Organization Active NPI

Institute of Electrophysiology

  • Independent Medical Examiner Physician
  • Myrtle Beach, SC
National Provider Identifier
1437355666
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Independent Medical Examiner PhysicianTaxonomy code 202C00000X
License
22341 Issued in SC
Legal business name
INSTITUTE OF ELECTROPHYSIOLOGY
Practice address
4420 Oleander Dr
Suite 102
Myrtle Beach, SC 29577-5720
Phone
(843) 602-2882
Fax
(843) 946-0022
NPI assigned
Jun 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Omar Jaraki, MDNPI 1225233497
Title
Director
Phone
(843) 602-6262

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Independent Medical Examiner PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 202C00000X 22341 SC Primary

Addresses

Primary practice location

4420 Oleander Dr
Suite 102
Myrtle Beach, SC 29577-5720

Mailing address

PO Box 810
North Myrtle Beach, SC 29597-0810
Phone (843) 602-2882

National Provider Directory

National Provider Directory
Tax ID family
Emergency Cardiology Arrhythemia Consul2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437355666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 810",
            "city": "NORTH MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295970810",
            "telephone_number": "843-602-2882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4420 OLEANDER DR",
            "address_2": "SUITE 102",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295775720",
            "telephone_number": "843-602-2882",
            "fax_number": "843-946-0022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSTITUTE OF ELECTROPHYSIOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JARAKI",
        "authorized_official_first_name": "OMAR",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "843-602-6262",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "202C00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Independent Medical Examiner",
            "state": "SC",
            "license": "22341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

  • 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.