NPIMap

Organization Active NPI

Strand Regional Specialty

  • Multi-Specialty Clinic/Center
  • Murrells Inlet, SC
National Provider Identifier
1023052354
Registry record updated Jul 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
STRAND REGIONAL SPECIALTY
Practice address
4367 Riverwood Dr
Suite 120
Murrells Inlet, SC 29576-4368
Phone
(843) 357-8008
Fax
(843) 357-3819
NPI assigned
Jun 16, 2006
Last updated
Jul 21, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Sonja Willis
Title
Insurance Specialist
Phone
(843) 692-2149

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X NU Primary
Radiology Clinic/Center 261QR0200X NU

Addresses

Primary practice location

4367 Riverwood Dr
Suite 120
Murrells Inlet, SC 29576-4368

Mailing address

PO Box 70399
Myrtle Beach, SC 29572-0025
Phone (843) 449-2336

Other identifiers 4

IdentifierTypeStateIssuer
5599938OtherNYGHI
790167KMedicaidNC
1819815MedicaidPA
GP2885MedicaidSC

National Provider Directory

National Provider Directory

Locations

1120 Glenns Bay Rd
Surfside Beach, SC 29575
Phone (843) 215-1700

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279670400000",
    "number": "1023052354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70399",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295720025",
            "telephone_number": "843-449-2336",
            "fax_number": "843-497-2505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4367 RIVERWOOD DR",
            "address_2": "SUITE 120",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295764368",
            "telephone_number": "843-357-8008",
            "fax_number": "843-357-3819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRAND REGIONAL SPECIALTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-16",
        "last_updated": "2010-07-21",
        "status": "A",
        "authorized_official_last_name": "WILLIS",
        "authorized_official_first_name": "SONJA",
        "authorized_official_title_or_position": "INSURANCE SPECIALIST",
        "authorized_official_telephone_number": "843-692-2149",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "5599938",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "790167K",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1819815",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP2885",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrells Inlet, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.