Southeast Medical Associates LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

SOUTHEAST MEDICAL ASSOCIATES LLC

Practice address

1301 48TH Ave N Ste B
Myrtle Beach, SC 29577-5427

Phone

(843) 215-5102

Fax

(843) 215-5226

NPI assigned

Jun 15, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Cindy L Haney

Title

Ins Clerk

Phone

(843) 215-5102

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jose G Armonio Jr., MD

  • Internal Medicine Physician
  • Myrtle Beach, SC
  • NPI 1528004413
  Medicare reassignment Care Compare group NPD
• Mohammad Anwarul Haque Emran, MD

  • Internal Medicine Physician
  • Myrtle Beach, SC
  • NPI 1811932999
  Medicare reassignment Care Compare group NPD
• Rubina Wadud, MD

  • Internal Medicine Physician
  • Myrtle Beach, SC
  • NPI 1922034123
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1181865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871798348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 48TH AVE N STE B",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295775427",
            "telephone_number": "843-215-5102",
            "fax_number": "843-215-5226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 48TH AVE N STE B",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295775427",
            "telephone_number": "843-215-5102",
            "fax_number": "843-215-5226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST MEDICAL ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HANEY",
        "authorized_official_first_name": "CINDY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "INS CLERK",
        "authorized_official_telephone_number": "843-215-5102",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Carolina Interventionists, Inc.
• South Carolina Podiatric Physicians and Surgeons Group, LLC
• South Coast Dental LLC (Comprehensive Dentistry)
• South Strand Cardiology LLC
• South Strand Internists PA
• Southeastern Health Plus, Inc.
• Southeastern Hospitalist Services PC
• Southern Cross Psychiatric Services of South Carolina, Inc.
• Southern Home Care Services, Inc.
• Southern Myrtle Inpatient Services, LLC

• Internal Medicine Physician in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Internal Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.

Verify at the official NPI Registry.