Advanced Disease Physicians Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

26891 Issued in SC

Legal business name

ADVANCED DISEASE PHYSICIANS INC

Practice address

107 Woodwind CT
Myrtle Beach, SC 29572-4119

Phone

(843) 945-1151

NPI assigned

Apr 21, 2016

Last updated

Apr 21, 2016By 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

Lisa Tarbert, MD

Title

Ceo

Phone

(843) 945-1151

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1461196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461196800000",
    "number": "1417301896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 WOODWIND CT",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295724119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 WOODWIND CT",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295724119",
            "telephone_number": "843-945-1151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED DISEASE PHYSICIANS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-21",
        "last_updated": "2016-04-21",
        "status": "A",
        "authorized_official_last_name": "TARBERT",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "843-945-1151",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "SC",
            "license": "26891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2016; 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.