Carolina Orthotics and Prosthetics of Myrtle Beach LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

CAROLINA ORTHOTICS AND PROSTHETICS OF MYRTLE BEACH LLC

Practice address

285 Meeting St
Charleston, SC 29401-1550

Phone

(843) 577-9577

Fax

(843) 577-9574

NPI assigned

Apr 23, 2009

Last updated

Apr 23, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

C. Ralph Hooper Jr., CPO

Title

Vice President

Phone

(843) 577-9577

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1240444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240444800000",
    "number": "1972747855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11945 GRANDHAVEN DR",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295768091",
            "telephone_number": "843-651-5347",
            "fax_number": "843-651-3451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 MEETING ST",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294011550",
            "telephone_number": "843-577-9577",
            "fax_number": "843-577-9574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA ORTHOTICS AND PROSTHETICS OF MYRTLE BEACH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-23",
        "last_updated": "2009-04-23",
        "status": "A",
        "authorized_official_last_name": "HOOPER",
        "authorized_official_first_name": "C.",
        "authorized_official_middle_name": "RALPH",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "843-577-9577",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "CPO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DE2909",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carolina Medical Care, Inc.
• Carolina Neurological Clinic, L.L.P.
• Carolina OBGYN
• Carolina Orthopedic & Pain, LLC (Schuster Gerald D Single Member)
• Carolina Orthotics and Prosthetics LLC
• Carolina Preventive Medicine Assoc Inc
• Carolina Spine and Sport
• Carolina Surg Assoc PA
• Carolina Youth Services
• Laura Howard Carpenter, MA, BCBA

• Prosthetic/Orthotic Supplier in Charleston, SC
• Providers in Charleston, SC by specialty
• Prosthetic/Orthotic Supplier in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.

Verify at the official NPI Registry.