Organization Active NPI

Institute of Electrophysiology

  • Multi-Specialty Clinic/Center
  • Myrtle Beach, SC
National Provider Identifier
1609079201
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
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 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Omar Jaraki, MDNPI 1225233497
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)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X 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

Other names 1

  • Emergency Cardiology & arrhythemia Consul Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Emergency Cardiology Arrhythemia Consul2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4420 Oleander Dr
Ste 102
Myrtle Beach, SC 29577
Phone (843) 602-2882

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": "1181347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609079201",
    "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",
            "fax_number": "843-964-0022"
        },
        {
            "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": "2007-06-09",
        "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_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Emergency Cardiology & arrhythemia Consul",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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.

Verify at the official NPI Registry.