Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

COASTAL CAROLINA OTOLARYNGOLOGY ASSOCIATES,PA
NPI 1497717086
Otolaryngology - Plastic Surgery within the Head & Neck in Myrtle Beach, SC

Q: What is Coastal Carolina Otolaryngology Associates,pa's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Plastic Surgery within the Head & Neck, with taxonomy code 207YX0007X.

Active since April 06, 2006

3822 MAYFAIR ST, MYRTLE BEACH, SC 29577(843) 449-6449(843) 449-1069 Get Directions Write a Review

NPPES record last updated: September 10, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 10, 2026, Jan 4, 2024 (2 updates tracked since 2024).

On this page

About Coastal Carolina Otolaryngology Associates,pa NPPES

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

COASTAL CAROLINA OTOLARYNGOLOGY ASSOCIATES,PA (NPI 1497717086) is a healthcare organization registered as a plastic surgery within the head & neck in Myrtle Beach, South Carolina and active in the NPI registry since April 2006. The organization maintains a secondary practice location in Surfside Beach and lists Daniel L Rosner, Vice President, as its authorized official.

NPPES Registry Identity

NPI1497717086

Entity TypeOrganization

Primary Taxonomy207YX0007X

Legal Business NameCOASTAL CAROLINA OTOLARYNGOLOGY ASSOCIATES,PA

Location Address3822 MAYFAIR STMyrtle Beach, SC 29577-0912

Mailing Address3822 Mayfair StMyrtle Beach, SC 29577-0912 · (843) 449-6449 · Fax (843) 449-1069

Phone(843) 449-6449

Fax(843) 449-1069

Organization SubpartNo

Authorized OfficialDaniel L RosnerVice President · (843) 449-6449

Enumeration DateApril 6, 2006

Last NPPES UpdateSeptember 10, 20262 updates tracked since enumeration

NPPES CertifiedSeptember 10, 2026

✔ NPI 1497717086 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngology · Plastic Surgery within the Head & NeckAllopathic & Osteopathic Physicians

Taxonomy Code207YX0007X

Definition

An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them.

Also ListedOtolaryngologyTaxonomy 207Y00000X

3822 MAYFAIR ST, Myrtle Beach, SC 29577

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Secondary Practice Location 1

Location 11120 Glenns Bay Rd Ste 117Surfside Beach, SC 29575-4757 · Phone (843) 215-1068 · Fax (843) 215-1074

Other Identifiers 1

MedicaidGP0566SC

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Coastal Carolina Otolaryngology Associates,pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 7 clinicians reassign Medicare billing to Coastal Carolina Otolaryngology Associates,pa, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Elizabeth Hoene, AU.D.

Qualified Audiologist

NPI 1700604964

3822 MAYFAIR ST
Myrtle Beach, SC 29577

(843) 449-6449

✔ Accepts MedicareSame address

Nicholas Mankowski

Otolaryngology

NPI 1407489032

3822 MAYFAIR ST
Myrtle Beach, SC 29577

(843) 449-6449

✔ PECOS✔ Accepts MedicareSame address

Daniel Rosner, MD

Otolaryngology

NPI 1124087101

915 MEDICAL CIRCLE
Myrtle Beach, SC 29572

(843) 449-6449

✔ PECOS✔ Accepts Medicare3.7 mi

Devon Holt, AUD

Qualified Audiologist

NPI 1740806272

1021 CIPRIANA DR
Myrtle Beach, SC 29572

(843) 449-6449

✔ Accepts Medicare3.8 mi

Sheila Putman, D.O.

Otolaryngology

NPI 1053675819

1021 CIPRIANA DR STE 220
Myrtle Beach, SC 29572

(843) 449-6449

✔ PECOS✔ Accepts Medicare3.8 mi

Marissa Levy, AUD

Qualified Audiologist

NPI 1124543756

403 VONDERBURG DR
Brandon, FL 33511

(813) 681-1122

✔ Accepts Medicare448 mi

Terenece Zimmermann

Otolaryngology

NPI 1447666144

200 1ST ST SW
Rochester, MN 55905

(507) 284-2511

✔ PECOS✔ Accepts Medicare1,018 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Coastal Carolina Otolaryngology Associates,pa's NPI number?

The NPI number for Coastal Carolina Otolaryngology Associates,pa is 1497717086. It was assigned to this organization in the NPPES registry on April 6, 2006.

Where is Coastal Carolina Otolaryngology Associates,pa located?

Coastal Carolina Otolaryngology Associates,pa is located at 3822 Mayfair St, Myrtle Beach, SC 29577. The listed phone number is (843) 449-6449.

What is Coastal Carolina Otolaryngology Associates,pa's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Plastic Surgery within the Head & Neck, with taxonomy code 207YX0007X.

Is Coastal Carolina Otolaryngology Associates,pa enrolled in Medicare?

Yes. Coastal Carolina Otolaryngology Associates,pa is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Coastal Carolina Otolaryngology Associates,pa?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 2 Medicare specialties reassign their Medicare billing to Coastal Carolina Otolaryngology Associates,pa. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Otolaryngology (4) and Qualified Audiologist (3). Of these, 2 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Coastal Carolina Otolaryngology Associates,pa accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and Molina Healthcare list Coastal Carolina Otolaryngology Associates,pa as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Coastal Carolina Otolaryngology Associates,pa was last updated on September 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 49 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.