Active NPI
Woman's Medical Center P.a.
- Obstetrics & Gynecology Physician
- Conway, SC
National Provider Identifier
1790921161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 09347
- Legal business name
- WOMAN'S MEDICAL CENTER P.A.
- Practice address
- 8004 Myrtle Trace Dr
Conway, SC 29526-8945 - Phone
- (843) 347-7216
- Fax
- (843) 347-7218
- NPI assigned
- Jan 6, 2009
- 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
- Dr. Terry B. Levenson, M.D.
- Title
- President
- Phone
- (843) 347-7216
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 09347 | SC | Primary |
Addresses
Primary practice location
8004 Myrtle Trace Dr
Conway, SC 29526-8945
Mailing address
4728 Jenn Dr
Suite 104
Myrtle Beach, SC 29577-5714
Phone (843) 236-8888
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PC6427 | Medicaid | SC |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Obstetrics & Gynecology Physician
- Conway, SC
- NPI 1902869696
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231200000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1231200000000",
"number": "1790921161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4728 JENN DR",
"address_2": "SUITE 104",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295775714",
"telephone_number": "843-236-8888",
"fax_number": "843-236-5088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8004 MYRTLE TRACE DR",
"city": "CONWAY",
"state": "SC",
"postal_code": "295268945",
"telephone_number": "843-347-7216",
"fax_number": "843-347-7218"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WOMAN'S MEDICAL CENTER P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2009-01-06",
"last_updated": "2009-01-06",
"status": "A",
"authorized_official_last_name": "LEVENSON",
"authorized_official_first_name": "TERRY",
"authorized_official_middle_name": "B.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "843-347-7216",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "SC",
"license": "09347",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PC6427",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Conway, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.