MS. THOMAS WILLIAM PETRUSICK MD
NPI 1942266788
Pediatrics in Myrtle Beach, SC
NPI Status: Active since April 21, 2006
Contact Information
8120 ROURK ST
MYRTLE BEACH, SC
ZIP 29572
Phone: (843) 449-1438
Fax: (843) 286-1349
- Individual
- Male
- Pediatrics
- Accepts Insurance
About THOMAS PETRUSICK
This page provides the complete NPI Profile along with additional information for Thomas Petrusick, a pediatrician established in Myrtle Beach, South Carolina with a medical specialization in Pediatrics. The healthcare provider is registered in the NPI registry with number 1942266788 assigned on April 2006. The practitioner's primary taxonomy code is 208000000X with license number 7085 (SC). The provider is registered as an individual and his NPI record was last updated 10 years ago.
- NPI
- 1942266788
- Provider Name
- MS. THOMAS WILLIAM PETRUSICK MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 8120 ROURK ST MYRTLE BEACH, SC 29572
- Location Phone
- (843) 449-1438
- Location Fax
- (843) 286-1349
- Mailing Address
- 8120 ROURK ST MYRTLE BEACH, SC 29572
- Mailing Phone
- (843) 449-1438
- Mailing Fax
- (843) 286-1349
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 04-21-2006
- Last Update Date
- 07-29-2015
- Code Navigator
A pediatrician like Thomas Petrusick is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics
- Taxonomy Code
- 208000000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 7085
- License State
- SC
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Direction Silver 1 - POS
- Blue Direction Silver 1 + Adult Vision - POS
- Blue Direction Silver 2 - POS
- Blue Direction Standard Gold - POS
- Blue Direction Standard Silver - POS
- Blue VirtuConnect Bronze 1 - EPO
- Blue VirtuConnect Gold 1 - EPO
- Blue VirtuConnect Silver 1 - EPO
- BlueEssentials Bronze 4 - EPO
- BlueEssentials Bronze 6 - EPO
- BlueEssentials Catastrophic 1 - EPO
- BlueEssentials Gold 1 - EPO
- BlueEssentials Gold 5 - EPO
- BlueEssentials Silver 14 - EPO
- BlueEssentials Silver 14 + Adult Vision - EPO
- BlueEssentials Silver 39 - EPO
- BlueEssentials Standard Expanded Bronze - EPO
- BlueEssentials Standard Gold - EPO
- BlueEssentials Standard Silver - EPO
- BlueExtend PPO HD Bronze 1 - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 570783896 | OTHER (01) | SC | FED TAX ID |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 9 | 4 | 2 | 2 | 6 | 6 | 7 | 8 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 8 | 2 | 4 | 6 | 12 | 7 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 8 + 2 + 4 + 6 + 1 + 2 + 7 + 1 + 6 + 24 = 72 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 72 = 8 | 8 | ||||||||
The NPI number 1942266788 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 11 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1609832351 | DR. FREDERICK WILLIAM DANIELS MD Individual | Pediatrics (Adolescent Medicine) | 8120 ROURK ST MYRTLE BEACH, SC 29572 (843) 449-1438 |
| 1598884942 | DR. KARLA M VANA M.D. Individual | Pediatrics | 8120 ROURK ST MYRTLE BEACH, SC 29572 (843) 449-1438 |
| 1588614192 | GRAND STRAND PEDIATRICS & ADOLESCENT MEDICINE, P.A. Organization | Pediatrics (Adolescent Medicine) | 8120 ROURK ST MYRTLE BEACH, SC 29572 (843) 449-1438 |
| 1356306427 | DR. PAUL LINCOLN BALDRIDGE MD Individual | Pediatrics | 8120 ROURK ST MYRTLE BEACH, SC 29572 (843) 449-1438 |
| 1902861081 | DR. HANY YOUSSEF FAM MD Individual | Pediatrics | 8120 ROURK ST MYRTLE BEACH, SC 29572 (843) 449-1438 |
| 1154387801 | DR. KRISTIN EMILY MOORE MD Individual | Pediatrics | 8120 ROURK ST MYRTLE BEACH, SC 29572 (843) 449-1438 |
| 1346206018 | DR. DANIEL LLOYD SHULER MD Individual | Pediatrics | 8120 ROURK ST MYRTLE BEACH, SC 29572 (843) 449-1438 |
| 1215157417 | DR. FRANK NICHOLAS COLVARD M.D. Individual | Pediatrics | 8120 ROURK ST MYRTLE BEACH, SC 29572 (843) 449-1438 |
| 1184936189 | DR. VIRGINIA CAROLINE WILLIAMS MD Individual | Pediatrics | 8120 ROURK ST MYRTLE BEACH, SC 29572 (843) 449-1483 |
| 1346213485 | DR. ERIN E.W. SMITH M.D. Individual | Pediatrics | 8120 ROURK ST MYRTLE BEACH, SC 29572 (843) 449-1438 |
| 1700430345 | KORREDA GAUSE PA-C Individual | Physician Assistant | 8120 ROURK ST MYRTLE BEACH, SC 29572 (843) 449-1438 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1942266788, enumerated in the NPI registry as an "individual" on April 21, 2006
The provider is located at 8120 Rourk St Myrtle Beach, Sc 29572 and the phone number is (843) 449-1438
The provider's speciality is Pediatrics with taxonomy code 208000000X
The provider might be accepting Accepts: BlueCross BlueShield of South Carolina, Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on April 21, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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