Individual provider Active NPI

Sheila Putman, D.O.

  • Otolaryngology/Facial Plastic Surgery Physician
  • Myrtle Beach, SC
National Provider Identifier
1053675819
Registry record updated Apr 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
License
5101020060 Issued in MI
Practice address
1021 Cipriana Dr Ste 220
Myrtle Beach, SC 29572-4621
Phone
(843) 449-6449
NPI assigned
Jun 26, 2012
Last updated
Apr 6, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X 5101020060 MI Primary

Addresses

Primary practice location

1021 Cipriana Dr Ste 220
Myrtle Beach, SC 29572-4621

Mailing address

1021 Cipriana Drive
Suite 220
Myrtle Beach, SC 29572
Phone (843) 449-6449

Other names 1

  • Sheila Parrish Former name

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
I20170830003884 SC Practitioner - Otolaryngology 2062655939 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastal Carolina Otolaryngology Associates, PAGroup PAC ID 4981768645, 7 clinicians

Practice addresses (Care Compare)

3822 Mayfair St
Myrtle Beach, SC 29577-0912
Phone (843) 449-6449

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75.66 of 100Reported as individual
Quality
51.32
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Carolina Otolaryngology Associates,PA CurrentSince Jul 31, 2017 Accepting new patients
First Choice Urgent Care PC PastSince Apr 1, 2016 Accepting new patients

Locations

1021 Cipriana Dr
Ste 220
Myrtle Beach, SC 29572
Phone (843) 449-6449

3822 Mayfair St
Myrtle Beach, SC 29577
Phone (843) 449-6449

1120 Glenns Bay Rd
Ste 117
Surfside Beach, SC 29575
Phone (843) 650-0477

Interoperability endpoints

  • Direct secure messaging: skoenig260246@direct.hfhs.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1340668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522972800000",
    "number": "1053675819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 CIPRIANA DRIVE",
            "address_2": "SUITE 220",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "29572",
            "telephone_number": "843-449-6449",
            "fax_number": "843-449-1069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 CIPRIANA DR STE 220",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295724621",
            "telephone_number": "843-449-6449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUTMAN",
        "first_name": "SHEILA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-26",
        "last_updated": "2018-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "MI",
            "license": "5101020060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHEILA",
            "last_name": "PARRISH",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Myrtle Beach, SC

Sources for this page

Verify at the official NPI Registry.