Conway Podiatry Center PC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

568 Issued in SC

Legal business name

CONWAY PODIATRY CENTER PC

Practice address

8020 Myrtle Trace Dr
Conway, SC 29526-8945

Phone

(843) 236-7170

NPI assigned

Jan 17, 2006

Organization subpart

No

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

Authorized official

Name

William L Parker, DPMNPI 1477540201

Title

Owner

Phone

(843) 236-7170

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William L Parker, DPM

  • Foot & Ankle Surgery Podiatrist
  • Conway, SC
  • NPI 1477540201
  NPD (past) Authorized official

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282262400000",
    "number": "1093794166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8020 MYRTLE TRACE DR",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295268945",
            "telephone_number": "843-236-7170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8020 MYRTLE TRACE DR",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295268945",
            "telephone_number": "843-236-7170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONWAY PODIATRY CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-17",
        "last_updated": "2010-08-20",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-236-7170",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "SC",
            "license": "568",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PD5684",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Conway Internists, P.a.
• Conway Manor, LLC
• Conway Obstectrics and Gynecology
• Conway Pediatrics,PA
• Conway Pharmacy LLC
• Stephen Bradley Cook, M.ED.
• Dorthell Marie Cooks, MA
• Eugenia Gainzeo Cooper-Merchant, M.D.
• Novia H Cooper, RN
• Pansy J Cooper, APRN

• Podiatrist in Conway, SC
• Providers in Conway, SC by specialty
• Podiatrist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.