Active NPI
Stephen Q. Parker, MD
- Physical Medicine & Rehabilitation Physician
- Murrells Inlet, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 192133
- Practice address
- 3545 Highway 17
Suite 200
Murrells Inlet, SC 29576-5113 - Phone
- (843) 294-1941
- Fax
- (843) 294-1945
- NPI assigned
- Jan 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 192133 | SC | Primary |
Addresses
Primary practice location
3545 Highway 17
Suite 200
Murrells Inlet, SC 29576-5113
Mailing address
210 Village Center Blvd Ste 140
Myrtle Beach, SC 29579-6706
Phone (843) 353-3460
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8906174 | Medicaid | NC | |
| 192133 | Medicaid | SC | |
| 42D2029452 | Other | SC | CLIA WAIVER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 97.45 of 100
- Promoting interoperability
- 97
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37850 | TN | MD | Pharmacist |
| 192133 | SC | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthosc, LLC | Current | Accepting new patients | |
| Orthosc, LLC | Current | Accepting new patients | |
| Orthosc, LLC | Past | Accepting new patients | |
| Murrells Inlet ASC LLC | Past | Accepting new patients |
Locations
2376 Cypress Cir
Ste 300
Conway, SC 29526
Phone (843) 347-7222
103 Professional Park Dr
Conway, SC 29526
Phone (843) 335-3346
3545 Highway 17
Unit 200
Murrells Inlet, SC 29576
Phone (843) 294-1941
3545 Highway 17
Murrells Inlt, SC 29576
Phone (843) 294-1941
210 Village Center Blvd
Ste 200
Myrtle Beach, SC 29579
Phone (843) 236-3222
210 Village Center Blvd
Ste 140
Myrtle Beach, SC 29579
Phone (843) 333-8385
Interoperability endpoints
- https://api.platform.athenahealth.com/17161/brand/1/csg/1/fhir/r4
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Murrells Inlet, SC
- NPI 1861902728
-
- Orthopaedic Surgery Physician
- Conway, SC
- NPI 1275369787
-
- Ambulatory Surgical Clinic/Center
- Murrells Inlet, SC
- NPI 1780076885
-
- Orthopaedic Surgery Physician
- North Myrtle Beach, SC
- NPI 1568100691
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658275200000",
"number": "1336110642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 VILLAGE CENTER BLVD STE 140",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295796706",
"telephone_number": "843-353-3460",
"fax_number": "843-353-3461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3545 HIGHWAY 17",
"address_2": "SUITE 200",
"city": "MURRELLS INLET",
"state": "SC",
"postal_code": "295765113",
"telephone_number": "843-294-1941",
"fax_number": "843-294-1945"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKER",
"first_name": "STEPHEN",
"middle_name": "Q.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-27",
"last_updated": "2022-07-20",
"certification_date": "2022-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "SC",
"license": "192133",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8906174",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "192133",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA WAIVER",
"identifier": "42D2029452",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Murrells Inlet, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.