Lisa S Tarbert-Smaldone, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

26891 Issued in SC

Practice address

820 67TH Ave N
#70692
Myrtle Beach, SC 29572-2957

Phone

(843) 796-3823

NPI assigned

Jul 19, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Medicos, P.a.

  • Internal Medicine Physician
  • North Myrtle Beach, SC
  • NPI 1548024540
  NPD (past)

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522972800000",
    "number": "1891794236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 WOODWIND CT",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295724119",
            "telephone_number": "843-945-1151",
            "fax_number": "843-357-9818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 67TH AVE N",
            "address_2": "#70692",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295722957",
            "telephone_number": "843-796-3823"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "107 Woodwind Ct",
            "address_purpose": "LOCATION",
            "city": "Myrtle Beach",
            "state": "SC",
            "postal_code": "295724119",
            "country_code": "US",
            "telephone_number": "843-945-1151",
            "fax_number": "843-357-9818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TARBERT-SMALDONE",
        "first_name": "LISA",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-19",
        "last_updated": "2018-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "SC",
            "license": "26891",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "26891",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "268917",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bi A. Tadzong-Fomundam, M.D.
• Tamara Willard
• Linda Tangeman, M.D.
• Nancy Tansey, MS, APRN-GNP
• Tap in Counseling
• Charles E. Tarbert, M.D.
• Kristin Courtney Taska, PT
• Daniel Tate, DO
• Deborah Susan Tate, RN
• Miranda Reed Tate

• 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 Apr 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.