Elite Orthopaedics of South Carolina, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

TL37747 Issued in SC

Legal business name

ELITE ORTHOPAEDICS OF SOUTH CAROLINA, LLC

Practice address

235 Singleton Ridge Rd
Conway, SC 29526-9136

Phone

(843) 347-4357

NPI assigned

Nov 1, 2015

Organization subpart

No

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

Authorized official

Name

Miss Jeneane Marie Wakula

Title

Office Manager

Phone

(772) 546-9591

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1446336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446336000000",
    "number": "1417320375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 SINGLETON RIDGE RD",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295269136",
            "telephone_number": "843-347-4357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 SINGLETON RIDGE RD",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295269136",
            "telephone_number": "843-347-4357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE ORTHOPAEDICS OF SOUTH CAROLINA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-01",
        "last_updated": "2015-11-01",
        "status": "A",
        "authorized_official_last_name": "WAKULA",
        "authorized_official_first_name": "JENEANE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "772-546-9591",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "SC",
            "license": "TL37747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juleianna Edwards
• Mary Pressley Edwards, RN, DOULA
• Richard H. Eisenman, M.D.
• Angela Ekechukwu, BSN
• Iphigenia Eleftheriou-Akerlund, MS RD LD
• Sarah Elliott, APRN
• Michael H Ellis, M.D.
• John Jay Elms, MD
• Kathleen S Elms, CRNA
• Christina Cooke Elvis

• Specialist in Conway, SC
• Providers in Conway, SC by specialty
• Specialist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2015; 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.