Grande Dunes OBGYN and Facial Aesthetics PA

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

GRANDE DUNES OBGYN AND FACIAL AESTHETICS PA

Practice address

913 Medical Cir
Myrtle Beach, SC 29572-4116

Phone

(843) 839-2229

Fax

(843) 839-2230

NPI assigned

Apr 30, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Tatiana Leyen Vu-Molaschi, MDNPI 1386619690

Title

Owner

Phone

(843) 839-2229

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tatiana Vu-Molaschi, MD

  • Obstetrics & Gynecology Physician
  • Myrtle Beach, SC
  • NPI 1386619690
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1398816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694649600000",
    "number": "1033529946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "913 MEDICAL CIR",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295724116",
            "telephone_number": "843-839-2229",
            "fax_number": "843-839-2230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 MEDICAL CIR",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295724116",
            "telephone_number": "843-839-2229",
            "fax_number": "843-839-2230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANDE DUNES OBGYN AND FACIAL AESTHETICS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-30",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A",
        "authorized_official_last_name": "VU-MOLASCHI",
        "authorized_official_first_name": "TATIANA",
        "authorized_official_middle_name": "LEYEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-839-2229",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "278586",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Grand Strand Specialty Associates, LLC
• Grand Strand Surgical Specialists, LLC
• Grand Strand Surgical Specialists, LLC
• Grand Strand Urology
• Grand Strand Vision Services, Inc.
• Grandstrand Comfort Care LLC
• John P Grant, D.C.
• Pamela Grant
• Anthony John Grasso, ADC
• Ellalee F. Gravely, LPC, NCC

• Obstetrics & Gynecology Physician in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Obstetrics & Gynecology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.