OrganizationActive
Midatlantic Vascular, LLC
NPI 1407102429 · Clinic/Center · Myrtle Beach, SC
Provider details
- NPI number
- 1407102429
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Angela Schwarzkopf, General Manager(757) 333-2066
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4036 River Oaks Dr
Unit B2
Myrtle Beach, SC 29579-6695
Phone: (757) 333-2066
Approximate (ZIP-level) locationGet directions
Mailing address
1415 Eastridge Rd
Richmond, VA 23229-5501
Registry dates
- Enumerated
- 2012-07-27
- Last updated
- 2012-07-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.