Active NPI
Carolina Orthopaedic Specialists, LLC
- Orthopaedic Surgery Physician
- Murrells Inlet, SC
National Provider Identifier
1861461592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- MD21586
- 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, 2015
- 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
- Mr. Kevin M. Conlon, M.ED.
- Title
- Practice Administrator
- Phone
- (843) 294-1941
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GP3856 | Medicaid | SC |
Other names 1
- Carolina Orthopaedics
National Provider Directory
National Provider DirectoryLocations
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.
-
- Orthopaedic Surgery Physician
- Little River, SC
- NPI 1881642510
-
- Surgical Physician Assistant
- Florence, SC
- NPI 1417047333
-
- Orthopaedic Surgery Physician
- Georgetown, SC
- NPI 1689647588
-
- Physician Assistant
- Pensacola, FL
- NPI 1851603062
-
- Orthopaedic Surgery Physician
- Winston Salem, NC
- NPI 1457324659
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.