Individual provider Active NPI

Myles Goldflies

  • Plastic Surgery Physician
  • Myrtle Beach, SC
National Provider Identifier
1043502016
Registry record updated May 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
32417 Issued in SC
Practice address
8212 Devon CT
Myrtle Beach, SC 29572-4178
Phone
(843) 839-5995
Fax
(843) 839-1251
NPI assigned
May 10, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 32417 SC Primary

Addresses

Primary practice location

8212 Devon CT
Myrtle Beach, SC 29572-4178

Mailing address

8212 Devon CT
Myrtle Beach, SC 29572-4178
Phone (843) 839-5995

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1304985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304985600000",
    "number": "1043502016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8212 DEVON CT",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295724178",
            "telephone_number": "843-839-5995",
            "fax_number": "843-839-1251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8212 DEVON CT",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295724178",
            "telephone_number": "843-839-5995",
            "fax_number": "843-839-1251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDFLIES",
        "first_name": "MYLES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-10",
        "last_updated": "2011-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "SC",
            "license": "32417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2011; 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.