Healthcare Provider Details

I. General information

NPI: 1568444529
Provider Name (Legal Business Name): STEPHEN FRANCIS ANDREWS DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/16/2005
Last Update Date: 09/19/2025
Certification Date: 09/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4708 OLEANDER DR
MYRTLE BEACH SC
29577-5742
US

IV. Provider business mailing address

8121 ROURK ST
MYRTLE BEACH SC
29572-4128
US

V. Phone/Fax

Practice location:
  • Phone: 843-449-9415
  • Fax: 843-449-2160
Mailing address:
  • Phone: 843-692-5000
  • Fax: 843-692-5010

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License Number05011096L
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License NumberDO949
License Number StateSC

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier20089407
Identifier TypeOTHER
Identifier StateSC
Identifier IssuerSELECT HEALTH OF SOUTH CAROLINA
# 2
Identifier80023851
Identifier TypeOTHER
Identifier StateSC
Identifier IssuerSELECT HEALTH
# 3
Identifier9834674
Identifier TypeOTHER
Identifier StateSC
Identifier IssuerAETNA
# 4
Identifier774037
Identifier TypeOTHER
Identifier StateSC
Identifier IssuerWELLCARE
# 5
Identifier009494
Identifier TypeMEDICAID
Identifier StateSC
Identifier Issuer
# 6
Identifier9857551
Identifier TypeOTHER
Identifier StateSC
Identifier IssuerCIGNA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: