Active NPI
Parkway Surgery Center
- Ambulatory Surgical Clinic/Center
- Myrtle Beach, SC
National Provider Identifier
1508840893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- ASF-061
- Legal business name
- PARKWAY SURGERY CENTER
- Practice address
- 827 82ND Pkwy
Myrtle Beach, SC 29572-4607 - Phone
- (843) 286-2020
- NPI assigned
- Dec 1, 2005
- 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
- Mrs. Debbie Bosley
- Title
- Financial Coordinator
- Phone
- (843) 449-1010
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | ASF-061 | SC | Primary |
Addresses
Primary practice location
827 82ND Pkwy
Myrtle Beach, SC 29572-4607
Mailing address
827 82ND Pkwy
Myrtle Beach, SC 29572-4607
Phone (843) 286-2020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ASCO34 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080724000247 | SC | Part B Supplier - Ambulatory Surgical Center | 0648275248 | Practice locations: Myrtle Beach, SC |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Parkway Surgery Center
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Urology Physician
- Myrtle Beach, SC
- NPI 1265423479
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133395200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1212364800000",
"number": "1508840893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "827 82ND PKWY",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295724607",
"telephone_number": "843-286-2020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "827 82ND PKWY",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295724607",
"telephone_number": "843-286-2020"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PARKWAY SURGERY CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2005-12-01",
"last_updated": "2008-06-02",
"status": "A",
"authorized_official_last_name": "BOSLEY",
"authorized_official_first_name": "DEBBIE",
"authorized_official_title_or_position": "FINANCIAL COORDINATOR",
"authorized_official_telephone_number": "843-449-1010",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "SC",
"license": "ASF-061",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ASCO34",
"state": "SC"
}
],
"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 Jun 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.