Weimer Skin Clinic, P.a.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

MD 11497 Issued in SC

Legal business name

WEIMER SKIN CLINIC, P.A.

Practice address

1240 21St Avenue N
Suite 106
Myrtle Beach, SC 29577-7431

Phone

(843) 839-1414

Fax

(843) 839-1413

NPI assigned

Jun 2, 2009

Organization subpart

Yes

Parent organization

WEIMER SKIN CLINIC, PAAs reported in NPPES

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

Authorized official

Name

Mr. Carl Edward Weimer Jr., M.D.

Title

President

Phone

(843) 839-1414

Specialties & licenses 1

Addresses

Part of

Weimer Skin Clinic PA

Locations

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

{
    "created_epoch": "1243900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311638400000",
    "number": "1306072566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 21ST AVENUE N.",
            "address_2": "SUITE 106",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295777431",
            "telephone_number": "843-839-1414",
            "fax_number": "843-839-1413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 21ST AVENUE N",
            "address_2": "SUITE 106",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295777431",
            "telephone_number": "843-839-1414",
            "fax_number": "843-839-1413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEIMER SKIN CLINIC, P.A.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WEIMER SKIN CLINIC, PA",
        "enumeration_date": "2009-06-02",
        "last_updated": "2011-07-26",
        "status": "A",
        "authorized_official_last_name": "WEIMER",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-839-1414",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "SC",
            "license": "MD 11497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Shannon Weatherford, D.C.
• Karl Weber, CNP
• Jeffrey Thomas Weeden, P.A.
• Janell Michelle Weeks-Smith, MSN,RN
• Susan Elizabeth Corley Weems, RPH
• Kristin M Weingart, MS CCC-SLP
• Cynthia Joy Weinheimer, DO
• Nicholas Weishar
• Well Care Home Health of the Lowcountry
• Wellness Hunters LLC

• Dermatology Physician in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Dermatology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2011; 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.