Active NPI
Robert J. Coni, D.O.
- Neurology Physician
- Myrtle Beach, SC
National Provider Identifier
1114023991
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 36646
- Practice address
- 920 Doug White Dr Ste 460
Myrtle Beach, SC 29572-4182 - Phone
- (843) 449-2336
- Fax
- (843) 692-2174
- NPI assigned
- Sep 16, 2006
- Last updated
- Jan 28, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | OS007033E | PA | |
| Neurology Physician | 2084N0400X | 36646 | SC | Primary |
Addresses
Primary practice location
920 Doug White Dr Ste 460
Myrtle Beach, SC 29572-4182
Mailing address
920 Doug White Dr Ste 460
Myrtle Beach, SC 29572-4182
Phone (843) 449-2336
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036648200 | Medicaid | SC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ROBERT.CONI@hca5.eclinicaldirectplus.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 85.55 of 100
- Quality
- 73.67
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 78.99
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36646 | SC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grand Strand Surgical Specialists, LLC | Past | Accepting new patients |
Interoperability endpoints
- robert.coni@hca5.eclinicaldirectplus.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Surgery Physician
- Myrtle Beach, SC
- NPI 1841465804
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643328000000",
"number": "1114023991",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "920 DOUG WHITE DR STE 460",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295724182",
"telephone_number": "843-449-2336",
"fax_number": "843-692-2174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "920 DOUG WHITE DR STE 460",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295724182",
"telephone_number": "843-449-2336",
"fax_number": "843-692-2174"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONI",
"first_name": "ROBERT",
"middle_name": "J.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-16",
"last_updated": "2022-01-28",
"certification_date": "2020-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "PA",
"license": "OS007033E",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "SC",
"license": "36646",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036648200",
"state": "SC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ROBERT.CONI@hca5.eclinicaldirectplus.com",
"affiliation": "N",
"address_1": "920 Doug White Dr Ste 460",
"city": "Myrtle Beach",
"state": "SC",
"country_code": "US",
"postal_code": "295724182",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
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 Jan 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.