Organization Active NPI

Transformations Skin & Body Solutions

  • Plastic Surgery Physician
  • Little River, SC
National Provider Identifier
1477088250
Registry record updated Apr 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
21736 Issued in SC
Legal business name
TRANSFORMATIONS SKIN & BODY SOLUTIONS
Practice address
3769 Sea Mountain Hwy
Little River, SC 29566-7861
Phone
(843) 467-5972
Fax
(843) 507-8372
NPI assigned
Apr 28, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2017

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

Authorized official

Name
Dr. Thomas Edmond Quirke, MDNPI 1396782512
Title
Owner
Phone
(843) 467-5972

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208200000X 21736 SC Primary

Addresses

Primary practice location

3769 Sea Mountain Hwy
Little River, SC 29566-7861

Mailing address

3769 Sea Mountain Hwy
Little River, SC 29566-7861
Phone (843) 467-5972

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170629001208 SC Part B Supplier - Clinic/Group Practice 9830468115 Receives reassigned benefits from 2 practitioners
Practice locations: Little River, SC

National Provider Directory

National Provider Directory

Locations

3769 Sea Mountain Hwy
Little River, SC 29566
Phone (843) 467-5972

Practitioners & affiliated clinicians

Practitioners 2

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": "1493337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493337600000",
    "number": "1477088250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3769 SEA MOUNTAIN HWY",
            "city": "LITTLE RIVER",
            "state": "SC",
            "postal_code": "295667861",
            "telephone_number": "843-467-5972",
            "fax_number": "843-507-8372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3769 SEA MOUNTAIN HWY",
            "city": "LITTLE RIVER",
            "state": "SC",
            "postal_code": "295667861",
            "telephone_number": "843-467-5972",
            "fax_number": "843-507-8372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANSFORMATIONS SKIN & BODY SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-28",
        "last_updated": "2017-04-28",
        "status": "A",
        "authorized_official_last_name": "QUIRKE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "EDMOND",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-467-5972",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": "SC",
            "license": "21736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little River, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2017; 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.