Mercy Care

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

HPC-0053 Issued in SC

Legal business name

MERCY CARE

Practice address

8216 Devon CT
Myrtle Beach, SC 29572-4178

Phone

(843) 848-6480

Fax

(843) 848-6655

NPI assigned

Jun 11, 2009

Organization subpart

No

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

Authorized official

Name

Sara Jo Faucher

Title

Executive Director

Phone

(843) 848-6480

Specialties & licenses 4

Addresses

Other identifiers 4

Other names 1

• Mercy Care-Palliative Care Partners Other name

Locations

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

{
    "created_epoch": "1244678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339545600000",
    "number": "1336376854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8216 DEVON CT",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295724178",
            "telephone_number": "843-848-6480",
            "fax_number": "843-848-6655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8216 DEVON CT",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295724178",
            "telephone_number": "843-848-6480",
            "fax_number": "843-848-6655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-11",
        "last_updated": "2012-06-13",
        "status": "A",
        "authorized_official_last_name": "FAUCHER",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "843-848-6480"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "HPC-0053",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "HPC-0053",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "HPC-0053",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "HPC-0053",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD OF SC CREDENTIALING FOR PALLIATIVE CARE VISITS",
            "identifier": "000000191785",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP5545",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OLD, DEACTIVATED MEDICARE B PTAN (PRIOR TO 2009)",
            "identifier": "8244",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DQ8026",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy Care-Palliative Care Partners",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Joseph J Menn, DPM
• Michelle Ann Mennecke-Smith, RN
• Lisa Mercado, PA-C
• Nicholas Francis Mercaldo
• Amanda Mercer, MS, LPC, LCPC
• Phillip Meredith, O.D.
• Merhi Eye Clinic
• Eva Merhi, O.D.
• Merit Transit LLC
• Merit Transport Inc

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2012; 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.