Goatee Vascular LLC

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

Legal business name

GOATEE VASCULAR LLC

Practice address

4036 River Oaks Dr
Unit B2
Myrtle Beach, SC 29579-6695

Phone

(757) 333-2066

Fax

(757) 467-2703

NPI assigned

Jun 22, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Angela N Schwarzkopf, CPC, CMPE, MBA

Title

Administrator

Phone

(757) 333-2066

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Mark Richard Borowicz, MD

  • Surgery Physician
  • Myrtle Beach, SC
  • NPI 1205810041

  Vascular Surgery

  NPD

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

{
    "created_epoch": "1340323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340323200000",
    "number": "1962765081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 EASTRIDGE RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232295501",
            "telephone_number": "757-333-2066",
            "fax_number": "757-467-2703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4036 RIVER OAKS DR",
            "address_2": "UNIT B2",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295796695",
            "telephone_number": "757-333-2066",
            "fax_number": "757-467-2703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOATEE VASCULAR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-22",
        "last_updated": "2012-06-22",
        "status": "A",
        "authorized_official_last_name": "SCHWARZKOPF",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "757-333-2066",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CPC, CMPE, MBA"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Glass, NP
• Lisa Marie Gleitmann, MD
• Mark Dwight Glenn, MD
• Natalie Glodack, RPH
• Mary Hollingsworth Bowdre Glover, M.D.
• Sarah K Godbold-Machowski, DMD
• Lorene Strange Godbold
• Jason A. Goebel, MD
• Kimberley B Goh, MD
• Renwick N Goldberg, MD

• Vascular Surgery Physician in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Vascular Surgery Physician in South Carolina

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