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

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: August 26, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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 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 UpdateAugust 26, 2025
NPPES CertifiedAugust 26, 2025
✔ 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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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 of North Carolina, BlueCross BlueShield of South Carolina and more.Insurance ›

Other Providers at the Same Location NPPES 3

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

OLIVIA ANNE MALICH
Audiologist
3822 MAYFAIR ST
MYRTLE BEACH, SC 29577
Horry County (843) 449-6449
NICHOLAS MANKOWSKI
Otolaryngology
3822 MAYFAIR ST
MYRTLE BEACH, SC 29577
Horry County (843) 449-6449
ELIZABETH ANNE HOENE AU.D.
Audiologist
3822 MAYFAIR ST
MYRTLE BEACH, SC 29577
Horry County (843) 449-6449

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.

What insurance does Coastal Carolina Otolaryngology Associates,pa accept?

Health plans from 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 August 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.