Gary A Vukov, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

12307 Issued in SC

Practice address

7900 N Kings Hwy
Myrtle Beach, SC 29572-3055

Phone

(843) 449-3381

Fax

(843) 839-0275

NPI assigned

Oct 25, 2005

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611273600000",
    "number": "1013907690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7900 N KINGS HWY",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295723055",
            "telephone_number": "843-449-3381",
            "fax_number": "843-839-0275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7900 N KINGS HWY",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295723055",
            "telephone_number": "843-449-3381",
            "fax_number": "843-839-0275"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "945 82nd Pkwy",
            "address_2": "Suite 3",
            "address_purpose": "LOCATION",
            "city": "Myrtle Beach",
            "state": "SC",
            "postal_code": "295724610",
            "country_code": "US",
            "telephone_number": "843-449-3381",
            "fax_number": "843-839-0275",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VUKOV",
        "first_name": "GARY",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-25",
        "last_updated": "2021-01-22",
        "certification_date": "2021-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "SC",
            "license": "12307",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123075",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sandra Elizabeth Vorp, P.T.A.
• Ralph Wesley Vosburg, M.D.
• VQS Access Health, LLC
• Tatiana Vu-Molaschi, MD
• Patrick Vuich, H.A.S.
• Waccamaw Community Care, LLC
• Waccamaw Dermatology and Plastic Surgery
• Waccamaw Dermatology, LLC
• Waccamaw Medical Transport, Inc.
• Waccamaw Medical Transport, Inc.

• All providers in Myrtle Beach, SC
• Gastroenterology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.