NPIMap

Individual provider Active NPI

Daniel L Rosner, MD

  • Plastic Surgery within the Head & Neck (Otolaryngology) Physician
  • Myrtle Beach, SC
National Provider Identifier
1124087101
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianTaxonomy code 207YX0007X
License
15659 Issued in SC
Practice address
915 Medical Circle
Myrtle Beach, SC 29572
Phone
(843) 449-6449
Fax
(843) 449-1069
NPI assigned
Mar 20, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery within the Head & Neck (Otolaryngology) Physician 207YX0007X 15659 SC Primary

Addresses

Primary practice location

915 Medical Circle
Myrtle Beach, SC 29572

Mailing address

915 Medical Circle
Myrtle Beach, SC 29572
Phone (843) 449-6449

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110824000773 SC Practitioner - Otolaryngology 7113197468 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Medical University of South Carolina College of Medicine, 1990
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
70.79 of 100Reported as individual
Quality
41.57
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision15
Removal or shaving of skin growth16

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15659SCMDPlastic Surgery within the Head & Neck (Otolaryngology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Carolina Otolaryngology Associates,PA Plastic Surgery Within the Head & Neck CurrentSince Apr 1, 1999 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) 215-1068

Organizations & group practices 1

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 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1124087101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 MEDICAL CIRCLE",
            "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": "915 MEDICAL CIRCLE",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "29572",
            "telephone_number": "843-449-6449",
            "fax_number": "843-449-1069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSNER",
        "first_name": "DANIEL",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-20",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0007X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": "SC",
            "license": "15659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

Verify at the official NPI Registry.