CONWAY HOSPITAL, INC. (NPI# 1952648594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952648594 |
| Entity Type | Organization |
| Organization Name | CONWAY HOSPITAL, INC. |
| Other Organization Name | CONWAY HOSPITAL COMMUNITY SERVICES |
| Practice Address |
2376 Cypress Cir, Ste 102 Conway SC 29526-8964 |
| Mailing Address |
300 Singleton Ridge Rd Attn: Patient Accounting Conway SC 29526-9142 |
| Practice Telephone | 8433478953 |
| Practice Fax Number | 8433470226 |
| Mailing Telephone | 8432346946 |
| Enumeration Date | 2013-01-15 |
| 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 | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
Allopathic & Osteopathic Physicians | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | MEDICARE PTAN | 7844 | 01 |
| SC | RAILROAD MEDICARE GROUP | DC2203 | 01 |
| SC | GP4505 | 05 |
| Other Name | Type Code |
|---|---|
| CMC CARDIAC CARE | Doing Business As Name - Organization |
| CONWAY HOSPITAL COMMUNITY SERVICES | Former Legal Business Name - Organization |
| CPG Waccamaw Cardiology | Doing Business As Name - Organization |
| CPG WACCAMAW CARDIOLOGY | Other Name - Individual/Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6010 Highway 707, Ste 200, Myrtle Beach, SC 295887321 | 8433478953 | 8433470226 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316221500 | Conway Hospital, Inc. | Physical Medicine & Rehabilitation | 8004 Myrtle Trace Dr Ste 200, Conway, SC 29526-8945 | 2011-10-05 |
| 1699955880 | Conway Hospital, Inc. | Nurse Practitioner | 2376 Cypress Cir, Ste 203, Conway, SC 29526-8994 | 2007-11-06 |
| 1679075352 | Conway Hospital, Inc. | Nurse Practitioner | 1413 Highway 17 N, Surfside Beach, SC 29575-6012 | 2018-03-08 |
| 1629570387 | Conway Hospital, Inc. | Nurse Practitioner | 4022 Postal Way, Myrtle Beach, SC 29579-3537 | 2018-03-08 |
| 1902047277 | Conway Hospital, Inc. | Nurse Practitioner | 5010 Carolina Forest Blvd, Myrtle Beach, SC 29579-3579 | 2009-03-17 |
| Street Address |
2376 CYPRESS CIR, STE 102 |
| City | CONWAY |
| State | SC |
| Zip Code | 29526-8964 |
| 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 | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1083160899 | Baptist Health | Internal Medicine | 625 United Dr, Suite 220, Conway, AR 72032-7826 | 2016-08-31 |
| 1902163389 | Central Arkansas Heart Center | Internal Medicine | 650 United Drive, Ste 300, Conway, AR 72032 | 2012-04-23 |
| 1700845427 | James T. Thomas | Internal Medicine | 650 United Dr, Ste 300, Conway, AR 72032-7826 | 2006-03-21 |
| 1871588251 | Stephen T Brady | Internal Medicine | 2376 Cypress Cir Ste 102, Conway, SC 29526-8964 | 2005-09-13 |
| 1245231372 | Andrew J Gresko | Internal Medicine | 2376 Cypress Cir, Suite 102, Conway, SC 29526-8964 | 2005-08-10 |
| 1639624372 | Conway Regional Medical Center,inc | Internal Medicine | 525 Western Ave, Suite 202, Conway, AR 72034-4967 | 2016-08-23 |
| 1285792481 | Conway Heart Clinic Pllc | Internal Medicine | 525 Western Ave, Suite 304, Conway, AR 72034-4967 | 2006-12-04 |
| 1548201569 | William M Cicio | Internal Medicine | 2376 Cypress Cir Ste 102, Conway, SC 29526-8964 | 2006-06-09 |
| 1710989264 | Keith E. Wyche | Internal Medicine | 2376 Cypress Cir, Suite 102, Conway, SC 29526-8964 | 2005-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366070237 | Richard Ying Lim | Internal Medicine | 1752 Greenspoint Ct, Mt Pleasant, SC 29466-8132 | 2020-03-27 |
| 1205499217 | Spartanburg Medical Center | Internal Medicine | 104 Professional Park Ste C, Gaffney, SC 29340-2319 | 2019-04-16 |
| 1316416688 | Spartanburg Medical Center | Internal Medicine | 104 Professional Park Ste B, Gaffney, SC 29340-2319 | 2018-11-16 |
| 1376050534 | Khoury Cardiology, Pa | Internal Medicine | 151 Saluda Ave, Columbia, SC 29205-3080 | 2018-01-09 |
| 1003321167 | Mcleod Physician Associates II | Internal Medicine | 1319 South 4th Street, Hartsville, SC 29550 | 2017-12-11 |
| 1669919247 | Hari Gnanasekeram, PC | Internal Medicine | 207 Zeigler St, Columbia, SC 29217-0001 | 2017-01-20 |
| 1649636390 | Jeffrey Clyde Sloan | Internal Medicine | 1565 Blanchard Bnd, Rock Hill, SC 29732-9658 | 2016-01-11 |
| 1033514120 | Palmetto Health | Internal Medicine | 6 Richland Medical Park Dr, Suite 2100, Columbia, SC 29203-6864 | 2014-10-31 |
| 1164821104 | Hilton Head Cardiology, Consultants, LLC | Internal Medicine | 25 Hospital Center Blvd Ste 309, Hilton Head, SC 29926-2739 | 2014-08-15 |
| 1033522610 | Ashley Arana Waring | Internal Medicine | 30 Courtney Drive Msc 592, Charleston, SC 29425-8905 | 2014-06-11 |
| Find all providers with the same taxonomy | ||||
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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.