CONWAY HOSPITAL COMMUNITY SERVICES (NPI# 1518268317) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518268317 |
| Entity Type | Organization |
| Organization Name | CONWAY HOSPITAL COMMUNITY SERVICES |
| Other Organization Name | CPG COASTAL METABOLIC & BARIATRIC SURGERY |
| Practice Address |
2376 Cypress Cir Suite 103 Conway SC 29526-8964 |
| Mailing Address |
Po Box 2180 Conway SC 29528-2180 |
| Practice Telephone | 8433473900 |
| Practice Fax Number | 8433473930 |
| Mailing Telephone | 8432345139 |
| Mailing Fax Number | 8432346822 |
| Enumeration Date | 2010-11-10 |
| Last Update Date | 2016-05-10 |
| Authorized Official Name | MR. BRET A BARR (CFO) |
| Authorized Official Telephone | 8433477111 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| Y | 207RB0002X |
Internal Medicine Specialization: Obesity Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | GP4505 | 05 |
| Other Name | Type Code |
|---|---|
| CPG Coastal Metabolic & Bariatric Surgery | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467772400 | Conway Hospital Community Services | Clinic/Center | 1213 Elm Street, Aynor, SC 29511 | 2010-06-01 |
| 1043632805 | Conway Hospital Community Services | Obstetrics & Gynecology | 8004 Myrtle Trace Dr, Conway, SC 29526-8945 | 2014-01-14 |
| 1821335068 | Conway Hospital Community Services | Family Medicine | 51 11th Ave, Aynor, SC 29511-3249 | 2013-01-08 |
| 1689928103 | Conway Hospital Community Services | Family Medicine | 300 Singleton Ridge Rd, Conway, SC 29526-9142 | 2012-11-06 |
| 1306166012 | Conway Hospital Community Services | Clinic/Center | 1301 Creel St, Conway, SC 29527-5018 | 2010-06-03 |
| 1467698076 | Conway Hospital Community Services | Nurse Practitioner | 124 Professional Park Dr, Suite A, Conway, SC 29526-9260 | 2009-01-02 |
| 1033244793 | Conway Hospital Community Services | Internal Medicine | 300 Singleton Ridge Rd, Conway, SC 29526-9142 | 2007-02-22 |
| 1801955141 | Conway Hospital Community Services | Family Medicine | 1213 Elm St, Aynor, SC 29511-3320 | 2006-12-06 |
| Street Address |
2376 CYPRESS CIR SUITE 103 |
| City | CONWAY |
| State | SC |
| Zip Code | 29526-8964 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245231372 | Andrew J Gresko | Internal Medicine | 2376 Cypress Cir, Suite 102, Conway, SC 29526-8964 | 2005-08-10 |
| 1417374992 | Tasha Lee | Registered Nurse | 2376 Cypress Cir, Suite 300, Conway, SC 29526-8964 | 2014-03-24 |
| 1033534300 | South Carolina Podiatric Physicians and Surgeons Group,llc | Podiatrist | 2376 Cypress Cir, Ste 201, Conway, SC 29526-8964 | 2014-02-24 |
| 1255622122 | Shan Fu | Physician Assistant | 2376 Cypress Cir, Suite 300, Conway, SC 29526-8964 | 2011-04-27 |
| 1851600753 | Todd Tupis | Orthopaedic Surgery | 2376 Cypress Cir, Suite 300, Conway, SC 29526-8964 | 2010-09-27 |
| 1447497540 | Conway Hospital Inc | Internal Medicine | 2376 Cypress Cir, Suite 202, Conway, SC 29526-8964 | 2009-01-12 |
| 1053584888 | Hafez Hayek | Internal Medicine | 2376 Cypress Cir, Suite 100, Conway, SC 29526-8964 | 2008-04-13 |
| 1245402924 | Peter N Ramsey | Orthopaedic Surgery | 2376 Cypress Cir, Suite 300, Conway, SC 29526-8964 | 2008-04-02 |
| 1336327741 | Christopher A Kearney | Physician Assistant | 2376 Cypress Cir, Ste 300, Conway, SC 29526-8995 | 2008-02-07 |
| 1114139854 | Erin Watson | Specialist | 2376 Cypress Cir, Suite 300, Conway, SC 29526-8964 | 2007-05-04 |
| Find all providers in the same location | ||||
| 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 | 207RB0002X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Obesity Medicine |
| A physician who specializes in the treatment of obesity demonstrates competency in and a thorough understanding of the treatment of obesity and the genetic, biologic, environmental, social, and behavioral factors that contribute to obesity. The obesity medicine physician employs therapeutic interventions including diet, physical activity, behavioral change, and pharmacotherapy. The obesity medicine physician utilizes a comprehensive approach, and may include additional resources such as dietitians, exercise physiologists, mental health professionals and bariatric surgeons as indicated to achieve optimal results. Additionally, the obesity medicine physician maintains competency in providing pre- peri- and post-surgical care of bariatric surgery patients, promotes the prevention of obesity, and advocates for those who suffer from obesity. |
| Notes: Source: American Board of Obesity Medicine, www.abom.org [7/1/2015: title and definition modified] Additional Resource: American Society of Bariatric Physicians, www.asbp.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588959316 | St Francis Physician Services Inc | Internal Medicine | 135 Commonwealth Dr Ste 210, Greenville, SC 29615-4850 | 2011-06-09 |
| 1558386821 | George Dennis Vaughan IIi | Internal Medicine | 1611 Devonshire Dr Ste 100, Columbia, SC 29204-2444 | 2006-07-13 |
| 1710276167 | William Marcus Newberry Jr. | Internal Medicine | 2082 Woodruff Rd, Greenville, SC 29607-5992 | 2011-04-06 |
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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.