Active NPI
Parkway Anesthesia Associates, LLC
- Urology Physician
- Myrtle Beach, SC
National Provider Identifier
1265162788
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- Legal business name
- PARKWAY ANESTHESIA ASSOCIATES, LLC
- Practice address
- 827 82ND Pkwy
Myrtle Beach, SC 29572-4607 - Phone
- (843) 286-2020
- NPI assigned
- Jun 16, 2022
- Last updated
- Jan 25, 2024
- 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
- Richard Young, MD
- Title
- MD, Managing Member
- Phone
- (843) 222-4778
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | NU | ||
| Urology Physician | 208800000X | NU | Primary |
Addresses
Primary practice location
827 82ND Pkwy
Myrtle Beach, SC 29572-4607
Mailing address
823 82ND Pkwy
Myrtle Beach, SC 29572-4607
Phone (843) 286-2020
National Provider Directory
National Provider DirectoryLocations
827 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 286-2020
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Urology Physician
- Myrtle Beach, SC
- NPI 1790025435
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655337600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1706140800000",
"number": "1265162788",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "823 82ND PKWY",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295724607",
"telephone_number": "843-286-2020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "827 82ND PKWY",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295724607",
"telephone_number": "843-286-2020"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PARKWAY ANESTHESIA ASSOCIATES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-06-16",
"last_updated": "2024-01-25",
"certification_date": "2024-01-25",
"status": "A",
"authorized_official_last_name": "YOUNG",
"authorized_official_first_name": "RICHARD",
"authorized_official_title_or_position": "MD, MANAGING MEMBER",
"authorized_official_telephone_number": "843-222-4778",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.