CONWAY HOSPITAL INC (NPI# 1558835355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558835355 |
| Entity Type | Organization |
| Organization Name | CONWAY HOSPITAL INC |
| Other Organization Name | CONWAY HOSPITAL COMMUNITY SERVICES |
| Practice Address |
124 Professional Park Drive, Ste A Conway SC 29526-9260 |
| Mailing Address |
300 Singleton Ridge Rd Attn: Patient Accounting Conway SC 29526-9142 |
| Practice Telephone | 8432348788 |
| Practice Fax Number | 8432348787 |
| Mailing Telephone | 8432346946 |
| Mailing Fax Number | 8432346990 |
| Enumeration Date | 2019-01-15 |
| Last Update Date | 2020-09-18 |
| 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 |
|---|---|---|---|---|---|
| N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| CMC Pediatrics Conway | Doing Business As Name - Organization |
| CMC PEDIATRICS-CONWAY | Doing Business As Name - Organization |
| CONWAY HOSPITAL COMMUNITY SERVICES | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1548573322 | Conway Hospital Inc | Family Medicine | 8004 Myrtle Trace Dr, Conway, SC 29526-8945 | 2010-07-21 |
| Street Address |
124 PROFESSIONAL PARK DRIVE, STE A |
| City | CONWAY |
| State | SC |
| Zip Code | 29526-9260 |
| 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 |
| 1366513608 | Stephen Alexander Corontzes | Pediatrics | 600 Singleton Ridge Rd, Conway, SC 29526-9154 | 2006-11-10 |
| 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 |
| 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.