Active NPI
SC Orthoneuro, LLC
- Diagnostic Radiology Physician
- Myrtle Beach, SC
National Provider Identifier
1740004753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- SC ORTHONEURO, LLC
- Practice address
- 6925 Highway 707 Ste a&B
Myrtle Beach, SC 29588-7372 - Phone
- (727) 203-1023
- Fax
- (843) 595-9777
- NPI assigned
- Nov 15, 2024
- 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
- Caroline Adams
- Title
- Administrator
- Phone
- (727) 203-1023
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | |||
| Brain Injury Medicine (Psychiatry & Neurology) Physician | 2084P0301X | |||
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
6925 Highway 707 Ste a&B
Myrtle Beach, SC 29588-7372
Mailing address
6925 Highway 707 Ste a&B
Myrtle Beach, SC 29588-7372
Phone (727) 203-1023
Other names 1
- Ortho-Neuro
National Provider Directory
National Provider DirectoryLocations
6925 Highway 707
Myrtle Beach, SC 29588
6925 Highway 707
Ste Ab
Myrtle Beach, SC 29588
Phone (727) 203-1023
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731628800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1734566400000",
"number": "1740004753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6925 HIGHWAY 707 STE A&B",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295887372",
"telephone_number": "727-203-1023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6925 HIGHWAY 707 STE A&B",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295887372",
"telephone_number": "727-203-1023",
"fax_number": "843-595-9777"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SC ORTHONEURO, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-11-15",
"last_updated": "2024-12-19",
"certification_date": "2024-12-19",
"status": "A",
"authorized_official_last_name": "ADAMS",
"authorized_official_first_name": "CAROLINE",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "727-203-1023"
},
"taxonomies": [
{
"code": "207XS0117X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0301X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Brain Injury Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Ortho-Neuro",
"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 Dec 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.