Keith C Reinwald, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

582 Issued in SC

Practice address

2376 Cypress Cir Ste 300
Conway, SC 29526-8995

Phone

(843) 347-7222

Fax

(843) 347-3305

NPI assigned

Dec 6, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Waccamaw Kidney & Hypertension Specialists,P.a.

  • Nephrology Physician
  • Georgetown, SC
  • NPI 1972557494
  NPD (past)

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272240000000",
    "number": "1033278049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2376 CYPRESS CIR STE 300",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295268995",
            "telephone_number": "843-347-7222",
            "fax_number": "843-347-3305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2376 CYPRESS CIR STE 300",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295268995",
            "telephone_number": "843-347-7222",
            "fax_number": "843-347-3305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REINWALD",
        "first_name": "KEITH",
        "middle_name": "C",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2010-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "SC",
            "license": "582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bailey Erin Ray, BS, CAC-P
• Sundy Graham Rebeschke
• Susan Barbara Redge, MD
• Sviatoslav Redko, MD
• Daniel BC Reid, MD
• Patty Johnson Reis, CRNA
• Reliable Medical Equipment of Conway LLC
• Byron Rembert
• Danielle Remensnyder
• Steven Scott Renfer, PHARMD

• Surgical Physician Assistant in Conway, SC
• Providers in Conway, SC by specialty
• Surgical Physician Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 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.