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

Mr. Matthew Janowicz

Individual provider Physician Assistant · NPI 1558735878

Mr. Matthew Janowicz is a Physician Assistant in Myrtle Beach, South Carolina. Qualified in 2015, 11 years ago. Practices with Coastal Dermatology Institute LLC, a 4-clinician group and accepts Medicare assignment. Licensed in Massachusetts and South Carolina.

Years since qualifying
11
Licensed in
MA, SC
In the registry since
2015
Specialties on file
2
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Practice location Address checks out

5046 Highway 17 Byp S Ste 103
Myrtle Beach, SC 29588-4503
Phone: (843) 668-4104
Fax: (843) 668-4108
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 3046 (SC)
Physician Assistant Taxonomy 363A00000X · Licence PA5586 (MA)

Record details

NPI number1558735878
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 24, 2015
Last updated in NPPESOctober 22, 2018

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Coastal Dermatology Institute Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Myrtle Beach