Conway Adult Medicine

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

12032 Issued in SC

Legal business name

CONWAY ADULT MEDICINE

Practice address

903 Bell St
Conway, SC 29526-4113

Phone

(843) 248-7568

Fax

(843) 248-3906

NPI assigned

Apr 17, 2006

Organization subpart

No

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

Authorized official

Name

Irene Martin

Title

Office Manager

Phone

(843) 248-7568

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Henry V Saunders, M.D.

  • Internal Medicine Physician
  • Conway, SC
  • NPI 1437339959
  NPD

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277078400000",
    "number": "1477517209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 BELL ST",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295264113",
            "telephone_number": "843-248-7568",
            "fax_number": "843-248-3906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 BELL ST",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295264113",
            "telephone_number": "843-248-7568",
            "fax_number": "843-248-3906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONWAY ADULT MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-17",
        "last_updated": "2010-06-21",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "IRENE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "843-248-7568"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "12032",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PA8688",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Larissa Connell, FNP-BC
• Elizabeth M. Connelly, ARNP
• Edward H Connor, PH.D.
• Conway Adult Day Care
• Conway Adult Day Care at Creel St.
• Conway Anesthesia Associates
• Conway Anesthesia Services Inc
• Conway Chiropractic Center PC
• Conway Family Dentistry, LLC
• Conway Health Care LLC

• Internal Medicine Physician in Conway, SC
• Providers in Conway, SC by specialty
• Internal Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2010; 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.