CONWAY HOSPITAL INC (NPI# 1932162633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932162633 |
| Entity Type | Organization |
| Organization Name | CONWAY HOSPITAL INC |
| Other Organization Name | CMC WOMEN'S HEALTH SOCASTEE |
| Practice Address |
2376 Cypress Cir, Ste 200 Conway SC 29526-8994 |
| Mailing Address |
300 Singleton Ridge Rd Attn: Patient Accounting Conway SC 29526-9142 |
| Practice Telephone | 8433477216 |
| Practice Fax Number | 8433477218 |
| Mailing Telephone | 8432346946 |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2020-10-30 |
| 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 | 367A00000X | Advanced Practice Midwife | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 207V00000X | Obstetrics & Gynecology | SC | Allopathic & Osteopathic Physicians | |
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | GP4505 | 05 | |
| SC | FIRST CHOICE | 20000815 | 01 |
| Other Name | Type Code |
|---|---|
| CMC Women's Health Conway | Doing Business As Name - Organization |
| CMC Women's Health Socastee | Doing Business As Name - Organization |
| CMC WOMEN'S HEALTH-CONWAY | Doing Business As Name - Organization |
| Conway Hospital Community Services | Former Legal Business Name - Organization |
| CPG Women's Medical Center | Doing Business As Name - Organization |
| CPG Women's Medical Center | Other Name - Individual/Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6010 Highway 707, Ste 200, Myrtle Beach, SC 295887321 | 8433477216 | 8433477218 |
| 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 |
| 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 |
2376 CYPRESS CIR, STE 200 |
| City | CONWAY |
| State | SC |
| Zip Code | 29526-8994 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255794186 | Lacey June Eames | Obstetrics & Gynecology | 2376 Cypress Cir, Ste 200, Conway, SC 29526-8994 | 2016-03-29 |
| 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 | 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 |
|---|---|---|---|---|
| 1184233173 | Bryan D Fuller Md Pa | Obstetrics & Gynecology | 625 United Dr Ste 330, Conway, AR 72032-7828 | 2020-07-27 |
| 1538402839 | Kathleen Turek Dunn | Obstetrics & Gynecology | 2376 Cypress Cir Ste 200, Conway, SC 29526-8994 | 2013-04-04 |
| 1346501020 | Curtis James Boyd IIi | Obstetrics & Gynecology | 625 United Dr Ste 360, Conway, AR 72032 | 2012-05-30 |
| 1417247628 | Jessica Adams Pullen | Obstetrics & Gynecology | 625 United Dr Ste 420, Conway, AR 72032-7826 | 2011-04-10 |
| 1124225321 | Henry Augustine Gonzales | Obstetrics & Gynecology | 2376 Cypress Cir Ste 203, Conway, SC 29526-8994 | 2007-06-29 |
| 1912118944 | Joshua L. Ward | Obstetrics & Gynecology | 2200 Ada Ave., Suite 301, Conway, AR 72034-4986 | 2007-05-24 |
| 1093930885 | Reginald Forrest Daves | Obstetrics & Gynecology | 2345 Steep Landing Rd, Conway, SC 29526-7833 | 2007-04-16 |
| 1134167158 | Coastal Carolina Ob Gyn LLC | Obstetrics & Gynecology | 620 Singleton Ridge Rd, Conway, SC 29526-9154 | 2006-06-02 |
| 1902869696 | Terry B Levenson | Obstetrics & Gynecology | 8004 Myrtle Trace Dr, Conway, SC 29526-8945 | 2006-04-11 |
| 1427020882 | Carole Lynn Jackson | Obstetrics & Gynecology | 525 Western Avenue, Suite 303, Conway, AR 72034-6135 | 2006-02-01 |
| 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.