DAVID WEITZMAN MD – NPI #1104393214
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Health Care Provider Taxonomy Code for Family Medicine

DAVID WEITZMAN MD is a provider located in NORTH MYRTLE BEACH, SC. NPPES has assigned the NPI number 1104393214 to DAVID WEITZMAN MD on October 26, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “DAVID WEITZMAN MD” is a dba name, the actual legal business name for this organization is COASTAL CONCIERGE MEDICINE AND AESTHETICS. According to the NPI Registry, there are 2 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 4 years ago on May 05, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DAVID WEITZMAN MD below.

NPI Profile for
COASTAL CONCIERGE MEDICINE AND AESTHETICS

NPI Number
1104393214
Enumeration Date

(more than 7 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
COASTAL CONCIERGE MEDICINE AND AESTHETICS
Doing Business As (dba): DAVID WEITZMAN MD
Primary location
802 41ST AVE S
NORTH MYRTLE BEACH, SC 29582-5155
Phone: (843) 491-3007 Fax: (888) 895-4537
2 Other location(s):
204 Morayshire CT
Holly Springs, NC 27540-5597
Phone: (843) 491-3007
Fax: (888) 895-4537
4420 Oleander Dr Ste 101
Myrtle Beach, SC 29577-5720
Phone: (843) 491-3007
Fax: (888) 895-4537
Mailing address
4420 OLEANDER DR STE 101
MYRTLE BEACH, SC 29577-5720
Phone: (843) 491-3007 Fax: (888) 895-4537
Organization Subpart
No
Authorized Official
DAVID WEITZMAN
PHYSICIAN OWNER
Phone: (843) 491-3007
Updated
Certification Date
May 05, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
261QU0200X
- Clinic/Center / Urgent Care
207QA0401X
- Family Medicine / Addiction Medicine
207P00000X
- Emergency Medicine

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
ATHENA DIRECT ADDRESS
Content Type
OTHER
Affiliation
N
Endpoint Location
2423 HIGHWAY 17 S,
NORTH MYRTLE BEACH, SC 77025-1669