Collaborative & Innovated Care

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

COLLABORATIVE & INNOVATED CARE

Practice address

1016 2ND Ave N Ste 203a
North Myrtle Beach, SC 29582-3288

Phone

(843) 222-5395

Fax

(866) 340-0296

NPI assigned

Sep 5, 2024

Organization subpart

No

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

Authorized official

Name

Ela Clarida

Title

Owner

Phone

(843) 222-5395

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David Mark Weitzman, M.D.

  • Emergency Medicine Physician
  • North Myrtle Beach, SC
  • NPI 1376776781
  NPD (past)

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

{
    "created_epoch": "1725494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727568000000",
    "number": "1114752409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 2ND AVE N STE 203A",
            "city": "NORTH MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295823288",
            "telephone_number": "843-222-5395",
            "fax_number": "866-340-0296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 2ND AVE N STE 203A",
            "city": "NORTH MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295823288",
            "telephone_number": "843-222-5395",
            "fax_number": "866-340-0296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLABORATIVE & INNOVATED CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-05",
        "last_updated": "2024-09-29",
        "certification_date": "2024-09-29",
        "status": "A",
        "authorized_official_last_name": "CLARIDA",
        "authorized_official_first_name": "ELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-222-5395"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shari L Clarke, APRN
• Hannah Sue Cline, FNP-BC
• Coastal Carolinas Integrated Medicine II
• Coastal Connection Chiropractic Center
• Coastal Counseling Services, LLC
• Joy V. Collins, P.T.
• Angela Comianos
• Steven Chase Connel, D.C.
• Marie Lise Linda Conner, LPCA
• Donald Thomas Conway

• Multi-Specialty Clinic/Center in North Myrtle Beach, SC
• Providers in North Myrtle Beach, SC by specialty
• Multi-Specialty Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2024; 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.