Individual provider Active NPI

Marcia Rosiek

  • Contractor
  • Myrtle Beach, SC
National Provider Identifier
1831908961
Registry record updated Jan 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
License
A-3827549 Issued in SC
Practice address
603 Hatteras River Rd
Myrtle Beach, SC 29588-7463
Phone
(843) 582-4458
NPI assigned
Jan 3, 2025
Last updated
Jan 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X A-3827549 SC Primary

Addresses

Primary practice location

603 Hatteras River Rd
Myrtle Beach, SC 29588-7463

Mailing address

603 Hatteras River Rd
Myrtle Beach, SC 29588-7463
Phone (843) 582-4458

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
A-3827549SCMDContractor

NPI Registry JSON

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

{
    "created_epoch": "1735862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735862400000",
    "number": "1831908961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 HATTERAS RIVER RD",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295887463",
            "telephone_number": "843-582-4458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 HATTERAS RIVER RD",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295887463",
            "telephone_number": "843-582-4458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSIEK",
        "first_name": "MARCIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-03",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "SC",
            "license": "A-3827549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2025; 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.