Paul A Repik, RN

Primary specialty

Community Health Registered NurseTaxonomy code 163WC1500X

License

60116 Issued in SC

Practice address

700 21St Ave N
Myrtle Beach, SC 29577-7400

Phone

(843) 448-8407

Fax

(843) 448-7499

NPI assigned

Mar 14, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• State of South Carolina Comptroller General

  • Skilled Nursing Facility
  • Florence, SC
  • NPI 1336994250
  NPD (past)

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

{
    "created_epoch": "1394755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394755200000",
    "number": "1093131005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 21ST AVE N",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295777400",
            "telephone_number": "843-448-8407",
            "fax_number": "843-448-7499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 21ST AVE N",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295777400",
            "telephone_number": "843-448-8407",
            "fax_number": "843-448-7499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REPIK",
        "first_name": "PAUL",
        "middle_name": "A",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-14",
        "last_updated": "2014-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "SC",
            "license": "60116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Reineck
• Dioval Angelo Balagtas Remonde
• Philip Render, DMD
• Renewing Minds Mentoring & Counseling
• Lynn Ann Repasky, MSSW
• Stephen Replenski, D.O.
• Reprap LLC
• Resource Medical Group of Charleston, LLC
• Respiratory Products, Inc
• Responsive Solutions Inc

• Community Health Registered Nurse in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Community Health Registered Nurse in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2014; 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.