CONWAY HOSPITAL INC (NPI# 1336336916) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336336916 |
| Entity Type | Organization |
| Organization Name | CONWAY HOSPITAL INC |
| Other Organization Name | CPG INTERNAL MEDICINE CREEL STREET |
| Practice Address |
1301 Creel St Conway SC 29527-5018 |
| Mailing Address |
300 Singleton Ridge Rd Attn: Patient Accounting Conway SC 29526-9142 |
| Practice Telephone | 8432484414 |
| Practice Fax Number | 8432483781 |
| Mailing Telephone | 8432346946 |
| Mailing Fax Number | 8432346990 |
| Enumeration Date | 2007-09-27 |
| Last Update Date | 2019-12-27 |
| 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 | 207R00000X | Internal Medicine | 207R00000X | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | RAILROAD MEDICARE GROUP | DC2203 | 01 |
| SC | GP4505 | 05 |
| Other Name | Type Code |
|---|---|
| CMC PRIMARY CARE-CREEL STREET | Doing Business As Name - Organization |
| CPG Internal Medicine Creel Street | Doing Business As Name - Organization |
| CPG INTERNAL MEDICINE CREEL STREET | 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 |
| 1003112152 | Conway Hospital Inc | Obstetrics & Gynecology | 5010 Carolina Forest Blvd, Myrtle Beach, SC 29579-3579 | 2011-02-08 |
| Street Address |
1301 CREEL ST |
| City | CONWAY |
| State | SC |
| Zip Code | 29527-5018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437116241 | Michele Lively | Nurse Practitioner | 1301 Creel St, Conway, SC 29527-5018 | 2006-04-26 |
| 1508127911 | Erin Stewart Floyd | Physician Assistant | 1301 Creel St, Conway, SC 29527-5018 | 2012-06-01 |
| 1306166012 | Conway Hospital Community Services | Clinic/Center | 1301 Creel St, Conway, SC 29527-5018 | 2010-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245511435 | Rocky Mountain Holdings LLC | Ambulance | 1700 Airport Road, Conway, SC 29527 | 2011-09-01 |
| 1295946838 | Bonnie Jean Miller | Occupational Therapy Assistant | 3300 4th. Ave., Conway, SC 29527 | 2007-05-25 |
| 1255987269 | Mansi D Patel | In Home Supportive Care | 2408 Westbrook Dr, Conway, SC 29527-3150 | 2019-08-15 |
| 1104862788 | James R Bean | Physician Assistant | 1013 Dunraven Ct, Conway, SC 29527-3154 | 2006-06-21 |
| 1194255315 | Canisha Sharron Rice | Home Health | 1213 Cymmer Ct, Conway, SC 29527-3165 | 2017-06-20 |
| 1578968988 | Pshanda Chante Pugh | Counselor | 1208 Dunraven Ct, Conway, SC 29527-3170 | 2014-10-28 |
| 1205457017 | Heather Melton Lee | Specialist/Technologist | 252 Maidens Choice Rd, Conway, SC 29527-3418 | 2020-05-04 |
| 1093336760 | Chelsea Kamens | Registered Nurse | 357 Shallow Cove Dr, Conway, SC 29527-3458 | 2020-05-04 |
| 1538628193 | Jasmine L Gaddy | Home Health | 728 Rose Moss Rd, Conway, SC 29527-3579 | 2019-03-13 |
| 1801213327 | Tonya Peavy | Registered Nurse | 729 Brown Swamp Rd, Conway, SC 29527-3636 | 2014-03-21 |
| Find all providers in zip 29527 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952648594 | Conway Hospital, Inc. | Internal Medicine | 2376 Cypress Cir, Ste 102, Conway, SC 29526-8964 | 2013-01-15 |
| 1326341652 | John William Watson | Internal Medicine | 52 Lakeview Dr, Conway, AR 72032-8811 | 2010-12-08 |
| 1841425253 | Ahmed Ali | Internal Medicine | 655 Dave Ward Dr, Ste 103, Conway, AR 72034 | 2009-05-29 |
| 1639359888 | Gerson Airel Teran | Internal Medicine | 4925 Cindy Lee Cv, Conway, AR 72034-7496 | 2007-11-05 |
| 1932235785 | Eric Anthony Woodard | Internal Medicine | 525 Hendrix Cv, Conway, AR 72034-7742 | 2007-02-26 |
| 1316089485 | Occ Doc of South Carolina | Internal Medicine | 154 Waccamaw Medical Park Ct # A, Conway, SC 29526-8965 | 2007-02-13 |
| 1952482952 | Conway Internists, P.a. | Internal Medicine | 8002 Myrtle Trace Dr., Conway, SC 29526 | 2006-10-17 |
| 1942393467 | Pamela Pyle | Internal Medicine | 1396 Highway 544, Conway, SC 29526-8443 | 2006-10-02 |
| 1447358213 | Regina Ann Roman | Internal Medicine | 154a Waccamaw Medical Park Ct, Conway, SC 29526-8965 | 2006-09-20 |
| 1538180211 | Rajan Gupta | Internal Medicine | 241 Singleton Ridge Rd, Ste A, Conway, SC 29526 | 2006-07-21 |
| Find all providers in CONWAY | ||||
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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.