CONWAY HOSPITAL INC (NPI# 1659762227) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659762227 |
| Entity Type | Organization |
| Organization Name | CONWAY HOSPITAL INC |
| Other Organization Name | CONWAY HOSPTIAL COMMUNITY SERVICES |
| Practice Address |
2367 Cypress Cir Suite B Conway SC 29526-8921 |
| Mailing Address |
300 Singleton Ridge Rd Attn: Patient Accounting Conway SC 29526-9142 |
| Practice Telephone | 8433491001 |
| Practice Fax Number | 8433491008 |
| Mailing Telephone | 8432346946 |
| Mailing Fax Number | 8432346990 |
| Enumeration Date | 2015-02-18 |
| Last Update Date | 2020-03-27 |
| 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 |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| CMC PRIMARY CARE-CONWAY | Doing Business As Name - Organization |
| CMC QUICK CARE SINGLETON RIDGE | Doing Business As Name - Organization |
| CONWAY HOSPTIAL COMMUNITY SERVICES | Former Legal Business Name - Organization |
| CPG Carolina Internal Medicine | Doing Business As Name - Organization |
| CPG CAROLINA INTERNAL MEDICINE | Other Name - Individual/Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2367 Cypress Cir Ste D, Conway, SC 295268921 | 8433491001 | 8433491008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558835355 | Conway Hospital Inc | Nurse Practitioner | 124 Professional Park Drive, Ste A, Conway, SC 29526-9260 | 2019-01-15 |
| 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 |
2367 CYPRESS CIR SUITE B |
| City | CONWAY |
| State | SC |
| Zip Code | 29526-8921 |
| 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 | 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.