Active NPI
Eunice Luz Guzman, MD
- Infectious Disease Physician
- Myrtle Beach, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- 38661
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 386610 | Medicaid | SC |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Little River Medical Center Inc | Current | Accepting new patients | |
| Little River Medical Center, Inc. | Current | Accepting new patients | |
| Roper Hospital Inc. | Current | Accepting new patients | |
| Little River Medical Center, Inc. | Current | Accepting new patients | |
| Little River Medical Center, Inc. | Current | Accepting new patients | |
| Little River Medical Center, Inc | Current | Accepting new patients | |
| Roper Hospital, Inc. | Infectious Disease | Current | Accepting new patients |
| Roper Hospital, Inc | Current | 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.
-
- Federally Qualified Health Center (FQHC)
- Little River, SC
- NPI 1629021076
SC
-
- Federally Qualified Health Center (FQHC)
- Myrtle Beach, SC
- NPI 1346638483
SC
-
- Federally Qualified Health Center (FQHC)
- Myrtle Beach, SC
- NPI 1184783284
SC
-
- Federally Qualified Health Center (FQHC)
- Myrtle Beach, SC
- NPI 1508120619
SC
-
- Federally Qualified Health Center (FQHC)
- Loris, SC
- NPI 1619100096
SC
-
- Infectious Disease Physician
- Charleston, SC
- NPI 1104150739
Infectious Disease, SC
-
- Federally Qualified Health Center (FQHC)
- Myrtle Beach, SC
- NPI 1669535225
SC
-
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- N. Charleston, SC
- NPI 1104563758
-
- Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
- Charleston, SC
- NPI 1740795012
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.