Organization Active NPI

North Myrtle Beach Internal Medicine

  • Internal Medicine Physician
  • North Myrtle Beach, SC
National Provider Identifier
1326073370
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
16884 Issued in SC
Legal business name
NORTH MYRTLE BEACH INTERNAL MEDICINE
Practice address
2021 N Myrtle Point Blvd
Suite 101
North Myrtle Beach, SC 29582-2224
Phone
(843) 663-2100
Fax
(843) 663-2102
NPI assigned
Jul 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Christine Stuehmer
Title
Office Manager
Phone
(843) 663-2100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 16884 SC Primary

Addresses

Primary practice location

2021 N Myrtle Point Blvd
Suite 101
North Myrtle Beach, SC 29582-2224

Mailing address

PO Box 900
North Myrtle Beach, SC 29597-0900
Phone (843) 663-2100

Other identifiers 1

IdentifierTypeStateIssuer
GP3688MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071102000059 SC Part B Supplier - Clinic/Group Practice 1355438698 Receives reassigned benefits from 3 practitioners
Practice locations: Myrtle Beach, SC

National Provider Directory

National Provider Directory

Locations

8203 Nigels Dr
Ste 201
Myrtle Beach, SC 29572
Phone (843) 663-2100

Interoperability endpoints

  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/0009605

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1326073370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 900",
            "city": "NORTH MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295970900",
            "telephone_number": "843-663-2100",
            "fax_number": "843-663-2102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 N MYRTLE POINT BLVD",
            "address_2": "SUITE 101",
            "city": "NORTH MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295822224",
            "telephone_number": "843-663-2100",
            "fax_number": "843-663-2102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH MYRTLE BEACH INTERNAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STUEHMER",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "843-663-2100",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "16884",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP3688",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Myrtle Beach, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.