AMANDA J. DIDOLKAR MD – NPI #1699937862
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

AMANDA DIDOLKAR is a physician located in MYRTLE BEACH, SC. NPPES has assigned the NPI number 1699937862 to AMANDA DIDOLKAR on June 30, 2008. It is a Type-1 NPI, indicating this NPI number is associated with an individual. She is also known by her former name AMANDA JACQUELYN DOHERTY. According to the NPI Registry, there are 3 additional location(s) assigned to this provider which are listed below. The primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was previously updated about 2 years ago on Apr 11, 2024. 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 AMANDA DIDOLKAR below.

NPI Profile for
AMANDA J. DIDOLKAR

NPI Number
1699937862
Enumeration Date

(about 18 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
AMANDA J. DIDOLKAR
Former Name: AMANDA JACQUELYN DOHERTY
Credentials
MD
Primary location
4022 POSTAL WAY STE C
MYRTLE BEACH, SC 29579-3537
Phone: (843) 903-4111 Fax: (843) 903-4242
3 Other location(s):
124 Professional Park Dr
Ste A
Conway, SC 29526-9260
Phone: (843) 234-8788
Fax: (843) 234-8787
5010 Carolina Forest Blvd
Myrtle Beach, SC 29579-3579
Phone: (843) 236-2700
Fax: (843) 236-2726
6010 Highway 707
Ste 300
Myrtle Beach, SC 29588-7321
Phone: (843) 293-1005
Fax: (843) 293-1006
Mailing address
300 SINGLETON RIDGE RD
ATTENTION PATIENT ACCOUNTING
CONWAY, SC 29526-9142
Phone: (843) 234-6946 Fax:
Sole Proprietor
No
Updated
Certification Date
Apr 11, 2024

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.

Identifiers

Identifiers for AMANDA DIDOLKAR

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidSC848257
medicaidTNQ027544
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
208000000X
- Pediatrics (Primary)
SC 84825

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.

Additional Information

Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.