Organization Active NPI

SC Orthoneuro, LLC

  • Diagnostic Radiology Physician
  • Myrtle Beach, SC
National Provider Identifier
1740004753
Registry record updated Dec 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
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

Updated by the provider on Dec 19, 2024

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)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207XS0117X
Brain Injury Medicine (Psychiatry & Neurology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0301X
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.