Surgical Specialists of Waccamaw, LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

26036 Issued in SC

Legal business name

SURGICAL SPECIALISTS OF WACCAMAW, LLC

Practice address

4367 Riverwood Drive
Suite 130
Murrells Inlet, SC 29440

Phone

(843) 652-8390

Fax

(843) 652-8399

NPI assigned

Mar 16, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Matthew J Metz, MDNPI 1245274497

Title

Physician

Phone

(843) 652-8390

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Waccamaw Surgery, LLC Former legal business name

Locations

Practitioners 1

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

• Matthew J Metz, MD

  • Surgery Physician
  • Murrells Inlet, SC
  • NPI 1245274497
  NPD (past) Authorized official

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

{
    "created_epoch": "1331856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340064000000",
    "number": "1942575451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4367 RIVERWOOD DRIVE",
            "address_2": "SUITE 130",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "29440",
            "telephone_number": "843-652-8390",
            "fax_number": "843-652-8399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4367 RIVERWOOD DRIVE",
            "address_2": "SUITE 130",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "29440",
            "telephone_number": "843-652-8390",
            "fax_number": "843-652-8399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL SPECIALISTS OF WACCAMAW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-16",
        "last_updated": "2012-06-19",
        "status": "A",
        "authorized_official_last_name": "METZ",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "843-652-8390",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "SC",
            "license": "26036",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP5888",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Waccamaw Surgery, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Angela Pace Stiles, FNP
• Robert Allen Stinson Jr., D.C.
• Madra Stout, SPEECH-LANGUAGE PATH
• Strand Regional Specialty
• Blake Strickland, NP
• Melissa Swartz, M.S., LPCI
• Connor James Sykes
• T J Reardon MD LLC
• Karen J Talley, OTR/L
• Amy Stansell Tate, RPH

• Surgery Physician in Murrells Inlet, SC
• Providers in Murrells Inlet, SC by specialty
• Surgery Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2012; 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.