NPIMap

Individual provider Active NPI

Samuel Joseph Skarote Jr., MD

  • Pulmonary Disease Physician
  • Myrtle Beach, SC
National Provider Identifier
1801985023
Registry record updated Apr 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
33424 Issued in SC
Practice address
906 Medical Cir
Myrtle Beach, SC 29572-4114
Phone
(843) 497-5929
Fax
(843) 839-1037
NPI assigned
Oct 12, 2006
Last updated
Apr 22, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 33424 SC
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 33424 SC
Pulmonary Disease Physician 207RP1001X 33424 SC Primary

Addresses

Primary practice location

906 Medical Cir
Myrtle Beach, SC 29572-4114

Mailing address

PO Box 3439
North Myrtle Beach, SC 29582-0439
Phone (843) 839-4447

Other identifiers 1

IdentifierTypeStateIssuer
N00146MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050325000330 NC Practitioner - Critical Care (Intensivists) 5092605709 Reassigns benefits to 1 organization
I20110810000180 SC Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 5092605709 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
McLeod Regional Medical Center of the Pee Dee, Inc Internal Medicine CurrentSince Nov 17, 2015 Accepting new patients
Select Specialty Hospital - Durham Inc. CurrentSince May 4, 2020 Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc CurrentSince Nov 17, 2015 Accepting new patients
Catawba Piedmont Cardiothoracic Surgery LLC PastSince Jan 5, 2015 Accepting new patients
Regional Health Services LLC Past Accepting new patients
Piedmont Pulmonology, LLC Internal Medicine PastSince Feb 5, 2008 Accepting new patients

Locations

3643 N Roxboro St
Durham, NC 27704
Phone (919) 470-6186

4714 Gettysburg Rd
Mechanicsburg, PA 17055
Phone (888) 735-6332

555 E Cheves St
Florence, SC 29506
Phone (843) 662-5233

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429660800000",
    "number": "1801985023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3439",
            "city": "NORTH MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295820439",
            "telephone_number": "843-839-4447",
            "fax_number": "843-399-0123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 MEDICAL CIR",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295724114",
            "telephone_number": "843-497-5929",
            "fax_number": "843-839-1037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKAROTE",
        "first_name": "SAMUEL",
        "middle_name": "JOSEPH",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2015-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "33424",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "SC",
            "license": "33424",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "SC",
            "license": "33424",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "N00146",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

Verify at the official NPI Registry.