NPIMap

Organization Active NPI

Magnolia OB-GYN LLC of Myrtle Beach

  • Obstetrics & Gynecology Physician
  • Myrtle Beach, SC
National Provider Identifier
1366546608
Registry record updated Nov 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
MAGNOLIA OB-GYN LLC OF MYRTLE BEACH
Practice address
8203 Nigels Dr
Suite 100
Myrtle Beach, SC 29572-4177
Phone
(843) 449-5848
Fax
(843) 692-0841
NPI assigned
Sep 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2011

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

Authorized official

Name
Ms. Cheryl Ann Gach
Title
Office Manager
Phone
(845) 449-5848

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

8203 Nigels Dr
Suite 100
Myrtle Beach, SC 29572-4177

Mailing address

8203 Nigels Dr
Suite 100
Myrtle Beach, SC 29572-4177
Phone (843) 449-5848

National Provider Directory

National Provider Directory

Locations

901 Medical Cir
Myrtle Beach, SC 29572
Phone (843) 449-5848

8203 Nigels Dr
Ste 100
Myrtle Beach, SC 29572
Phone (843) 449-5848

Practitioners & affiliated clinicians

Practitioners 5

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": "1157673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320278400000",
    "number": "1366546608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8203 NIGELS DR",
            "address_2": "SUITE 100",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295724177",
            "telephone_number": "843-449-5848",
            "fax_number": "843-692-0841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8203 NIGELS DR",
            "address_2": "SUITE 100",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295724177",
            "telephone_number": "843-449-5848",
            "fax_number": "843-692-0841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA OB-GYN LLC OF MYRTLE BEACH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-08",
        "last_updated": "2011-11-03",
        "status": "A",
        "authorized_official_last_name": "GACH",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "845-449-5848",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Nov 3, 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.