Individual provider Active NPI

Amanda Guyton Drosieko, MD

  • Pediatrics Physician
  • Murrells Inlet, SC
National Provider Identifier
1124077920
Registry record updated May 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
22618 Issued in SC
Practice address
140 Bandage Court
Murrells Inlet, SC 29576-5032
Phone
(843) 652-3300
NPI assigned
May 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 22618 SC Primary

Addresses

Primary practice location

140 Bandage Court
Murrells Inlet, SC 29576-5032

Mailing address

PO Box 4920
Murrells Inlet, SC 29576-2699
Phone (843) 652-3300

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
I20120601000235 SC Practitioner - Pediatric Medicine 6608954797 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Inlet Pediatrics PA Pediatrics CurrentSince Mar 12, 2012 Accepting new patients
Sweetgrass Pediatrics Pediatrics Past Accepting new patients

Locations

140 Bandage Ct
Murrells Inlet, SC 29576
Phone (843) 652-3300

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337817600000",
    "number": "1124077920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4920",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295762699",
            "telephone_number": "843-652-3300",
            "fax_number": "843-652-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 BANDAGE COURT",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295765032",
            "telephone_number": "843-652-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DROSIEKO",
        "first_name": "AMANDA",
        "middle_name": "GUYTON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-09",
        "last_updated": "2012-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "SC",
            "license": "22618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrells Inlet, SC

Sources for this page

Verify at the official NPI Registry.