Village Family Medical

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1977 Issued in SC

Legal business name

VILLAGE FAMILY MEDICAL

Practice address

3012 Newcastle Loop
Myrtle Beach, SC 29588-4501

Phone

(843) 424-5565

NPI assigned

Jun 22, 2013

Organization subpart

No

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

Authorized official

Name

James David Woodcock

Title

Owner/Operator

Phone

(843) 424-5565

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1371859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371859200000",
    "number": "1033558002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3280 PLATTMOOR DR",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295887718",
            "telephone_number": "843-424-5565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3012 NEWCASTLE LOOP",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295884501",
            "telephone_number": "843-424-5565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE FAMILY MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-22",
        "last_updated": "2013-06-22",
        "status": "A",
        "authorized_official_last_name": "WOODCOCK",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "843-424-5565"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "1977",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1285650085",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Veritas Healthcare Solutions, LLC
• Lydia Ivette Vidal-Cardozo, PAC
• Alissa Vidovich, OTR/L
• Anne Vierela, CNM
• Village Family Dental
• Mikhail Vinogradov, M.D.
• Jean M. Vinski, CRNA
• Naunihal Virk
• Visioin Care P.a.
• Visionworks, Inc.

• Family Nurse Practitioner in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Family Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2013; 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.