Active NPI
Carolina Orthopaedic Specialists
- Orthopaedic Surgery Physician
- Myrtle Beach, SC
National Provider Identifier
1710434451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GP3856 | Medicaid | SC |
National Provider Directory
National Provider DirectoryMember organizations 1
Organizations listed as members of this organization in the National Provider Directory.
-
- Ambulatory Surgical Clinic/Center
- Murrells Inlet, SC
- NPI 1780076885
Member Of
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.
-
- Orthopaedic Surgery Physician
- Little River, SC
- NPI 1881642510
-
- Orthopaedic Surgery Physician
- Georgetown, SC
- NPI 1689647588
-
- Orthopaedic Surgery Physician
- Winston Salem, NC
- NPI 1457324659
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
- Carolina Forest Imaging Center LLC
- Carolina Forest Imaging Center LLC
- Carolina Forest Urgent Care LLC
- Carolina Health and Recovery
- Carolina Health Pharmacy LLC
- Carolina Orthotics & Prosthetics of MB LLC
- Carolina Orthotics & Prosthetics of Myrtle Beach LLC
- Carolina Orthotics and Prosthetics LLC
- Carolina Pain and Wellness Inc
- Carolina Pediatric Therapy
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.