North Strand Ultra Sound Vascular & Vein Center

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

NORTH STRAND ULTRA SOUND VASCULAR & VEIN CENTER

Practice address

710 Main Street
N Myrtle Beach, SC 29582

Phone

(843) 249-1101

Fax

(843) 249-1198

NPI assigned

May 3, 2006

Organization subpart

No

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

Authorized official

Name

Debbie J Durham, ARRT

Title

Administrator

Phone

(843) 249-1101

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 1

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

• George W Eason, MD

  • Diagnostic Radiology Physician
  • Goldsboro, NC
  • NPI 1710912191
  NPD

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188864000000",
    "number": "1396703914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 407",
            "city": "N MYRTLE BEACH",
            "state": "SC",
            "postal_code": "29582",
            "telephone_number": "843-249-1101",
            "fax_number": "843-249-1198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 MAIN STREET",
            "city": "N MYRTLE BEACH",
            "state": "SC",
            "postal_code": "29582",
            "telephone_number": "843-249-1101",
            "fax_number": "843-249-1198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH STRAND ULTRA SOUND VASCULAR & VEIN CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-03",
        "last_updated": "2007-09-04",
        "status": "A",
        "authorized_official_last_name": "DURHAM",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "843-249-1101",
        "authorized_official_credential": "ARRT"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SL0073",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8105019",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8977458",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Corinne Merrill, MD
• Robert W Simon, D.C.

• Clinic/Center in N Myrtle Beach, SC
• Providers in N Myrtle Beach, SC by specialty
• Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2007; 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.