PAIN SPECIALISTS OF CHARLESTON (NPI# 1235583576) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235583576 |
| Entity Type | Organization |
| Organization Name | PAIN SPECIALISTS OF CHARLESTON |
| Other Organization Name | PAIN SPECIALISTS OF COLUMBIA |
| Practice Address |
15 Monckton Blvd Columbia SC 29206-4700 |
| Mailing Address |
2695 Elms Plantation Blvd Suite A North Charleston SC 29406-7132 |
| Practice Telephone | 8032524900 |
| Mailing Telephone | 8438181181 |
| Mailing Fax Number | 8438181145 |
| Enumeration Date | 2016-04-22 |
| Last Update Date | 2016-04-22 |
| Authorized Official Name | DR. EDWARD MARION TAVEL (PRESIDENT) |
| Authorized Official Telephone | 8438181181 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | PAIN SPECIALISTS OF CHARLESTON |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 16626 | SC | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 166262 | 05 |
| Other Name | Type Code |
|---|---|
| Pain Specialists of Columbia | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487120622 | Pain Specialists of Charleston | Anesthesiology | 135 Sea Island Pkwy, Beaufort, SC 29907-1500 | 2018-10-15 |
| 1467012021 | Pain Specialists of Charleston | Specialist | 2683 Elms Plantation Blvd, North Charleston, SC 29406-7119 | 2019-06-17 |
| Street Address |
15 MONCKTON BLVD |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29206-4700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477712602 | Barbara B Ullman | Specialist | 15 Monckton Blvd, Columbia, SC 29206-4700 | 2008-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710403720 | Twila Wilson | Adult Companion | 5741 D Imboden Street, Columbia, SC 29206 | 2017-08-21 |
| 1164978961 | Uri Reisman | Social Worker | 3730 Rockbridge Rd, Columbia, SC 29206 | 2016-08-31 |
| 1902237621 | Ronald Patrick Pellicer | Counselor | 6941 N Trenholm Rd Ste F102, Columbia, SC 29206 | 2013-12-05 |
| 1316376791 | Laraine Kim Jenkins | Counselor | 5211 Trenholm Rd, Suite B, Columbia, SC 29206 | 2013-11-05 |
| 1437409802 | Charles B Roman IIi | Pharmacist | 4711-5 Forest Drive, Columbia, SC 29206 | 2012-09-13 |
| 1306129879 | Rickey Gene Ayers | Counselor | 1800 Forest Drive, C, Columbia, SC 29206 | 2011-09-21 |
| 1285924316 | Lexington County Health Services District, Inc. | Internal Medicine | 4540 Trenholm Road, Columbia, SC 29206 | 2011-04-11 |
| 1144547860 | Alicia K. Harvey | Counselor | 5115 Forest Plaza Suite D, The Art and Play Therapy Center of S.c., Columbia, SC 29206 | 2010-04-21 |
| 1669703880 | Crystal Coleman | Occupational Therapist | 5234 Circle Dr, Columbia, SC 29206 | 2010-01-28 |
| 1689896938 | Carolina Dental Associates, P.a. | Dentist | 5101 Forest Drive, Columbia, SC 29206 | 2007-05-03 |
| Find all providers in zip 29206 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689135584 | Carmelita Voncille Mcdaniels | Specialist | 108 Columbia Northeast Dr, Columbia, SC 29223-6433 | 2019-03-26 |
| 1245768415 | Jacquelyn Clark | Specialist | 2000 N Beltline Blvd Apt 102e, Columbia, SC 29204-3976 | 2017-05-31 |
| 1659815470 | Colleen Jockin | Specialist | 100 Matc, Columbia, MO 65201 | 2016-12-13 |
| 1942659909 | Brainard Cooper | Specialist | 431 Williams, Columbia, SC 29208-4105 | 2016-06-09 |
| 1487028072 | Columbia Urgent Care, Inc | Specialist | 619 N. Providence Road, Columbia, MO 65203 | 2015-11-19 |
| 1790167690 | Wanda Al-lahabi | Specialist | 1030 St. Andrews Rd., Suite B-3, Columbia, SC 29210 | 2015-06-26 |
| 1235530296 | Touch and Agree Solutions | Specialist | 10724 Cordage Walk, Columbia, MD 21044-3641 | 2014-09-09 |
| 1033521711 | Charles Crawhorn | Specialist | 989 Portland Rd, Columbia, KY 42728-5283 | 2014-05-29 |
| 1235556028 | Allison Hammond | Specialist | 5500 Knoll North Dr Ste 150, Columbia, MD 21045-2476 | 2014-03-18 |
| 1588908024 | Frederick T Garner, Md, LLC | Specialist | 200 Arbor Lake Dr Ste 120, Columbia, SC 29223-4516 | 2012-11-21 |
| Find all providers in COLUMBIA | ||||
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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.