Beach Anesthesia, Llc

LBN: Beach Anesthesia, Llc
Beach Anesthesia, Llc is an health care organization with primary practice located at 1021 Medical Circle Suite 100, Myrtle Beach SC 29572. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as the primary health care specialty. Beach Anesthesia, Llc can be contacted via phone (843) 692-1062, or through Maggioncalda, Joseph A. via phone (843) 692-1062.

Contact Information

Primary practice address
1021 Medical Circle Suite 100 Myrtle Beach SC 29572
Phone: (843) 692-1062
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Maggioncalda, Joseph A. Doctor of Medicine (MD)
Phone: (843) 692-1062

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X

Profile Details

NPI number 1215061429
LBN Legal business name Beach Anesthesia, Llc
DBA Doing business as
Authorized official Maggioncalda, Joseph A. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 16th, 2007
Last updated Oct 4th, 2007 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215061429 NPPES
South Carolina MEDICAID GP4651

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