SURGICAL ASSOCIATES OF MYRTLE BEACH - NPI 1295773695

Q: What is Surgical Associates Of Myrtle Beach, LLC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

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About Surgical Associates Of Myrtle Beach NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SURGICAL ASSOCIATES OF MYRTLE BEACH (NPI 1295773695) is a healthcare organization registered as a surgery in Myrtle Beach, South Carolina and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Lane Ingram Moore, Partner, as its authorized official.

NPPES Registry Identity

NPI1295773695

Entity TypeOrganization

Primary Taxonomy208600000X

Legal Business NameSURGICAL ASSOCIATES OF MYRTLE BEACH, LLC

Location Address845 82ND PKWYMyrtle Beach, SC 29572-4614

Mailing Address845 82nd PkwyMyrtle Beach, SC 29572-4614 · (843) 449-9621 · Fax (843) 449-4921

Phone(843) 449-9621

Fax(843) 449-4921

Organization SubpartNo

Authorized OfficialLane Ingram MoorePartner · (843) 449-9621

Enumeration DateJune 4, 2006

Last NPPES UpdateNovember 10, 2022

NPPES CertifiedNovember 10, 2022

✔ NPI 1295773695 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

845 82ND PKWY, Myrtle Beach, SC 29572

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Other Names 1

Other NameSurgical Associates Of Myrtle Beach

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 42D0716487

Surgical Associates Of Myrtle Beach · Myrtle Beach, SC

Active · expires Aug 31, 2026

CLIA Number42D0716487

Laboratory TypePhysician Office

Certificate Effective DateSeptember 1, 2024

Certificate Expiration DateAugust 31, 2026

Laboratory DirectorMark Borowicz

Laboratory Phone(843) 449-9621

Laboratory LocationSurgical Associates Of Myrtle Beach845 82nd Pkwy, Myrtle Beach, SC 29572

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARK RICHARD BOROWICZ MD

Surgery