DR. STEPHEN ALEXANDER CORONTZES (NPI# 1366513608) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366513608 |
| Entity Type | Individual |
| Full Name | DR. STEPHEN ALEXANDER CORONTZES |
| Credential | MD |
| Practice Address |
600 Singleton Ridge Rd Conway SC 29526-9154 |
| Practice Telephone | 8433479099 |
| Practice Fax Number | 8433479029 |
| Mailing Telephone | 8433479099 |
| Mailing Fax Number | 8433479029 |
| Enumeration Date | 2006-11-10 |
| Last Update Date | 2011-04-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 13931 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | GP2059 | 05 |
| Street Address |
600 SINGLETON RIDGE RD |
| City | CONWAY |
| State | SC |
| Zip Code | 29526-9154 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528512829 | Maquetia Logue | Nurse Practitioner | 600 Singleton Ridge Rd, Conway, SC 29526-9154 | 2016-08-04 |
| 1467618298 | Magnolia Pediatrics | Pediatrics | 600 Singleton Ridge Rd, Conway, SC 29526-9154 | 2008-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457975237 | Terri L Champion | Massage Therapist | 172 Waccamaw Medical Park Court, Conway, SC 29526 | 2020-06-08 |
| 1689204398 | Alayna Defalco | Clinical Exercise Physiologist | 1320 501 Business, Unit E, Conway, SC 29526 | 2020-01-22 |
| 1124672662 | Proxsys Rx - Sc, LLC | Pharmacy | 300 Singelton Ridge Road, Conway, SC 29526 | 2019-08-01 |
| 1598227431 | Surgery Center of Conway Inc | Clinic/Center | 1405 Main Street, Conway, SC 29526 | 2019-04-01 |
| 1801374962 | Trevor James Hess | Specialist/Technologist | 905 One Landon Loop, Conway, SC 29526 | 2018-08-01 |
| 1851800817 | Katherine Ann Nimphius | Behavioral Analyst | 105 Timberline Dr, Conway, SC 29526 | 2017-09-21 |
| 1922544253 | William Houck | Specialist/Technologist | 925 One Landon Loop, Conway, SC 29526 | 2017-01-10 |
| 1952857278 | Courtney Jeanette Smith | Counselor | 164 Waccamaw Medical Park Dr., Conway, SC 29526 | 2016-08-28 |
| 1336502632 | Jebediah S. Christy, D.d.s - Conway, Pllc | Dentist | 2756 Church St, Conway, SC 29526 | 2016-04-04 |
| 1447615208 | Abl Enterprises, LLC | Optometrist | 113 Citadel Drive, Conway, SC 29526 | 2015-12-22 |
| Find all providers in zip 29526 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326591132 | Priya Yadav | Pediatrics | 3010 Fountain Dr, Conway, AR 72034-3684 | 2016-07-28 |
| 1417248063 | Caroline Duos Mazoch | Pediatrics | 2425 Dave Ward Dr Ste 601, Conway, AR 72034-8685 | 2011-04-29 |
| 1649584038 | Tlc Pediatrics, Pllc | Pediatrics | 955 Carolyn Ln, Conway, AR 72034-5015 | 2010-07-28 |
| 1174844708 | Danika Lauren Alexander Borden | Pediatrics | 300 Singleton Ridge Rd Ofc, Conway, SC 29526-9142 | 2010-06-17 |
| 1336465616 | Kelley Courtney Meena | Pediatrics | 605 Salem Rd Ste B2, Conway, AR 72034-4863 | 2010-04-12 |
| 1376758029 | Janell Thompson Vinson | Pediatrics | 625 United Dr Ste 120, Conway, AR 72032 | 2007-05-14 |
| 1285612671 | Terence L Champlin | Pediatrics | 605 Salem Rd, Suite B2, Conway, AR 72034-4861 | 2006-01-05 |
| 1174501563 | Sherrye Denise Craig | Pediatrics | 3010 Fountain Drive, Conway, AR 72034-3684 | 2006-01-05 |
| 1427039049 | Kelly A Staley | Pediatrics | 2505 College Ave, Conway, AR 72034-6135 | 2005-11-10 |
| 1902803893 | Steven D Mcnabb | Pediatrics | 2710 College Ave, Conway, AR 72034-6141 | 2005-07-07 |
| Find all providers in CONWAY | ||||
Please comment or provide details below to improve the information on DR. STEPHEN ALEXANDER CORONTZES.
| 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.