Active NPI
Veritas Executive Healthcare
- Internal Medicine Physician
- Myrtle Beach, SC
National Provider Identifier
1124481296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 14089
- Legal business name
- VERITAS EXECUTIVE HEALTHCARE
- Practice address
- 5046 Highway 17 Byp S
Suite 100
Myrtle Beach, SC 29588-4503 - Phone
- (843) 293-5100
- Fax
- (843) 293-5100
- NPI assigned
- Apr 5, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Shawn Evan Hallinan
- Title
- Administrator
- Phone
- (843) 293-5100
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 14089 | SC | Primary |
| Cardiovascular Disease Physician | 207RC0000X | 14089 | SC |
Addresses
Primary practice location
5046 Highway 17 Byp S
Suite 100
Myrtle Beach, SC 29588-4503
Mailing address
5046 Highway 17 Byp S
Suite 100
Myrtle Beach, SC 29588-4503
Phone (843) 293-5100
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459814400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1459814400000",
"number": "1124481296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5046 HIGHWAY 17 BYP S",
"address_2": "SUITE 100",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295884503",
"telephone_number": "843-293-5100",
"fax_number": "843-293-5100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5046 HIGHWAY 17 BYP S",
"address_2": "SUITE 100",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295884503",
"telephone_number": "843-293-5100",
"fax_number": "843-293-5100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VERITAS EXECUTIVE HEALTHCARE",
"organizational_subpart": "NO",
"enumeration_date": "2016-04-05",
"last_updated": "2016-04-05",
"status": "A",
"authorized_official_last_name": "HALLINAN",
"authorized_official_first_name": "SHAWN",
"authorized_official_middle_name": "EVAN",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "843-293-5100",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "SC",
"license": "14089",
"primary": true
},
{
"code": "207RC0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "SC",
"license": "14089",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Myrtle Beach, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.