Occ Doc of South Carolina

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

0390 Issued in SC

Legal business name

OCC DOC OF SOUTH CAROLINA

Practice address

154 Waccamaw Medical Park CT # a
Conway, SC 29526-8965

Phone

(843) 347-5752

NPI assigned

Feb 13, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Regina A Roman, D.O.NPI 1447358213

Title

Owner Physician

Phone

(843) 347-5752

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Regina Ann Roman, D.O.

  • Internal Medicine Physician
  • Conway, SC
  • NPI 1447358213
  NPD (past) Authorized official

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316089485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "154 WACCAMAW MEDICAL PARK CT # A",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295268965",
            "telephone_number": "843-347-5752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 WACCAMAW MEDICAL PARK CT # A",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295268965",
            "telephone_number": "843-347-5752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCC DOC OF SOUTH CAROLINA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROMAN",
        "authorized_official_first_name": "REGINA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER PHYSICIAN",
        "authorized_official_telephone_number": "843-347-5752",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "0390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nye'S Pharmacy of Conway,Inc.
• Nyes Pharmacy of Conway Inc
• Thomas John O'Connor, FNP
• Kathleen Ann O'Leary, M.D.
• Tami Gail Obranovic, RN
• Micheal A Odle, MD
• Bradley Wayne Odom, BS-HIS
• Joseph Hamilton Odom, R.PH
• Lary Odom
• Erin Ogden, RD

• Internal Medicine Physician in Conway, SC
• Providers in Conway, SC by specialty
• Internal Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.