Active NPI
Sirach Health Professional Limited Liability Company
Doing business as Sirach Health LLC
- Physical Medicine & Rehabilitation Physician
- Murrells Inlet, SC
National Provider Identifier
1710443833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- Legal business name
- SIRACH HEALTH PROFESSIONAL LIMITED LIABILITY COMPANY
- Doing business as
- Sirach Health LLC
- Practice address
- 4070 US Highway 17 Bypass South
Murrells Inlet, SC 29576 - Phone
- (865) 306-8363
- NPI assigned
- Feb 13, 2019
- Last updated
- Apr 24, 2019
- 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
- Joey Edward Malonjaro Roque, MD
- Title
- Ceo, Sole Member
- Phone
- (865) 306-8363
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | Primary |
Addresses
Primary practice location
4070 US Highway 17 Bypass South
Murrells Inlet, SC 29576
Mailing address
PO Box 847
Cordova, TN 38088-0847
Phone (901) 821-0338
Other practice location 1
Myrtle Beach Rehabilitation Hospital LLC
1000 Water Grande Boulevard
Little River, SC 29566
Phone (999) 999-9999
Other names 2
- Sirach Health LLC
- Sirach Health Professional Limited Liability Corporation
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550016000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1556064000000",
"number": "1710443833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 847",
"city": "CORDOVA",
"state": "TN",
"postal_code": "380880847",
"telephone_number": "901-821-0338",
"fax_number": "844-325-0416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4070 US HIGHWAY 17 BYPASS SOUTH",
"city": "MURRELLS INLET",
"state": "SC",
"postal_code": "29576",
"telephone_number": "865-306-8363"
}
],
"practiceLocations": [
{
"address_1": "Myrtle Beach Rehabilitation Hospital LLC",
"address_2": "1000 Water Grande Boulevard",
"address_purpose": "LOCATION",
"city": "Little River",
"state": "SC",
"postal_code": "29566",
"country_code": "US",
"telephone_number": "999-999-9999",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "SIRACH HEALTH PROFESSIONAL LIMITED LIABILITY COMPANY",
"organizational_subpart": "NO",
"enumeration_date": "2019-02-13",
"last_updated": "2019-04-24",
"status": "A",
"authorized_official_last_name": "ROQUE",
"authorized_official_first_name": "JOEY",
"authorized_official_middle_name": "EDWARD MALONJARO",
"authorized_official_title_or_position": "CEO, SOLE MEMBER",
"authorized_official_telephone_number": "865-306-8363",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Sirach Health LLC",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Sirach Health Professional Limited Liability Corporation",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Murrells Inlet, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.