CONWAY HOSPITAL EMERGENCY PROFESSIONAL SERVICES (NPI# 1487844510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487844510 |
| Entity Type | Organization |
| Organization Name | CONWAY HOSPITAL EMERGENCY PROFESSIONAL SERVICES |
| Practice Address |
300 Singleton Ridge Road Conway SC 29526-9142 |
| Mailing Address |
Po Box 258870 Oklahoma City OK 73125-8870 |
| Practice Telephone | 8433477111 |
| Mailing Telephone | 8009623303 |
| Mailing Fax Number | 4056821586 |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2016-01-15 |
| Authorized Official Name | BRET BARR (C.F.O.) |
| Authorized Official Telephone | 8433478037 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | SC | Allopathic & Osteopathic Physicians |
| Street Address |
300 SINGLETON RIDGE ROAD |
| City | CONWAY |
| State | SC |
| Zip Code | 29526-9142 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649899980 | Jasmine Sidhu | Student in an Organized Health Care Education/Training Program | 300 Singleton Ridge Road, Conway, SC 29526 | 2020-04-15 |
| 1689293136 | Anam Ali Sabzwari | Student in an Organized Health Care Education/Training Program | 300 Singleton Ridge Road, Conway, SC 29526-9142 | 2020-04-15 |
| 1548670946 | Nishitha Reddy Thumallapally | Internal Medicine | 300 Singleton Ridge Road, Conway, SC 29526-9142 | 2014-05-07 |
| 1073868097 | Najla Itani | Internal Medicine | 300 Singleton Ridge Road, Conway, SC 29526-9142 | 2012-07-16 |
| 1184882789 | Ihor V Melnytskyy | Anesthesiology | 300 Singleton Ridge Road, Conway Medical Center, Conway, SC 29526 | 2008-05-30 |
| 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 | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043265655 | William C Pittman | Emergency Medicine | 1125 Skyline Dr, Conway, AR 72032-2857 | 2006-05-23 |
| 1861478232 | College Park Family Clinic Pa | Emergency Medicine | 2511-a College Ave, Conway, AR 72034 | 2005-12-19 |
| 1033106505 | Jesse E Clanton | Emergency Medicine | 2302 College Ave, Conway, AR 72034-6297 | 2005-09-30 |
| 1184625105 | Robert Thomas Vanhook | Emergency Medicine | 3900 Dave Ward Dr Ste 1900, Pmb # 181, Conway, AR 72034-5617 | 2005-08-02 |
| 1770007700 | Laura J Dill | Emergency Medicine | 2302 College Ave, Conway, AR 72034 | 2017-08-01 |
| 1750781654 | Medexpress Urgent Care Arkansas, P.a. | Emergency Medicine | 805 Oak Street, Conway, AR 72032-4408 | 2014-08-27 |
| 1760820583 | Megan Taylor | Emergency Medicine | 1555 Exchange Ave, Conway, AR 72032-7824 | 2013-06-14 |
| 1285077727 | Jordan Hunter White | Emergency Medicine | 1555 Exchange Ave, Conway, AR 72032-7824 | 2013-04-15 |
| 1912340860 | Edward Thomas Grove | Emergency Medicine | 300 Singleton Ridge Rd, Conway, SC 29526-9142 | 2013-04-10 |
| 1689913436 | Doctors Care Sc, Pa | Emergency Medicine | 1400 Main St, Conway, SC 29526-3567 | 2013-02-13 |
| 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.