Active NPI
Dora Anguelova, MD, PHD, PA
- Specialist
- Murrells Inlet, SC
National Provider Identifier
1528022845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- DORA ANGUELOVA, MD, PHD, PA
- Practice address
- 4914 Highway 17
Murrells Inlet, SC 29576-5040 - Phone
- (843) 357-6734
- Fax
- (843) 357-6770
- NPI assigned
- Apr 13, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ivo Anguelov, MD
- Title
- Manager
- Phone
- (843) 357-6734
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
4914 Highway 17
Murrells Inlet, SC 29576-5040
Mailing address
PO Box 749
Murrells Inlet, SC 29576-0749
Phone (843) 357-6734
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GP 3580 | Medicaid | SC |
Other names 1
- magnolia general medicine
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
4914 Highway 17
Murrells Inlt, SC 29576
Phone (843) 357-6734
675 Wachesaw Rd
Unit A
Murrells Inlt, SC 29576
Phone (843) 357-6734
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Murrells Inlet, SC
- NPI 1295798031
-
- Internal Medicine Physician
- Murrells Inlet, SC
- NPI 1295798999
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144886400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1265587200000",
"number": "1528022845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 749",
"city": "MURRELLS INLET",
"state": "SC",
"postal_code": "295760749",
"telephone_number": "843-357-6734",
"fax_number": "843-357-6770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4914 HIGHWAY 17",
"city": "MURRELLS INLET",
"state": "SC",
"postal_code": "295765040",
"telephone_number": "843-357-6734",
"fax_number": "843-357-6770"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DORA ANGUELOVA, MD, PHD, PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-13",
"last_updated": "2010-02-08",
"status": "A",
"authorized_official_last_name": "ANGUELOV",
"authorized_official_first_name": "IVO",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "843-357-6734",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GP 3580",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "magnolia general medicine",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Murrells Inlet, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2010; 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.