Myrtle Beach Plastic Surgery Specialistts,LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

SC19982 Issued in SC

Legal business name

MYRTLE BEACH PLASTIC SURGERY SPECIALISTTS,LLC

Practice address

1021 Cipriana Dr
Suite 230
Myrtle Beach, SC 29572-4621

Phone

(843) 497-7771

Fax

(843) 497-7775

NPI assigned

Feb 8, 2011

Last updated

Feb 8, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Marla L Jones, RNNPI 1902102031

Title

Managing Partner

Phone

(843) 497-7771

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marla L Jones, RN

  • Registered Nurse
  • Myrtle Beach, SC
  • NPI 1902102031
  NPD (past) Authorized official

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

{
    "created_epoch": "1297123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297123200000",
    "number": "1366748485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70667",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295720030",
            "telephone_number": "843-497-7771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 CIPRIANA DR",
            "address_2": "SUITE 230",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295724621",
            "telephone_number": "843-497-7771",
            "fax_number": "843-497-7775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYRTLE BEACH PLASTIC SURGERY SPECIALISTTS,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-08",
        "last_updated": "2011-02-08",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "MARLA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "843-497-7771",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "SC",
            "license": "SC19982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Myrtle Beach Treatment Specialists LLC
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• Shashikanth Nagabandi, M.D.

• Specialist in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Specialist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.