAC ID: 7810256435 Enrollment ID: I20190606001316 |
Provider Name | Muhammad K Ahmed |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1952718124 PECOS PAC ID: 8224367842 Enrollment ID: I20190906002984 |
Provider Name | Michelle M Montalvo |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1518329358 PECOS PAC ID: 7315231552 Enrollment ID: I20190909001405 |
Provider Name | Mwamba Mwila |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1629427570 PECOS PAC ID: 8426388695 Enrollment ID: I20191001003271 |
Provider Name | Koosh N Desai |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1386097210 PECOS PAC ID: 5193056562 Enrollment ID: I20191016001409 |
Provider Name | Ravi Kumar Metai |
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Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1912304585 PECOS PAC ID: 8022383017 Enrollment ID: I20191210002035 |
Provider Name | Lisa A Dileonardo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346801701 PECOS PAC ID: 7618207598 Enrollment ID: I20200129002474 |
Provider Name | Wael Aljishi |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1316105489 PECOS PAC ID: 3274773239 Enrollment ID: I20200313002105 |
Provider Name | Daniel R Duzan |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1518900091 PECOS PAC ID: 7315911351 Enrollment ID: I20200327000715 |
Provider Name | Robert Brown |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760907208 PECOS PAC ID: 2264861327 Enrollment ID: I20200411000506 |
Provider Name | Thendrex Hernandez Estrella |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1780815084 PECOS PAC ID: 3971750076 Enrollment ID: I20200421001838 |
Provider Name | Kimberly G Lee |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932748605 PECOS PAC ID: 2668803412 Enrollment ID: I20200511001768 |
Provider Name | Stella Michelle Lundry |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326536681 PECOS PAC ID: 7012265424 Enrollment ID: I20200702001238 |
Provider Name | Jason W Kimbel |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1538691225 PECOS PAC ID: 4688942790 Enrollment ID: I20200707000830 |
Provider Name | Timothy Michael Pruitt |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295738706 PECOS PAC ID: 9931131943 Enrollment ID: I20200811000066 |
Provider Name | Chandar R Abboy |
---|---|
Provider Type | Practitioner - Critical Care (intensivists) |
Provider Identifiers | NPI Number: 1275583585 PECOS PAC ID: 6002858925 Enrollment ID: I20200820002948 |
Provider Name | Lashonda S Bell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861960676 PECOS PAC ID: 8820337157 Enrollment ID: I20201001000659 |
Provider Name | Anand K Gupta |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1033439815 PECOS PAC ID: 9234310103 Enrollment ID: I20201214001606 |
Provider Name | Anupa Rai |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1023388642 PECOS PAC ID: 1951538776 Enrollment ID: I20210308000682 |
Provider Name | Royce Clifton Miller |
---|---|
Provider Type | Practitioner - Critical Care (intensivists) |
Provider Identifiers | NPI Number: 1568824993 PECOS PAC ID: 0143584854 Enrollment ID: I20210525000540 |
Provider Name | Jeffrey A Gulick |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1235313149 PECOS PAC ID: 2668525858 Enrollment ID: I20211011001183 |
Provider Name | Yulanda King |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184214132 PECOS PAC ID: 7416366786 Enrollment ID: I20211110000008 |
Provider Name | Natasha Raj Arora |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1386131456 PECOS PAC ID: 0547509119 Enrollment ID: I20211220002343 |
Provider Name | Tabitha Marie Bedini |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1003104092 PECOS PAC ID: 7618109950 Enrollment ID: I20220209000655 |
Provider Name | Haider S Chaudhry |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1649317751 PECOS PAC ID: 7719078575 Enrollment ID: I20220310001723 |
Provider Name | Stephanie Robertson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952868341 PECOS PAC ID: 4486067451 Enrollment ID: I20220503002081 |
Provider Name | Yahya R Ahmad |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1316399678 PECOS PAC ID: 3476848672 Enrollment ID: I20220711003101 |
Provider Name | Vimarsh Raina |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1508177841 PECOS PAC ID: 9537315064 Enrollment ID: I20220823003026 |
Provider Name | Lachmi Bai |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1467913319 PECOS PAC ID: 1254666860 Enrollment ID: I20220919000295 |
Provider Name | Margaret Caitlin Williamson |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1124589023 PECOS PAC ID: 4385979079 Enrollment ID: I20221005001222 |
Provider Name | Manasa Valluri |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1144781741 PECOS PAC ID: 3072841717 Enrollment ID: I20221201000477 |
Provider Name | Mahesh Shrestha |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1215345269 PECOS PAC ID: 8527350040 Enrollment ID: I20221201001449 |
Provider Name | Nicholas Kevin Batchelor |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1831266956 PECOS PAC ID: 5597996942 Enrollment ID: I20221220000502 |
Provider Name | Aaron Thomas Welly |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154844306 PECOS PAC ID: 6406274596 Enrollment ID: I20230302002118 |
Provider Name | Chibuzor Ejike |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1972132660 PECOS PAC ID: 5698192771 Enrollment ID: I20230810002685 |
Provider Name | Thomas James Smith |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1174919963 PECOS PAC ID: 5799031647 Enrollment ID: I20240304001256 |
Provider Name | Myranda Leigh Harbuck |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285319459 PECOS PAC ID: 4183061336 Enrollment ID: I20240322002656 |
Provider Name | Stephen Lee Voss |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1083132237 PECOS PAC ID: 2365846227 Enrollment ID: I20240430001162 |
Traditions Health Of Augusta Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 215 Ronnie Ct Ste D, Myrtle Beach, SC 29579 Phone: 843-504-3421 Fax: 843-504-3422 | |
Strand Regional Specialty Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8170 Rourk St, Myrtle Beach, SC 29572 Phone: 843-449-2336 Fax: 843-497-2505 | |
Healogics Specialty Physicians Of South Carolina, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5050 Highway 17 Byp S, Myrtle Beach, SC 29588 Phone: 843-839-6000 | |
Carolina Health Specialists Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4591 Socastee Blvd, Myrtle Beach, SC 29588 Phone: 843-497-5929 Fax: 843-293-1115 | |
La Bella Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2020 Oakheart Rd, Myrtle Beach, SC 29579 Phone: 843-424-3015 | |
Jga Medical Ventures, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4798 Woodview Ln, Myrtle Beach, SC 29575 Phone: 843-828-3352 Fax: 843-357-1471 |