Active NPI
Institute of Electrophysiology
- Independent Medical Examiner Physician
- Myrtle Beach, SC
National Provider Identifier
1437355666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Independent Medical Examiner Physician
- License
- 22341
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Omar Jaraki, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Independent Medical Examiner Physician | 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 Consul
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Multi-Specialty Clinic/Center
- Myrtle Beach, SC
- NPI 1609079201
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.