Midatlantic Vascular, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

MIDATLANTIC VASCULAR, LLC

Practice address

4036 River Oaks Dr
Unit B2
Myrtle Beach, SC 29579-6695

Phone

(757) 333-2066

NPI assigned

Jul 27, 2012

Last updated

Jul 27, 2012By 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

Angela N Schwarzkopf

Title

General Manager

Phone

(757) 333-2066

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1343347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343347200000",
    "number": "1407102429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 EASTRIDGE RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232295501",
            "telephone_number": "757-333-2066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4036 RIVER OAKS DR",
            "address_2": "UNIT B2",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295796695",
            "telephone_number": "757-333-2066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDATLANTIC VASCULAR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-27",
        "last_updated": "2012-07-27",
        "status": "A",
        "authorized_official_last_name": "SCHWARZKOPF",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "757-333-2066"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• MGB Eyes, Inc. (Pearle Vision)
• Michael S Weatherford DC, P.a.
• Andrew Robert Michaels
• Jaymi Mick
• Mid-South Home Care Services, LLC (Empatia Palliative Care)
• Bryce T Middleton
• Savannah E Mikell, MS, LPCA
• Scott Lee Mikres, HAS
• Milestones Behavioral Services LLC
• Abraham Millan

• Clinic/Center in Myrtle Beach, SC
• Providers in 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 Jul 27, 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.