North Strand OBGYN

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

23136 Issued in SC

Legal business name

NORTH STRAND OBGYN

Practice address

3710 Mishoe St
Loris, SC 29569-2822

Phone

(843) 671-6038

Fax

(843) 716-0381

NPI assigned

Mar 28, 2014

Organization subpart

No

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

Authorized official

Name

Heather Jordan

Title

Office Manager

Phone

(843) 716-0380

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Breton C Juberg, MD

  • Obstetrics & Gynecology Physician
  • Hobbs, NM
  • NPI 1376517243
  NPD (past)

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

{
    "created_epoch": "1395964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395964800000",
    "number": "1871910778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3710 MISHOE ST",
            "city": "LORIS",
            "state": "SC",
            "postal_code": "295692822",
            "telephone_number": "843-671-6038",
            "fax_number": "843-716-0381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3710 MISHOE ST",
            "city": "LORIS",
            "state": "SC",
            "postal_code": "295692822",
            "telephone_number": "843-671-6038",
            "fax_number": "843-716-0381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH STRAND OBGYN",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-28",
        "last_updated": "2014-03-28",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "843-716-0380"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "SC",
            "license": "23136",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "T74158",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James N Moore III, MD
• Catherine N Njuguna, CDR
• Carla Cox Norris, NP
• Sarah J. Norris, FNP
• North Strand OB/GYN, P.C.
• Northern Horry Rescue Squad
• Coley Jacob Oliver, FNP-BC
• Palmetto Associates for Women, Inc
• Palmetto Pathology PA
• Megan West Palombi, RN

• Obstetrics & Gynecology Physician in Loris, SC
• Providers in Loris, SC by specialty
• Obstetrics & Gynecology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2014; 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.