Active NPI
Christina Elizabeth Moskal, AA
- Anesthesiologist Assistant
- Myrtle Beach, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiologist Assistant
- License
- 26990008
- Practice address
- 809 82ND Pkwy
Myrtle Beach, SC 29572-4607 - Phone
- (843) 692-1062
- NPI assigned
- Oct 17, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiologist Assistant | 367H00000X | 26990008 | Primary |
Addresses
Primary practice location
809 82ND Pkwy
Myrtle Beach, SC 29572-4607
Mailing address
2171 Brewster Dr Unit 1236
Myrtle Beach, SC 29577-1784
Other practice location 1
1021 Medical Cir
Myrtle Beach, SC 29572-4615
Phone (843) 449-7885
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology Assistant
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
222 Herlong Ave S
Rock Hill, SC 29732-1158
Phone (803) 985-3089
Hospital & facility affiliations
- Piedmont Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Associate of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 62 | SC | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Anesthesiology Associates, P.a. | Current | Accepting new patients | |
| Beach Anesthesia, LLC | Current | Accepting new patients | |
| Anesthesia Associates of Rock Hill, P.a. | Current | Accepting new patients | |
| Strand Physician Specialists | Past | Accepting new patients | |
| Grand Strand Surgical Specialists, LLC | Past | Accepting new patients |
Locations
3735 Glenlake Dr
Ste 250
Charlotte, NC 28208
Phone (704) 749-5801
109 Blarney Dr
Columbia, SC 29223
Phone (803) 865-8200
2536 Lengers Way
Indian Land, SC 29707
Phone (803) 313-3294
222 Herlong Ave S
Rock Hill, SC 29732
Phone (803) 324-1950
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Rock Hill, SC
- NPI 1811977200
-
- Anesthesiology Physician
- Myrtle Beach, SC
- NPI 1215061429
-
- Surgery Physician
- Myrtle Beach, SC
- NPI 1841465804
-
- Interventional Pain Medicine Physician
- Myrtle Beach, SC
- NPI 1528031192
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Rock Hill, SC
- NPI 1457382483
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539734400000",
"number": "1871069898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2171 BREWSTER DR UNIT 1236",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295771784"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "809 82ND PKWY",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295724607",
"telephone_number": "843-692-1062"
}
],
"practiceLocations": [
{
"address_1": "1021 Medical Cir",
"address_purpose": "LOCATION",
"city": "Myrtle Beach",
"state": "SC",
"postal_code": "295724615",
"country_code": "US",
"telephone_number": "843-449-7885",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOSKAL",
"first_name": "CHRISTINA",
"middle_name": "ELIZABETH",
"credential": "AA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-17",
"last_updated": "2018-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "367H00000X",
"taxonomy_group": "",
"desc": "Anesthesiologist Assistant",
"state": null,
"license": "26990008",
"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 Oct 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.