NPIMap

Organization Active NPI

Conway Hospital Community Services

Doing business as CPG Women's Health

  • Obstetrics & Gynecology Physician
  • Conway, SC
National Provider Identifier
1043632805
Registry record updated Jan 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
CONWAY HOSPITAL COMMUNITY SERVICES
Doing business as
CPG Women's Health
Practice address
8004 Myrtle Trace Dr
Conway, SC 29526-8945
Phone
(843) 347-7216
Fax
(843) 347-7218
NPI assigned
Jan 14, 2014
Last updated
Jan 15, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2014

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

Authorized official

Name
Mr. Brett Barr
Title
VP Fiscal Services
Phone
(843) 234-5139

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X NU Primary

Addresses

Primary practice location

8004 Myrtle Trace Dr
Conway, SC 29526-8945

Mailing address

PO Box 50760
Myrtle Beach, SC 29579-0013
Phone (843) 234-6827

Other names 1

  • CPG Women's Health Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Conway Hospital Community Services8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1389657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389744000000",
    "number": "1043632805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50760",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295790013",
            "telephone_number": "843-234-6827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8004 MYRTLE TRACE DR",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295268945",
            "telephone_number": "843-347-7216",
            "fax_number": "843-347-7218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONWAY HOSPITAL COMMUNITY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-14",
        "last_updated": "2014-01-15",
        "status": "A",
        "authorized_official_last_name": "BARR",
        "authorized_official_first_name": "BRETT",
        "authorized_official_title_or_position": "VP FISCAL SERVICES",
        "authorized_official_telephone_number": "843-234-5139",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CPG Women's Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Conway, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2014; 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.