Conway Hospital Community Services

Primary specialty

Obesity Medicine (Internal Medicine) PhysicianTaxonomy code 207RB0002X

Legal business name

CONWAY HOSPITAL COMMUNITY SERVICES

Practice address

2376 Cypress Cir
Suite 103
Conway, SC 29526-8964

Phone

(843) 347-3900

Fax

(843) 347-3930

NPI assigned

Nov 10, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Bret A Barr

Title

Cfo

Phone

(843) 347-7111

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• CPG Coastal Metabolic & Bariatric Surgery Doing business as

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Conway Hospital Community Services

  • Family Medicine Physician
  • Conway, SC
  • NPI 1689928103

  O20040316000313

  Same enrollment
• Conway Hospital Community Services

  • Family Medicine Physician
  • Aynor, SC
  • NPI 1801955141

  O20040316000313

  Same enrollment
• Conway Hospital Community Services

  • Rural Health Clinic/Center
  • Aynor, SC
  • NPI 1821335068

  O20040316000313

  Same enrollment

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

{
    "created_epoch": "1289347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462838400000",
    "number": "1518268317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2180",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295282180",
            "telephone_number": "843-234-5139",
            "fax_number": "843-234-6822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2376 CYPRESS CIR",
            "address_2": "SUITE 103",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295268964",
            "telephone_number": "843-347-3900",
            "fax_number": "843-347-3930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONWAY HOSPITAL COMMUNITY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-10",
        "last_updated": "2016-05-10",
        "status": "A",
        "authorized_official_last_name": "BARR",
        "authorized_official_first_name": "BRET",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "843-347-7111",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207RB0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Obesity Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP4505",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CPG Coastal Metabolic & Bariatric Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Conway Family Dentistry, LLC
• Conway Health Care LLC
• Conway Hospital Aps
• Conway Hospital Community Services
• Conway Hospital Community Services
• Conway Hospital Community Services
• Conway Hospital Emergency Professional Services
• Conway Hospital Inc
• Conway Hospital Long Term Care Services, Inc
• Conway Hospital Long Term Care Services, Inc

• All providers in Conway, SC
• Obesity Medicine (Internal Medicine) Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.