CONWAY HOSPITAL INC (NPI# 1003112152) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003112152 |
| Entity Type | Organization |
| Organization Name | CONWAY HOSPITAL INC |
| Other Organization Name | CMC WOMEN'S HEALTH-TOWNE CENTER |
| Practice Address |
5010 Carolina Forest Blvd Myrtle Beach SC 29579-3579 |
| Mailing Address |
300 Singleton Ridge Rd Attn: Patient Accounting Conway SC 29526-9142 |
| Practice Telephone | 8439031010 |
| Practice Fax Number | 8439031015 |
| Mailing Telephone | 8432346946 |
| Mailing Fax Number | 8432346990 |
| Enumeration Date | 2011-02-08 |
| Last Update Date | 2020-01-03 |
| Authorized Official Name | MARY ELLEN ARTIOLI (CREDENTIALING SPECIALIST) |
| Authorized Official Telephone | 8432346946 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 1032S | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | GP4505 | 05 |
| Other Name | Type Code |
|---|---|
| CMC WOMEN'S HEALTH-TOWNE CENTER | Doing Business As Name - Organization |
| Conway Hospital Community Services | Former Legal Business Name - Organization |
| CPG OB GYN Carolina Forest | Doing Business As Name - Organization |
| CPG OB GYN Carolina Forest | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558835355 | Conway Hospital Inc | Nurse Practitioner | 124 Professional Park Drive, Ste A, Conway, SC 29526-9260 | 2019-01-15 |
| 1659762227 | Conway Hospital Inc | Nurse Practitioner | 2367 Cypress Cir, Suite B, Conway, SC 29526-8921 | 2015-02-18 |
| 1104159110 | Conway Hospital Inc | Internal Medicine | 2376 Cypress Cir, Ste 100, Conway, SC 29526-8964 | 2009-09-09 |
| 1932162633 | Conway Hospital Inc | Advanced Practice Midwife | 2376 Cypress Cir, Ste 200, Conway, SC 29526-8994 | 2006-04-11 |
| 1659834422 | Conway Hospital Inc | Internal Medicine | 300 Singleton Ridge Rd, Conway, SC 29526-9142 | 2019-04-09 |
| 1750844510 | Conway Hospital Inc | Physician Assistant | 6010 Highway 707 Ste 100, Myrtle Beach, SC 29588-7321 | 2019-04-09 |
| 1649742321 | Conway Hospital Inc | Surgery | 2361 Cypress Cir, Conway, SC 29526-8921 | 2018-12-19 |
| 1104223908 | Conway Hospital Inc | Psychiatry & Neurology | 8024 Myrtle Trace Dr, Conway, SC 29526-8945 | 2014-11-24 |
| 1720350317 | Conway Hospital Inc | Nurse Practitioner | 6010 Highway 707 Ste 100, Myrtle Beach, SC 29588-7321 | 2012-01-30 |
| 1548573322 | Conway Hospital Inc | Family Medicine | 8004 Myrtle Trace Dr, Conway, SC 29526-8945 | 2010-07-21 |
| Street Address |
5010 CAROLINA FOREST BLVD |
| City | MYRTLE BEACH |
| State | SC |
| Zip Code | 29579-3579 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841290129 | Scott A Ross | Family Medicine | 5010 Carolina Forest Blvd, Myrtle Beach, SC 29579-3579 | 2005-07-28 |
| 1790139558 | Yolanda Lang | Nurse Practitioner | 5010 Carolina Forest Blvd, Myrtle Beach, SC 29579-3579 | 2016-04-19 |
| 1760852313 | Jennifer Lynn Lee | Nurse Practitioner | 5010 Carolina Forest Blvd, Myrtle Beach, SC 29579-3579 | 2015-09-25 |
| 1114300985 | Amanda Schimnowski | Family Medicine | 5010 Carolina Forest Blvd, Myrtle Beach, SC 29579 | 2015-06-29 |
| 1699156364 | Megan Thompson Hall | Pediatrics | 5010 Carolina Forest Blvd, Myrtle Beach, SC 29579-3579 | 2015-06-17 |
