Organization Active NPI

Carolina Orthopaedic Specialists, LLC

  • Orthopaedic Surgery Physician
  • Murrells Inlet, SC
National Provider Identifier
1861461592
Registry record updated Oct 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
MD21586 Issued in SC
Legal business name
CAROLINA ORTHOPAEDIC SPECIALISTS, LLC
Practice address
3545 Highway 17
Suite 200
Murrells Inlet, SC 29576
Phone
(843) 294-1941
Fax
(843) 294-1945
NPI assigned
Mar 15, 2006
Last updated
Oct 19, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Kevin M. Conlon, M.ED.
Title
Practice Administrator
Phone
(843) 294-1941

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X MD21586 SC Primary
Physical Medicine & Rehabilitation Physician 208100000X MMD.19213MD SC
Foot & Ankle Surgery Podiatrist 213ES0103X 566 SC

Addresses

Primary practice location

3545 Highway 17
Suite 200
Murrells Inlet, SC 29576

Mailing address

PO Box 4746
Pawleys Island, SC 29585-8746
Phone (843) 294-1941

Other identifiers 1

IdentifierTypeStateIssuer
GP3856MedicaidSC

Other names 1

  • Carolina Orthopaedics Other name

National Provider Directory

National Provider Directory

Locations

5046 Highway 17 Byp S
Ste 203
Myrtle Beach, SC 29588
Phone 8432941941310

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445212800000",
    "number": "1861461592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4746",
            "city": "PAWLEYS ISLAND",
            "state": "SC",
            "postal_code": "295858746",
            "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": "3545 HIGHWAY 17",
            "address_2": "SUITE 200",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "29576",
            "telephone_number": "843-294-1941",
            "fax_number": "843-294-1945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA ORTHOPAEDIC SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-15",
        "last_updated": "2015-10-19",
        "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",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.ED."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "SC",
            "license": "MD21586",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "SC",
            "license": "MMD.19213MD",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "SC",
            "license": "566",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP3856",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carolina Orthopaedics",
            "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 Oct 19, 2015; 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.