NPIMap

Organization Active NPI

Patriotmed of Kansas, P.a.

  • Radiology Clinic/Center
  • Myrtle Beach, SC
National Provider Identifier
1659216885
Registry record updated Jun 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
PATRIOTMED OF KANSAS, P.A.
Practice address
101 Prather Park Dr Ste 203
Myrtle Beach, SC 29588-3701
Phone
(843) 796-1034
NPI assigned
Apr 22, 2026
Last updated
Jun 15, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2026

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

Authorized official

Name
Robert Scott Thornock
Title
Chief Strategy Officer
Phone
(480) 369-1270

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X Primary

Addresses

Primary practice location

101 Prather Park Dr Ste 203
Myrtle Beach, SC 29588-3701

Mailing address

101 Prather Park Dr Ste 203
Myrtle Beach, SC 29588-3701

National Provider Directory

National Provider Directory
Tax ID family
Patriotmed of Kansas13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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

Locations

101 Prather Park Dr
Ste 203
Myrtle Beach, SC 29588
Phone (843) 796-1034

NPI Registry JSON

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

{
    "created_epoch": "1776816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781481600000",
    "number": "1659216885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 PRATHER PARK DR STE 203",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295883701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 PRATHER PARK DR STE 203",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295883701",
            "telephone_number": "843-796-1034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRIOTMED OF KANSAS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-22",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A",
        "authorized_official_last_name": "THORNOCK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "CHIEF STRATEGY OFFICER",
        "authorized_official_telephone_number": "480-369-1270"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 15, 2026; 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.