Individual provider Active NPI

Mark H Schecker, M.D.

  • Allergy Physician
  • Myrtle Beach, SC
National Provider Identifier
1023014057
Registry record updated Oct 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
17731 Issued in SC
Practice address
3516 Caduceus Dr
Myrtle Beach, SC 29588-2902
Phone
(843) 293-0093
Fax
(843) 293-0096
NPI assigned
Jun 23, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy Physician 207KA0200X 17731 SC Primary

Addresses

Primary practice location

3516 Caduceus Dr
Myrtle Beach, SC 29588-2902

Mailing address

3516 Caduceus Dr
Myrtle Beach, SC 29588-2902
Phone (843) 293-0093

Other identifiers 1

IdentifierTypeStateIssuer
GP3473MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100625000565 SC Practitioner - Allergy/Immunology 8426189028 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
State University of New York Downstate Medical Center, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3516 Caduceus Dr
Myrtle Beach, SC 29588-2902
Phone 843293009324

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.12 of 100Reported as individual
Quality
95
Improvement activities
40
Cost
73.73

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Carolina Allergy & Asthma Associates, PC Allergy CurrentSince Jul 15, 2002 Accepting new patients

Locations

3516 Caduceus Dr
Myrtle Beach, SC 29588
Phone (843) 293-0093

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288310400000",
    "number": "1023014057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3516 CADUCEUS DR",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295882902",
            "telephone_number": "843-293-0093",
            "fax_number": "843-293-0096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3516 CADUCEUS DR",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295882902",
            "telephone_number": "843-293-0093",
            "fax_number": "843-293-0096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHECKER",
        "first_name": "MARK",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-23",
        "last_updated": "2010-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "SC",
            "license": "17731",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP3473",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

Verify at the official NPI Registry.