Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Hisham Ibrahim Bassiouni, PAC

Individual provider Physician Assistant · NPI 1205883105

Hisham Ibrahim Bassiouni, PAC is a Physician Assistant in Myrtle Beach, South Carolina. Qualified in 2003, 23 years ago. Practices with Medcare Express - North Charleston LLC, a 69-clinician group and accepts Medicare assignment. Licensed in Ohio and South Carolina.

Years since qualifying
23
Licensed in
OH, SC
In the registry since
2006
Specialties on file
2
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

5046 Highway 17 Byp S Ste 103
Myrtle Beach, SC 29588-4503
Phone: (843) 668-4104
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA3422 (SC)
Physician Assistant Taxonomy 363A00000X · Licence 50001725 (OH)

Record details

NPI number1205883105
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorNo
NPI enumeratedMay 27, 2006
Last updated in NPPESApril 8, 2025
Certification dateApril 8, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Medcare Express - North Charleston Llc — 69 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

Other providers in Myrtle Beach