Active NPI
Sjan Corp
- Internal Medicine Physician
- Myrtle Beach, SC
National Provider Identifier
1104564947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- SJAN CORP
- Practice address
- 113 Ocean Sands CT
Myrtle Beach, SC 29579-3590 - Phone
- (843) 231-9966
- Fax
- (866) 226-7650
- NPI assigned
- May 23, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Solomon Jan, MD
- Title
- MD/Owner
- Phone
- (800) 294-7001
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
113 Ocean Sands CT
Myrtle Beach, SC 29579-3590
Mailing address
113 Ocean Sands CT
Myrtle Beach, SC 29579-3590
Phone (843) 231-9966
Other names 1
- Orion Wound Care
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653264000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1653264000000",
"number": "1104564947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "113 OCEAN SANDS CT",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295793590",
"telephone_number": "843-231-9966",
"fax_number": "866-226-7650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "113 OCEAN SANDS CT",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295793590",
"telephone_number": "843-231-9966",
"fax_number": "866-226-7650"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SJAN CORP",
"organizational_subpart": "NO",
"enumeration_date": "2022-05-23",
"last_updated": "2022-05-23",
"certification_date": "2022-05-23",
"status": "A",
"authorized_official_last_name": "JAN",
"authorized_official_first_name": "SOLOMON",
"authorized_official_title_or_position": "MD/OWNER",
"authorized_official_telephone_number": "800-294-7001",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Orion Wound Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Myrtle Beach, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.