Grand Strand Plastic & Reconstructive Surgery Center PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

15346 Issued in SC

Legal business name

GRAND STRAND PLASTIC & RECONSTRUCTIVE SURGERY CENTER PA

Doing business as

Grand Strand Plastic Surgery
Grand Strand Plastic and Reconstructive Surgery Center, P.A.

Practice address

4610 Oleander Dr
Suite 101
Myrtle Beach, SC 29577-5752

Phone

(843) 497-2227

Fax

(843) 449-9265

NPI assigned

Nov 12, 2007

Organization subpart

Yes

Parent organization

GRAND STRAND PLASTIC AND RECONSTRUCTIVE SURGERY CENTER, P.A.As reported in NPPES

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

Authorized official

Name

Dr. Kimberley B Goh, MD

Title

President

Phone

(843) 497-2227

Specialties & licenses 1

Addresses

Other names 2

• Grand Strand Plastic Surgery Doing business as
• Grand Strand Plastic and Reconstructive Surgery Center, P.A. Doing business as

Part of

Grand Strand PL Recon Surg

Locations

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

{
    "created_epoch": "1194825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740873600000",
    "number": "1619157294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4610 OLEANDER DR",
            "address_2": "SUITE 101",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295775752",
            "telephone_number": "843-497-2227",
            "fax_number": "843-449-9265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4610 OLEANDER DR",
            "address_2": "SUITE 101",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295775752",
            "telephone_number": "843-497-2227",
            "fax_number": "843-449-9265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND STRAND PLASTIC & RECONSTRUCTIVE SURGERY CENTER PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GRAND STRAND PLASTIC AND RECONSTRUCTIVE SURGERY CENTER, P.A.",
        "enumeration_date": "2007-11-12",
        "last_updated": "2025-03-02",
        "certification_date": "2025-03-02",
        "status": "A",
        "authorized_official_last_name": "GOH",
        "authorized_official_first_name": "KIMBERLEY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-497-2227",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "SC",
            "license": "15346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grand Strand Plastic Surgery",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Grand Strand Plastic and Reconstructive Surgery Center, P.A.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Grand Strand Healthcare, Inc.
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• Grand Strand Mobile Wound Care
• Grand Strand Pediatric Dentistry
• Grand Strand Pediatrics & Adolescent Medicine, P.a.
• Grand Strand Psychological Services, PA
• Grand Strand Regional Medical Center, LLC
• Grand Strand Regional Medical Center, LLC
• Grand Strand Regional Medical Center, LLC
• Grand Strand Regional Medical Center, LLC

• Specialist in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Specialist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2025; 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.