PAIN MANAGEMENT, LLC (NPI# 1104914076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104914076 |
| Entity Type | Organization |
| Organization Name | PAIN MANAGEMENT, LLC |
| Practice Address |
1092 Johnnie Dodds Blvd Suite A2 Left Mt Pleasant SC 29464-6109 |
| Mailing Address |
Po Box 2344 Columbia SC 29202-2344 |
| Practice Telephone | 8433886552 |
| Mailing Telephone | 8032542394 |
| Mailing Fax Number | 8032547125 |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | BERNICE K RICHARDSON (MEDICAL AFFAIRS MANAGER) |
| Authorized Official Telephone | 8032542394 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | RR MEDICARE | CH8246 | 01 |
| SC | GP3033 | 05 | |
| SC | SELECT HEALTH | GP3033 | 01 |
| Street Address |
1092 JOHNNIE DODDS BLVD SUITE A2 LEFT |
| City | MT PLEASANT |
| State | SC |
| Zip Code | 29464-6109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780668541 | National Medical Supplies, Inc. | Durable Medical Equipment & Medical Supplies | 1092 Johnnie Dodds Blvd, Suite 107, Mt Pleasant, SC 29464-6109 | 2005-12-05 |
| 1972921229 | Sandlapper Chiropractic LLC | Chiropractor | 1092 Johnnie Dodds Blvd, Suite 107, Mt Pleasant, SC 29464-6109 | 2014-04-03 |
| 1326177668 | Ion Medical Systems | Durable Medical Equipment & Medical Supplies | 1092 Johnnie Dodds Blvd, Suit A-2, Mt Pleasant, SC 29464-6109 | 2007-03-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811548241 | Bradley Paul Anuszkiewicz | Chiropractor | 1501 Johnnie Dodds Blvd, Suite C, Mount Pleasant, SC 29464 | 2019-09-26 |
| 1447808696 | Laura Mariah Crouse | Speech-Language Pathologist | Coastal Therapy Services, 1127 Queensborough Blvd, Mt Pleasant, SC 29464 | 2019-08-30 |
| 1912461807 | Independent Optical | Optometrist | 1710 Shoremead Rd, Suite 420, Mount Pleasant, SC 29464 | 2019-01-25 |
| 1417446204 | Michael Adam Sugarman | Clinical Neuropsychologist | 1459 Stuart Engals Blvd Ste 204a, Mt Pleasant, SC 29464 | 2018-05-07 |
| 1578064192 | Ancillary Specialists LLC | Durable Medical Equipment & Medical Supplies | 636 Long Point Road, Unit G, #19, Mount Pleasant, SC 29464 | 2018-02-28 |
| 1346769015 | Christin Solomon Zerega | Counselor | Lowcountry Psychiatry Group, 913 Bowman Rd, #4, Mount Pleasant, SC 29464 | 2017-09-14 |
| 1336660315 | Charleston Neuropsychology LLC | Psychologist | 1459 Stuart Engals Blvd., Suite 204a, Mount Pleasant, SC 29464 | 2017-06-29 |
| 1790219970 | Adam Hudepohl | Family Medicine | 1400 Ben Sawyer Blvd, Mt Pleasant, SC 29464 | 2017-04-14 |
| 1386181204 | Alicia Taylor | Speech-Language Pathologist | 381 Stonewall Ct Apt 6207, Mount Pleasant, SC 29464 | 2017-01-30 |
| 1285181941 | Tara Lynn Mast | Physical Therapist | 1400 Caliper Oak Circle, Apt 316, Mount Pleasant, SC 29464 | 2016-09-09 |
| Find all providers in zip 29464 | ||||
| Taxonomy Code | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional Pain Medicine |
| Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205892981 | Evan Ronald Shapiro | Pain Medicine | 2480 West Campus Drive, Mt Pleasant, MI 48858 | 2006-04-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972120517 | Greater Greer Pain Relief Center, LLC | Pain Medicine | 127 Mills Ave Ste B, Greer, SC 29651-2514 | 2020-06-30 |
| 1649803313 | Synergy Spine Center, Pa | Pain Medicine | 457 U.S. Highway 123, Suite D, Seneca, SC 29678 | 2020-02-20 |
| 1649783374 | Carolina Healthchoice of Orangeburg, LLC | Pain Medicine | 1737 Village Park Dr, Orangeburg, SC 29118-2475 | 2017-11-16 |
| 1528596202 | Florence Pain Solutions LLC | Pain Medicine | 491 W Cheves St Ste C, Florence, SC 29501-4407 | 2017-05-25 |
| 1710414305 | Sc Pain & Spine Specialists, LLC | Pain Medicine | 4112 Carolina Commercial Dr, Myrtle Beach, SC 29579-4223 | 2017-05-15 |
| 1538557780 | Sc Pain and Spine Specialist | Pain Medicine | 230 S Fraser Street, Georgetown, SC 29440 | 2014-12-22 |
| 1144576612 | Firstchoice Healthcare PC | Pain Medicine | 7021 Saint Andrews Rd, Suite 1, Columbia, SC 29212-1177 | 2012-08-02 |
| 1326344086 | Firstchoice Healthcare, PC | Pain Medicine | 120 Highland Center Dr, Suite 105, Columbia, SC 29203-9127 | 2011-01-28 |
| 1760636856 | Pain Specialists of Charleston Pa | Pain Medicine | 2695 Elms Plantation Blvd Ste A, North Charleston, SC 29406-7132 | 2008-11-17 |
| 1982867875 | Low Country Pain Center LLC | Pain Medicine | 793 Cook Road, Orangeburg, SC 29118-9008 | 2008-07-09 |
| Find all providers with the same taxonomy | ||||
| City | MT PLEASANT |
| Zip Code | 29464 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.