Organization Active NPI

Sjan Corp

  • Internal Medicine Physician
  • Myrtle Beach, SC
National Provider Identifier
1104564947
Registry record updated May 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
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

Updated by the provider on May 23, 2022

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.