Individual provider Active NPI

Eunice Luz Guzman, MD

  • Infectious Disease Physician
  • Myrtle Beach, SC
National Provider Identifier
1043508708
Registry record updated Jun 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
38661 Issued in SC
Practice address
4220 Carolina Exchange Dr
Myrtle Beach, SC 29579-4220
Phone
(843) 663-8371
NPI assigned
Jul 15, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 38661 SC Primary

Addresses

Primary practice location

4220 Carolina Exchange Dr
Myrtle Beach, SC 29579-4220

Mailing address

4220 Carolina Exchange Dr
Myrtle Beach, SC 29579-4220
Phone (843) 663-8371

Other practice location 1

1481 Tobias Gadson Blvd Ste 1
Charleston, SC 29407-4879
Phone (843) 402-3093

Other identifiers 1

IdentifierTypeStateIssuer
386610MedicaidSC

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
I20180629002108 SC Practitioner - Internal Medicine 0244540979 Reassigns benefits to 7 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Little River Medical Center Inc CurrentSince Apr 18, 2018 Accepting new patients
Little River Medical Center, Inc. CurrentSince Apr 18, 2018 Accepting new patients
Roper Hospital Inc. CurrentSince Jun 1, 2020 Accepting new patients
Little River Medical Center, Inc. CurrentSince Apr 18, 2018 Accepting new patients
Little River Medical Center, Inc. CurrentSince Apr 18, 2018 Accepting new patients
Little River Medical Center, Inc CurrentSince Apr 18, 2018 Accepting new patients
Roper Hospital, Inc. Infectious Disease Current Accepting new patients
Roper Hospital, Inc CurrentSince Jun 1, 2020 Accepting new patients

Locations

1481 Tobias Gadson Blvd
Ste 1
Charleston, SC 29407
Phone (843) 402-0367

4303 Live Oak Dr
Little River, SC 29566
Phone (803) 839-3939

3817 Main St
Loris, SC 29569
Phone (843) 663-8297

4220 Carolina Exchange Dr
Myrtle Beach, SC 29579
Phone (843) 663-8013

3515 Caduceus Dr
Ste B
Myrtle Beach, SC 29588
Phone (843) 651-5689

7724 N Kings Hwy
Myrtle Beach, SC 29572
Phone (843) 839-3939

416 Robertson Blvd
Ste B
Walterboro, SC 29488
Phone (843) 549-2411

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1310688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592265600000",
    "number": "1043508708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4220 CAROLINA EXCHANGE DR",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295794220",
            "telephone_number": "843-663-8371",
            "fax_number": "843-663-8329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4220 CAROLINA EXCHANGE DR",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295794220",
            "telephone_number": "843-663-8371"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1481 Tobias Gadson Blvd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "294074879",
            "country_code": "US",
            "telephone_number": "843-402-3093",
            "fax_number": "843-402-3094",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUZMAN",
        "first_name": "EUNICE",
        "middle_name": "LUZ",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-15",
        "last_updated": "2020-06-16",
        "certification_date": "2020-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "SC",
            "license": "38661",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "386610",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

Verify at the official NPI Registry.