| Joshua Gore, MD | |
|
1621 Highway 17 N, North Myrtle Beach, SC 29582-2229 | |
| (843) 353-3460 | |
| Not Available |
| Full Name | Joshua Gore |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 16 Years |
| Location | 1621 Highway 17 N, North Myrtle Beach, South Carolina |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891015061 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 37602 (South Carolina) | Secondary |
| 207L00000X | Anesthesiology | 27876 (Oklahoma) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kindred At Home | Myrtle beach, SC | Home health agency |
| Mcleod Loris Hospital | Loris, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Orthosc Llc | 8022370030 | 114 |
| Entity Name | Coastal Anesthesia Medical Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609813179 PECOS PAC ID: 1850295650 Enrollment ID: O20031124000145 |
| Entity Name | Mcleod Physician Associates Ii |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801990494 PECOS PAC ID: 8224031307 Enrollment ID: O20060926000568 |
| Entity Name | Beach Anesthesia, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215061429 PECOS PAC ID: 6103924014 Enrollment ID: O20070530000620 |
| Entity Name | Bon Secours St Francis Xavier Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740502822 PECOS PAC ID: 8325008717 Enrollment ID: O20100607000884 |
| Entity Name | Orthosc Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861902728 PECOS PAC ID: 8022370030 Enrollment ID: O20180501000455 |
| Mailing Address | Practice Location Address |
|---|---|
| Joshua Gore, MD 4131 Nw 122nd St, Oklahoma City, OK 73120-8869 Ph: (405) 775-9350 | Joshua Gore, MD 1621 Highway 17 N, North Myrtle Beach, SC 29582-2229 Ph: (843) 353-3460 |