Individual provider Active NPI

Haines K Paik, M.D.

  • Adult Reconstructive Orthopaedic Surgery Physician
  • Myrtle Beach, SC
National Provider Identifier
1780889063
Registry record updated Apr 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X
License
87535 Issued in SC
Practice address
920 Doug White Dr Ste 130
Myrtle Beach, SC 29572-4180
Phone
(843) 848-1440
Fax
(843) 839-1654
NPI assigned
Jun 18, 2007
Last updated
Apr 28, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X 250504 MA
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X 87535 SC Primary

Addresses

Primary practice location

920 Doug White Dr Ste 130
Myrtle Beach, SC 29572-4180

Mailing address

920 Doug White Dr Ste 130
Myrtle Beach, SC 29572-4180
Phone (843) 848-1440

Other practice location 1

9040 Jackson Avenue
Tacoma, WA 98431-1000
Phone (253) 968-2252

Other practice location 2

510 Lincoln Dr
Herrin, IL 62948-6334
Phone (618) 997-6800

Other practice location 3

2779 W Horizon Ridge Pkwy Ste 200
Henderson, NV 89052-4186
Phone (702) 990-2290

Other practice location 4

8140 Freedom Ln NE
Lacey, WA 98516-4752
Phone (360) 491-4211

Other identifiers 1

IdentifierTypeStateIssuer
2071290MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, SC, AZ, OH, NV5 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20210309002426 IL Practitioner - Orthopedic Surgery 3274715248 Reassigns benefits to 2 organizations
I20220512002189 SC Practitioner - Orthopedic Surgery 3274715248 Reassigns benefits to 2 organizations
I20220802001334 AZ Practitioner - Orthopedic Surgery 3274715248 Reassigns benefits to 1 organization
I20231030002265 OH Practitioner - Orthopedic Surgery 3274715248 Reassigns benefits to 1 organization
I20240813003888 NV Practitioner - Orthopedic Surgery 3274715248 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Missouri, Kansas City, School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grand Strand Specialty Associates, LLCGroup PAC ID 0648451344, 29 clinicians

Practice addresses (Care Compare)

920 Doug White Dr
Suite 130
Myrtle Beach, SC 29572-4120
Phone (843) 848-1440

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement24
Knee replacement12
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Medical Group, LLC CurrentSince Sep 6, 2023 Accepting new patients
Crovetti Bone and Joint Institute of Southern Nevada CurrentSince Sep 1, 2024 Accepting new patients
Grand Strand Specialty Associates, LLC Orthopaedic Surgery CurrentSince Sep 1, 2025 Accepting new patients
Orthosc, LLC Orthopaedic Surgery CurrentSince Jul 1, 2022 Accepting new patients
Sonoran Orthopaedic Trauma Surgeons CurrentSince Jun 14, 2022 Accepting new patients
Genesis Medical Group LLC CurrentSince Sep 6, 2023 Accepting new patients
Acute Care Surgery of South Dakota PC Orthopaedic Surgery CurrentSince Mar 1, 2022 Accepting new patients
Orthosc, LLC Orthopaedic Surgery CurrentSince Jul 1, 2022 Accepting new patients
Southern Orthopedic Associates SC Orthopaedic Surgery CurrentSince May 1, 2021 Accepting new patients
Genesis Primary Care Physicians LLC Past Accepting new patients
Grand Strand Surgical Specialists, LLC Orthopaedic Surgery PastSince Sep 1, 2025 Accepting new patients
Orthosc, LLC Orthopaedic Surgery PastSince May 29, 2022 Accepting new patients
Healthcare Partners Medical Group (Coats) LTD. PastSince Sep 1, 2024 Accepting new patients

Locations

3501 N Scottsdale Rd
Ste 136
Scottsdale, AZ 85251
Phone (480) 882-6050

3126 N Civic Center Plz
Scottsdale, AZ 85251
Phone (480) 949-2760

3172 N Swan Rd
Tucson, AZ 85712
Phone (520) 795-8777

6565 E Carondelet Dr
Ste 235
Tucson, AZ 85710
Phone (520) 367-1050

405 W Jackson St
Carbondale, IL 62901

510 Lincoln Dr
Herrin, IL 62948
Phone (618) 997-3100

19 E Shawnee Dr
Murphysboro, IL 62966
Phone (618) 684-2172

600 S 13th St
Pekin, IL 61554
Phone (309) 347-1151

2779 W Horizon Ridge Pkwy
Ste 200
Henderson, NV 89052
Phone 7029902290222

10040 Alta Dr
Ste 140
Las Vegas, NV 89145

945 Bethesda Dr
Ste 330
Zanesville, OH 43701
Phone (740) 454-4038

2951 Maple Ave
Zanesville, OH 43701
Phone (740) 454-4000

2904 Bell St
Ste A
Zanesville, OH 43701
Phone (740) 586-6828

945 Bethesda Dr
Ste 200
Zanesville, OH 43701
Phone (740) 454-4788

2904 Bell St
Zanesville, OH 43701
Phone (740) 586-6828

2376 Cypress Cir
Ste 300
Conway, SC 29526
Phone (843) 347-7222

3545 Highway 17
Unit 200
Murrells Inlet, SC 29576
Phone (843) 294-1941

920 Doug White Dr
Ste 130
Myrtle Beach, SC 29572
Phone (843) 497-6348

809 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 291-7182

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/5564/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/17161/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: haines.paik@hca5.eclinicaldirectplus.com

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777334400000",
    "number": "1780889063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 DOUG WHITE DR STE 130",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295724180",
            "telephone_number": "843-848-1440",
            "fax_number": "843-839-1654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 DOUG WHITE DR STE 130",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295724180",
            "telephone_number": "843-848-1440",
            "fax_number": "843-839-1654"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9040 Jackson Avenue",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984311000",
            "country_code": "US",
            "telephone_number": "253-968-2252",
            "fax_number": "253-968-3278",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "510 Lincoln Dr",
            "address_purpose": "LOCATION",
            "city": "Herrin",
            "state": "IL",
            "postal_code": "629486334",
            "country_code": "US",
            "telephone_number": "618-997-6800",
            "fax_number": "618-998-9124",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2779 W Horizon Ridge Pkwy Ste 200",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890524186",
            "country_code": "US",
            "telephone_number": "702-990-2290",
            "fax_number": "702-990-2297",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8140 Freedom Ln NE",
            "address_purpose": "LOCATION",
            "city": "Lacey",
            "state": "WA",
            "postal_code": "985164752",
            "country_code": "US",
            "telephone_number": "360-491-4211",
            "fax_number": "360-491-6328",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAIK",
        "first_name": "HAINES",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-18",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "MA",
            "license": "250504",
            "primary": false
        },
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "SC",
            "license": "87535",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2071290",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

Verify at the official NPI Registry.