Michael S Weatherford DC, P.a.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2567 Issued in SC

Legal business name

MICHAEL S WEATHERFORD DC, P.A.

Practice address

1113 48TH Ave N
Suite 117
Myrtle Beach, SC 29577-5441

Phone

(843) 945-4717

Fax

(843) 945-4718

NPI assigned

Jul 16, 2014

Organization subpart

No

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

Authorized official

Name

Michael Weatherford, D.C.NPI 1295812154

Title

President

Phone

(843) 945-4717

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Shannon Weatherford, D.C.

  • Chiropractor
  • Myrtle Beach, SC
  • NPI 1295812154
  Medicare reassignment Authorized official
• Kay Starr Rachelson, L.C.S.W.

  • Clinical Social Worker
  • Chamblee, GA
  • NPI 1992755763
  NPD (past)

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

{
    "created_epoch": "1405468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405468800000",
    "number": "1811304371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1113 48TH AVE N",
            "address_2": "SUITE 117",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295775441",
            "telephone_number": "843-945-4717",
            "fax_number": "843-945-4718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1113 48TH AVE N",
            "address_2": "SUITE 117",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295775441",
            "telephone_number": "843-945-4717",
            "fax_number": "843-945-4718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL S WEATHERFORD DC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-16",
        "last_updated": "2014-07-16",
        "status": "A",
        "authorized_official_last_name": "WEATHERFORD",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-945-4717",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "2567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ava Catherine Meyer
• Michael Philip Meyer, DDS
• Stephen Meyer, M.D.
• Yenney E Meza, M.D.
• MGB Eyes, Inc.
• Andrew Robert Michaels
• Jaymi Mick
• Mid-South Home Care Services, LLC
• Midatlantic Vascular, LLC
• Bryce T Middleton

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2014; 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.