Individual provider Active NPI

William L Parker, DPM

  • Foot & Ankle Surgery Podiatrist
  • Conway, SC
National Provider Identifier
1477540201
Registry record updated Aug 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
568 Issued in SC
Practice address
8020 Myrtle Trace Dr
Conway, SC 29526-8945
Phone
(843) 234-9100
NPI assigned
Oct 6, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 568 SC Primary

Addresses

Primary practice location

8020 Myrtle Trace Dr
Conway, SC 29526-8945

Mailing address

8020 Myrtle Trace Dr
Conway, SC 29526-8945
Phone (843) 234-9100

Other identifiers 1

IdentifierTypeStateIssuer
PD5684MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041220000029 SC Practitioner - Podiatry 7214901891 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastal Podiatry Associates PAGroup PAC ID 3375686108, 6 clinicians

Practice addresses (Care Compare)

8141 Rourk St
Myrtle Beach, SC 29572-4128
Phone (843) 449-8079

Merit-based Incentive Payment System (MIPS)

Final score
81.85 of 100Reported as individual
Quality
68.64
Promoting interoperability
97
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue69
Removal of skin lesions1-10
Removal of nail tissue1481
Removal or shaving of skin growth278

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Podiatry Associates PA Foot & Ankle Surgery CurrentSince Jan 1, 2016 Accepting new patients
Coastal Podiatry Associates PA Foot & Ankle Surgery CurrentSince Jan 1, 2016 Accepting new patients
Pocono Ambulatory Surgery Center LTD Past Accepting new patients
Conway Podiatry Center PC Foot & Ankle Surgery PastSince May 12, 2004 Accepting new patients

Locations

8020 Myrtle Trace Dr
Conway, SC 29526
Phone (843) 234-9100

956 International Dr
Myrtle Beach, SC 29579
Phone (843) 449-8079

8141 Rourk St
Myrtle Beach, SC 29572
Phone (803) 449-8079

1120 Glenns Bay Rd
Ste 103
Surfside Beach, SC 29575
Phone (843) 449-8079

Interoperability endpoints

  • Direct secure messaging: wparker@conwaypodiatry.mdlogic.direct-ci.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282262400000",
    "number": "1477540201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8020 MYRTLE TRACE DR",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295268945",
            "telephone_number": "843-234-9100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8020 MYRTLE TRACE DR",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295268945",
            "telephone_number": "843-234-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "WILLIAM",
        "middle_name": "L",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-06",
        "last_updated": "2010-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "SC",
            "license": "568",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PD5684",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, SC

Sources for this page

Verify at the official NPI Registry.