Carolina Bone & Joint Surgery Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

ASF077 Issued in SC

Legal business name

CAROLINA BONE & JOINT SURGERY CENTER

Practice address

101 Surgeons Dr
Myrtle Beach, SC 29579-5198

Phone

(843) 236-6633

Fax

(843) 903-6331

NPI assigned

Dec 28, 2005

Organization subpart

No

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

Authorized official

Name

Pamela Skipper, RN

Title

Center Director

Phone

(843) 903-6320

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Listed as

Carolina Bone and Joint Surgery CenterCCN 42C0001051

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Conway Hospital, Inc.

  • Pain Medicine (Anesthesiology) Physician
  • Myrtle Beach, SC
  • NPI 1427798669

  Member Of

  NPD member

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

• Strand Orthopaedic Consultants, LLC

  • Specialist
  • Little River, SC
  • NPI 1649468810

  Member Of

  NPD member
• Strand Orthopaedic Consultants, LLC

  • Orthopaedic Surgery Physician
  • Myrtle Beach, SC
  • NPI 1740238773

  Member Of

  NPD member

Practitioners 2

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

• Jack S Haskin Jr., MD

  • Orthopaedic Hand Surgery Physician
  • Conway, SC
  • NPI 1962573352
  NPD
• Robert S Leak, MD

  • Orthopaedic Hand Surgery Physician
  • Myrtle Beach, SC
  • NPI 1962468587

  Orthopaedic Surgery

  NPD

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434585600000",
    "number": "1316924632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 SURGEONS DR",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295795198",
            "telephone_number": "843-236-6633",
            "fax_number": "843-903-6331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 SURGEONS DR",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295795198",
            "telephone_number": "843-236-6633",
            "fax_number": "843-903-6331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA BONE & JOINT SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-28",
        "last_updated": "2015-06-18",
        "status": "A",
        "authorized_official_last_name": "SKIPPER",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "CENTER DIRECTOR",
        "authorized_official_telephone_number": "843-903-6320",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "SC",
            "license": "ASF077",
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "SC",
            "license": "ASF077",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ASC052",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Victoria Carey, MSW, LISW-CP
• Michael Carge, D.O.
• Caring Hands Home Care LLC USA
• Herbert Victor Carmichael III, P.T.
• Debra Anne Carnosso, LCSW-R AND LISW-CP
• Carolina Clinic of Chiropractic, LLC
• Carolina Coastal Family Medicine PA
• Carolina Coastal Plastic and Reconstructive Surgery, Inc.
• Carolina Forest Chiropractic, LLC
• Carolina Forest Family Eyecare, P.a.

• Ambulatory Surgical Clinic/Center in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Ambulatory Surgical Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.