SOUTHEAST PAIN MANAGEMENT SERVICES, PLLC (NPI# 1255396933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255396933 |
| Entity Type | Organization |
| Organization Name | SOUTHEAST PAIN MANAGEMENT SERVICES, PLLC |
| Practice Address |
927 East Blvd Charlotte NC 28203-5203 |
| Practice Telephone | 7043775772 |
| Practice Fax Number | 7073773389 |
| Mailing Telephone | 7043775772 |
| Mailing Fax Number | 7073773389 |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2010-10-18 |
| Authorized Official Name | MR. WILLIAM HAWK (VICE PRESIDENT) |
| Authorized Official Telephone | 9543840175 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
927 EAST BLVD |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28203-5203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780664896 | Dennis Michael Jacobs | Anesthesiology | 927 East Blvd, Charlotte, NC 28203-5203 | 2006-01-17 |
| 1881053510 | Lori Foster | Nurse Practitioner | 927 East Blvd, Charlotte, NC 28203-5203 | 2016-02-23 |
| 1508241902 | Monica Wood | Nurse Practitioner | 927 East Blvd, Charlotte, NC 28203-5203 | 2015-07-27 |
| 1174817993 | American Anesthesiology of North Carolina, Pllc | Anesthesiology | 927 East Blvd, Charlotte, NC 28203 | 2011-06-09 |
| 1386934164 | Melody G. Herman | Anesthesiology | 927 East Blvd, Charlotte, NC 28203-5203 | 2011-04-13 |
| 1023335551 | Anesthesiology Consultants of South Carolina, Pllc | Anesthesiology | 927 East Blvd, Charlotte, NC 28203-5203 | 2010-04-23 |
| 1982839627 | Sara Ann Moseman | Anesthesiology | 927 East Blvd, Charlotte, NC 28203-5203 | 2009-05-26 |
| 1619101367 | Kate K Miller | Anesthesiology | 927 East Blvd, Charlotte, NC 28203-5203 | 2009-05-11 |
| 1215170204 | Kevin Francis Costello | Anesthesiology | 927 East Blvd, Charlotte, NC 28203-5203 | 2009-04-07 |
| 1235392523 | Ryan Jackson Corley | Anesthesiology | 927 East Blvd, Charlotte, NC 28203-5203 | 2008-07-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982225983 | William Bedard Michel | Emergency Medicine | Carolina Medical Center, 1000 Blythe Blvd, Charlotte, NC 28203 | 2020-04-30 |
| 1922636927 | Paulina M Kriska | Dentist | Cmc Dental Clinic, 1000 Blythe Blvd, Charlotte, NC 28203 | 2020-03-27 |
| 1386271930 | Irina Maria Geiculescu | Pediatrics | 1000 Blythe Blvd Fl 4 Meb, Charlotte, NC 28203 | 2020-03-24 |
| 1205499316 | James C Winnek | Counselor | 1713 East Blvd., Charlotte, NC 28203 | 2019-04-16 |
| 1487114492 | Laurie Fford Counseling and Consulting Pllc | Counselor | 125 Remount Rd, Suite C-#391, Charlotte, NC 28203 | 2019-03-25 |
| 1184188815 | Sunday Money | Home Health | 2151 Hawkins St., Suite 201, Charlotte, NC 28203 | 2019-01-28 |
| 1164902706 | Lindsay Koonce Helton | Dietitian, Registered | 1218 East Blvd Ste G, Charlotte, NC 28203 | 2018-08-14 |
| 1376057406 | Veritas Collaborative Charlotte, LLC | Clinic/Center | 1900 Scott Avenue, Suite 101, Charlotte, NC 28203 | 2017-11-28 |
| 1043733306 | Kimberly Stripp | Pharmacist | 1300-b East Blvd, Charlotte, NC 28203 | 2017-07-19 |
| 1427570639 | Caroline Kaleel Fogleman | Optometrist | 1710 Kenilworth Ave Ste 210, Charlotte, NC 28203 | 2017-07-10 |
| Find all providers in zip 28203 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003331521 | Accela Spine and Pain, Pllc | Anesthesiology | 10120 Ivey Chase Lane, Apt 617, Charlotte, NC 28277 | 2017-08-04 |
| 1356658389 | Ashvin Amara | Anesthesiology | 6429 Bannington Rd Ste B, Charlotte, NC 28226-1345 | 2010-09-13 |
| 1548490709 | David Leroy Lewis Jr. | Anesthesiology | 1025 Morehead Street Medical Plaza Drive, Department of Anesthesiology, Charlotte, NC 28204 | 2009-07-22 |
| 1447217963 | Sarah Safia Yousuff | Anesthesiology | 4423 Sharon Rd, Charlotte, NC 28211-3520 | 2006-04-27 |
| 1396739884 | Providence Anesthesiology Associates, P.a. | Anesthesiology | 3735 Glenlake Dr Ste 250, Charlotte, NC 28208-6866 | 2005-09-11 |
| 1417371154 | Amara Pain & Spine Pllc | Anesthesiology | 6429 Bannington Rd Ste B, None, Charlotte, NC 28226-1345 | 2014-02-18 |
| 1104007319 | Troy C. Gingerich | Anesthesiology | 1025 Morehead Medical Dr, Charlotte, NC 28204-2963 | 2007-11-15 |
| 1598729063 | Richard In Park | Anesthesiology | 10502 Park Rd, Suite 150, Charlotte, NC 28210-8479 | 2006-04-13 |
| 1881658342 | Felix Ramon Muniz | Anesthesiology | 10502 Park Rd, Suite 150, Charlotte, NC 28210-8479 | 2006-04-13 |
| 1508829490 | Zachariah Gerger | Anesthesiology | 2001 Vail Ave, Charlotte, NC 28207-1219 | 2006-04-11 |
| Find all providers in CHARLOTTE | ||||
Please comment or provide details below to improve the information on SOUTHEAST PAIN MANAGEMENT SERVICES, PLLC.
| 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.