Active NPI
Henry V Saunders, M.D.
- Internal Medicine Physician
- Conway, SC
National Provider Identifier
1437339959
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 120327
- Practice address
- 8002 Myrtle Trace Dr
Conway, SC 29526-8945 - Phone
- (843) 347-7227
- Fax
- (843) 347-7232
- NPI assigned
- Nov 13, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 120327 | SC | Primary |
Addresses
Primary practice location
8002 Myrtle Trace Dr
Conway, SC 29526-8945
Mailing address
1831 W Evans St
Ste 315
Florence, SC 29501-3300
Phone (281) 917-3977
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GP4505 | Medicaid | SC | |
| 120327 | Medicaid | SC | |
| PA8688 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 120327 | SC | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Conway Adult Medicine | Internal Medicine | Current | Accepting new patients |
| Conway Hospital, Inc. | Past | Accepting new patients | |
| Conway Hospital Long Term Care Services, Inc | Past | Accepting new patients |
Locations
903 Bell St
Conway, SC 29526
Phone (843) 248-7568
8002 Myrtle Trace Dr
Conway, SC 29526
Phone (843) 347-7227
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Conway, SC
- NPI 1477517209
-
dba Kingston Nursing Center
- Nursing Facility/Intermediate Care Facility
- Conway, SC
- NPI 1750466223
-
dba Conway Medical Center
- General Acute Care Hospital
- Conway, SC
- NPI 1134172000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1503619200000",
"number": "1437339959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1831 W EVANS ST",
"address_2": "STE 315",
"city": "FLORENCE",
"state": "SC",
"postal_code": "295013300",
"telephone_number": "281-917-3977",
"fax_number": "832-553-7783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8002 MYRTLE TRACE DR",
"city": "CONWAY",
"state": "SC",
"postal_code": "295268945",
"telephone_number": "843-347-7227",
"fax_number": "843-347-7232"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAUNDERS",
"first_name": "HENRY",
"middle_name": "V",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-11-13",
"last_updated": "2017-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "SC",
"license": "120327",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GP4505",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "120327",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PA8688",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Conway, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.