| 1679836597 | Brittany Gusic | Family Medicine | 5010 Carolina Forest Blvd, Myrtle Beach, SC 29579-3579 | 2012-06-18 |
| 1902047277 | Conway Hospital, Inc. | Nurse Practitioner | 5010 Carolina Forest Blvd, Myrtle Beach, SC 29579-3579 | 2009-03-17 |
| 1669489100 | Kenneth A Thompson | Obstetrics & Gynecology | 5010 Carolina Forest Blvd, Myrtle Beach, SC 29579-3579 | 2006-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598323198 | P & E Company | Counselor | 4105 Carolina Commercial Dr. Unit #2, Myrtle Beach, SC 29579 | 2019-05-30 |
| 1528624632 | Matthew Meehan | Nurse Practitioner | 4016 River Oaks Dr # 6511, Myrtle Beach, SC 29579 | 2019-05-14 |
| 1427518265 | Brian Donovan Doherty | Student in an Organized Health Care Education/Training Program | Grand Strand Medical Center 809 82nd Parkway, Gme Office, Myrtle Beach, SC 29579 | 2019-03-20 |
| 1508347931 | South Carolina Cvs Pharmacy LLC | Pharmacy | 578 International Dr, Myrtle Beach, SC 29579 | 2018-08-23 |
| 1497256176 | Orthosc LLC | Orthopaedic Surgery | 185 Fresh Dr Ste B, Myrtle Beach, SC 29579 | 2018-02-27 |
| 1740708981 | Dental Professional of South Carolina, P.C. | Dentist | 568 International Dr, Myrtle Beach, SC 29579 | 2017-09-08 |
| 1093232480 | Johnathan T Steppe | Dentist | 568 International Drive, Myrtle Beach, SC 29579 | 2017-08-25 |
| 1346638483 | Little River Medical Center, Inc | Clinic/Center | 4220 Carolina Exchange Blvd, Myrtle Beach, SC 29579 | 2014-12-23 |
| 1154726818 | Mina Gaid | Pharmacist | 1303 38th Avenue North, Myrtle Beach, SC 29579 | 2014-10-23 |
| 1528471364 | Paola Goyeneche | Counselor | 5015 Carolina Forest Blvd, Myrtle Beach, SC 29579 | 2014-06-10 |
| Find all providers in zip 29579 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033529946 | Grande Dunes Obgyn and Facial Aesthetics Pa | Obstetrics & Gynecology | 1021 Cipriana Dr Ste 250, Myrtle Beach, SC 29572-4621 | 2014-04-30 |
| 1962637645 | Olubunmi Ashabi Alo | Obstetrics & Gynecology | 3864 Renee Drive, Myrtle Beach, SC 29579 | 2009-05-25 |
| 1982795407 | David Clayton Billue | Obstetrics & Gynecology | 839 82nd Pkwy Ste 75, Myrtle Beach, SC 29572-4614 | 2006-09-28 |
| 1356445696 | Tracy Dawn Nelson | Obstetrics & Gynecology | 8203 Nigels Dr, Suite 100, Myrtle Beach, SC 29572-4177 | 2006-09-08 |
| 1639273972 | Helena P Kirkpatrick | Obstetrics & Gynecology | 8203 Nigels Drive Suite 10, Myrtle Beach, SC 29572 | 2006-09-08 |
| 1386619690 | Tatiana Vu-molaschi | Obstetrics & Gynecology | 1021 Cipriana Drive, Suite 250, Myrtle Beach, SC 29572-4619 | 2006-02-21 |
| 1275169807 | Palmetto Obgyn LLC | Obstetrics & Gynecology | 3864 Renee Drive, Myrtle Beach, SC 29579 | 2020-03-16 |
| 1891204897 | Aesthetic Medical Center,llc | Obstetrics & Gynecology | 911 Medical Cir, Myrtle Beach, SC 29572-4116 | 2017-09-22 |
| 1891957940 | Eduardo Miguel Martinez | Obstetrics & Gynecology | 4320 Holmestown Rd, Myrtle Beach, SC 29588 | 2008-06-30 |
| 1013113893 | Robert J Heineck | Obstetrics & Gynecology | 4320 Holmestown Rd, Myrtle Beach, SC 29588 | 2007-06-27 |
| Find all providers in MYRTLE BEACH | ||||
| City | MYRTLE BEACH |
| Zip Code | 29579 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.