NPIMap

Organization Active NPI

McLeod Physician Associates II

Doing business as McLeod Digestive Health Center Seacoast

  • Gastroenterology Physician
  • Little River, SC
National Provider Identifier
1720457567
Registry record updated Jun 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
MCLEOD PHYSICIAN ASSOCIATES II
Doing business as
McLeod Digestive Health Center Seacoast
Practice address
3980 Highway 9 E Ste 320
Little River, SC 29566-8165
Phone
(843) 366-3715
Fax
(843) 366-3716
NPI assigned
Sep 23, 2015
Last updated
Jun 7, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
MCLEOD HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 7, 2022

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

Authorized official

Name
Kenneth D. Beasley
Title
Senior Vice President
Phone
(843) 777-7010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0100X SC Primary

Addresses

Primary practice location

3980 Highway 9 E Ste 320
Little River, SC 29566-8165

Mailing address

PO Box 3239
Florence, SC 29502-3239
Phone (843) 777-7042

Other practice location 1

107 McLeod Health Blvd Ste 207
Myrtle Beach, SC 29579-4477
Phone (843) 366-3715

Other names 1

  • McLeod Digestive Health Center Seacoast Doing business as

National Provider Directory

National Provider Directory
Tax ID family
McLeod Physician Assoc II138 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1442966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654560000000",
    "number": "1720457567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3239",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295023239",
            "telephone_number": "843-777-7042",
            "fax_number": "843-777-7102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3980 HIGHWAY 9 E STE 320",
            "city": "LITTLE RIVER",
            "state": "SC",
            "postal_code": "295668165",
            "telephone_number": "843-366-3715",
            "fax_number": "843-366-3716"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "107 McLeod Health Blvd Ste 207",
            "address_purpose": "LOCATION",
            "city": "Myrtle Beach",
            "state": "SC",
            "postal_code": "295794477",
            "country_code": "US",
            "telephone_number": "843-366-3715",
            "fax_number": "843-366-3716",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MCLEOD PHYSICIAN ASSOCIATES II",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MCLEOD HEALTH",
        "enumeration_date": "2015-09-23",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A",
        "authorized_official_last_name": "BEASLEY",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
        "authorized_official_telephone_number": "843-777-7010"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McLeod Digestive Health Center Seacoast",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 7, 2022; 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.