Coastal Carolina Allergy & Asthma Associates, PC

Primary specialty

Allergy PhysicianTaxonomy code 207KA0200X

Legal business name

COASTAL CAROLINA ALLERGY & ASTHMA ASSOCIATES, PC

Practice address

3516 Caduceus Dr
Myrtle Beach, SC 29588-2902

Phone

(843) 293-0093

Fax

(843) 293-0096

NPI assigned

Jul 11, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Mark Hunter Schecker, M.D.NPI 1023014057

Title

Owner

Phone

(843) 293-0093

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark H Schecker, M.D.

  • Allergy Physician
  • Myrtle Beach, SC
  • NPI 1023014057
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184112000000",
    "number": "1720286743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3516 CADUCEUS DR",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295882902",
            "telephone_number": "843-293-0093",
            "fax_number": "843-293-0096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3516 CADUCEUS DR",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295882902",
            "telephone_number": "843-293-0093",
            "fax_number": "843-293-0096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL CAROLINA ALLERGY & ASTHMA ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-11",
        "last_updated": "2007-07-11",
        "status": "A",
        "authorized_official_last_name": "SCHECKER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "HUNTER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-293-0093",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology, Allergy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP3473",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Coastal Brace and Limb Center LLC
• Coastal Cancer Center LLC (Coastal Cancer Center Pharmacy)
• Coastal Cancer Center LLC (Coastal Cancer Center)
• Coastal Cardiovascular Surgery, LLC
• Coastal Care Health Network LLC (Coastal Care)
• Coastal Carolina Cosmetic Facial Surgery
• Coastal Carolina Infectious Disease, LLC
• Coastal Carolina Oral Maxillofacial Surgery
• Coastal Carolina Otolaryngology Associates,PA
• Coastal Carolina Primary Care, LLC

• Allergy Physician in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Allergy Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2007; 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.