Organization Active NPI

Carolina Orthopaedic Specialists

  • Orthopaedic Surgery Physician
  • Myrtle Beach, SC
National Provider Identifier
1710434451
Registry record updated Sep 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
CAROLINA ORTHOPAEDIC SPECIALISTS
Practice address
185 Fresh Dr
Suite B
Myrtle Beach, SC 29579-4436
Phone
(843) 294-1941
Fax
(843) 294-1945
NPI assigned
Sep 9, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2016

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

Authorized official

Name
Kevin M Conlon
Title
Practice Administrator
Phone
(843) 294-1941

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X SC Primary

Addresses

Primary practice location

185 Fresh Dr
Suite B
Myrtle Beach, SC 29579-4436

Mailing address

185 Fresh Dr
Suite B
Myrtle Beach, SC 29579-4436
Phone (843) 294-1941

Other identifiers 1

IdentifierTypeStateIssuer
GP3856MedicaidSC

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

3545 Highway 17
Murrells Inlt, SC 29576
Phone (843) 294-1941

Practitioners & affiliated clinicians

Practitioners 3

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": "1473379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473379200000",
    "number": "1710434451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 FRESH DR",
            "address_2": "SUITE B",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295794436",
            "telephone_number": "843-294-1941",
            "fax_number": "843-294-1945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 FRESH DR",
            "address_2": "SUITE B",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295794436",
            "telephone_number": "843-294-1941",
            "fax_number": "843-294-1945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA ORTHOPAEDIC SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-09",
        "last_updated": "2016-09-09",
        "status": "A",
        "authorized_official_last_name": "CONLON",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "843-294-1941"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP3856",
            "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 Sep 9, 2016; 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.