CONWAY HOSPITAL INC. NPI 1316221500

NPI Information

NPI: 1316221500
Provider Name: CONWAY HOSPITAL, INC.
Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Organization
:
CLIA Number: 42D2274673
Address: 8004 MYRTLE TRACE DR STE 200
CONWAY, SC
ZIP 29526
Phone: (843) 347-8041

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NPI Details

CONWAY HOSPITAL, INC. is an orthopaedic surgery in Conway, SC. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. CONWAY HOSPITAL, INC. NPI is 1316221500. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .

The provider's business location address is:

8004 MYRTLE TRACE DR STE 200
CONWAY, SC
ZIP 29526-945
Phone: (843) 347-8041
Fax: (843) 347-8042

The provider's authorized official is Mary Ellen Artioli .
The authorized official title is Credentialing Specialist and has the following contact phone number (843) 234-6946.

The CLIA number assigned to this NPI record is 42D2274673 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/5/2011 and was last updated on 11/4/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	363AS0400X	Physician Assistant	Surgical	No
2	363AM0700X	Physician Assistant	Medical	No
3	363LF0000X	Nurse Practitioner	Family	No
4	208100000X	Physical Medicine & Rehabilitation		No
5	207XS0106X	Orthopaedic Surgery	Hand Surgery	No
6	207XS0117X	Orthopaedic Surgery	Orthopaedic Surgery of the Spine	No
7	207XX0004X	Orthopaedic Surgery	Foot and Ankle Surgery	No
8	207QS0010X	Family Medicine	Sports Medicine	No
9	207XX0005X	Orthopaedic Surgery	Sports Medicine	No
10	207XS0114X	Orthopaedic Surgery	Adult Reconstructive Orthopaedic Surgery	No
11	207X00000X	Orthopaedic Surgery		Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	GP9812	MEDICAID	SOUTH CAROLINA
2	PG2790	MEDICAID	SOUTH CAROLINA
3	PG2789	MEDICAID	SOUTH CAROLINA
4	PG0459	MEDICAID	SOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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