SURGERY CENTER OF CONWAY INC (NPI# 1598227431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598227431 |
| Entity Type | Organization |
| Organization Name | SURGERY CENTER OF CONWAY INC |
| Practice Address |
1405 Main Street Conway SC 29526 |
| Practice Telephone | 8434887730 |
| Mailing Telephone | 8434887730 |
| Enumeration Date | 2019-04-01 |
| Last Update Date | 2020-03-11 |
| Authorized Official Name | CHARLES PROCTOR (MEDICAL DIRECTOR/OWNER) |
| Authorized Official Telephone | 8434887730 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| Street Address |
1405 MAIN STREET |
| City | CONWAY |
| State | SC |
| Zip Code | 29526 |
| 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 |
| 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 |
| 1760858278 | Ashonda Bellamy Wilson | Registered Nurse | 1921 Industrial Park Rd, Conway, SC 29526 | 2015-08-19 |
| Find all providers in zip 29526 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487122669 | Conway Cardiovascular Surgery Center, LLC | Clinic/Center | 650 United Dr Ste 120, Conway, AR 72032-7826 | 2018-11-06 |
| 1932274743 | Coastal Carolina Centers of Urology and Surgery LLC | Clinic/Center | 822 Farrar Drive, Conway, SC 29526-8747 | 2006-11-21 |
| 1053301473 | Baker Ambulatory Surgery Center | Clinic/Center | 810 Merriman St, Conway, AR 72032-4436 | 2005-10-26 |
| 1467089599 | Conway Ambulatory Surgery Center, LLC | Clinic/Center | 2425 Dave Ward Dr, Conway, AR 72034-8686 | 2020-03-26 |
| 1306157656 | Conway Regional Medical Center,inc | Clinic/Center | 525 Western Ave, Suite 301, Conway, AR 72034-4967 | 2010-07-01 |
| 1578559787 | Conway Regional Surgery Center | Clinic/Center | 2200 Ada Ave, Suite 100, Conway, AR 72034-4985 | 2005-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194344606 | Tidelands Health Asc LLC | Clinic/Center | 2200 Crow Ln Ste 102, Myrtle Beach, SC 29577-1663 | 2020-04-14 |
| 1528602455 | Cornerstone Surgery Centers, LLC | Clinic/Center | 3911 Highway 17 Ste B, Murrells Inlet, SC 29576-5014 | 2019-11-04 |
| 1265999197 | Medical University Hospital Authority | Clinic/Center | 1580 Freedom Blvd Ste 300, Florence, SC 29505-6074 | 2019-02-27 |
| 1194233189 | Chapin Orthopedic Surgery Center | Clinic/Center | 106 Ellett Road, Chapin, SC 29036-8248 | 2018-01-12 |
| 1124547617 | Southeastern Anesthesia Associates, LLC | Clinic/Center | 1 Wellness Blvd Ste 111, Irmo, SC 29063-2873 | 2017-09-15 |
| 1518338052 | Center for Advanced Surgery LLC | Clinic/Center | 3821 Commercial Center Drive, Ladson, SC 29456-4146 | 2015-10-09 |
| 1881094894 | Center for Colon and Digestive Diseases LLC | Clinic/Center | 103 Gregg Ave Nw, Suite 100, Aiken, SC 29801-6357 | 2014-08-27 |
| 1578986550 | Summerville Endoscopy Center, LLC | Clinic/Center | 328 Midland Pkwy, Summerville, SC 29485-8102 | 2014-01-28 |
| 1295176139 | Lowcountry Ambulatory Center, LLC | Clinic/Center | 1844 Wallace School Rd, Charleston, SC 29407-4822 | 2013-07-08 |
| 1780998633 | Parkridge Surgery Center LLC | Clinic/Center | 190 Parkridge Dr Ste 108, Columbia, SC 29212-1748 | 2010-08-03 |
| 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.