PALMETTO HEALTH ALLIANCE (NPI# 1265527097) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265527097 |
| Entity Type | Organization |
| Organization Name | PALMETTO HEALTH ALLIANCE |
| Other Organization Name | CENTER FOR PAIN MANAGEMENT |
| Practice Address |
223 Stoneridge Dr Columbia SC 29210-8009 |
| Mailing Address |
Po Box 1669 Columbia SC 29202-1669 |
| Practice Telephone | 8032965990 |
| Practice Fax Number | 8032962400 |
| Mailing Telephone | 8032542394 |
| Mailing Fax Number | 8032547125 |
| Enumeration Date | 2006-10-04 |
| 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 | DA2317 | 01 |
| SC | SELECT HEALTH | GP3454 | 01 |
| SC | GP3454 | 05 |
| Other Name | Type Code |
|---|---|
| Center for Pain Management | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518170182 | Palmetto Health Alliance | Family Medicine | 15 Roe Road, Greenville, SC 29611 | 2007-05-08 |
| 1780870667 | Palmetto Health Alliance | Orthopaedic Surgery | 112 John St, Suite 103, Easley, SC 29640-1472 | 2007-09-24 |
| 1912110586 | Palmetto Health Alliance | Durable Medical Equipment & Medical Supplies | 106 John Street, Easley, SC 29640 | 2007-05-08 |
| 1952464430 | Palmetto Health Alliance | Counselor | 300 W Main St, The Pastoral Counseling Center of Laurens, Laurens, SC 29360-2943 | 2006-12-18 |
| 1952471211 | Palmetto Health Alliance | Pharmacy | 1308 Laurel St, Columbia, SC 29201-2514 | 2006-11-08 |
| 1629014188 | Palmetto Health Alliance | Obstetrics & Gynecology | 1 Richland Medical Park, Suite 110, Columbia, SC 29203-6834 | 2006-06-22 |
| Street Address |
223 STONERIDGE DR |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29210-8009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992707871 | Michael David Redmond | Physical Medicine & Rehabilitation | 223 Stoneridge Dr, Columbia, SC 29210-8049 | 2005-08-11 |
| 1588926711 | Steve Storick, Md, Pa | Pain Medicine | 223 Stoneridge Dr, Columbia, SC 29210-8049 | 2012-06-13 |
| 1104994706 | Marcia Lynn Lewis | Psychologist | 223 Stoneridge Dr, Palmetto Health Baptist Pain and Orthopaedics, Columbia, SC 29210-8049 | 2006-12-01 |
| 1528164860 | Clay P Drummond | Psychologist | 223 Stoneridge Dr, Columbia, SC 29210-8009 | 2006-09-15 |
| 1417053976 | Rebecca Rotan Wadsworth | Social Worker | 223 Stoneridge Dr, Columbia, SC 29210-8009 | 2006-09-15 |
| 1053357129 | Palmetto Health | General Acute Care Hospital | 223 Stoneridge Dr, Columbia, SC 29210-8049 | 2006-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700413838 | Alexis Koreema Brown | Social Worker | 3205 Montcrest Rd., Columbia, SC 29210 | 2020-03-26 |
| 1942767843 | Thomas Edwin Cromer | Social Worker | 409 Evelyn Drive, Columbia, SC 29210 | 2019-02-27 |
| 1184193542 | Helen Hoffman Coleman | Pharmacist | 16 Berryhill Road, Ste 109, Columbia, SC 29210 | 2018-11-15 |
| 1356828040 | Latia Kelly Mcdonald | Counselor | 105 Beth Hope Lane, Columbia, SC 29210 | 2018-07-25 |
| 1356892848 | Butterfly Effects LLC | Community/Behavioral Health | 1607 Bentley Court, Columbia, SC 29210 | 2016-10-19 |
| 1114373651 | Lilian Emetu | Nurse Practitioner | 822 Statler Road, Columbia, SC 29210 | 2016-05-13 |
| 1154776433 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 507 Piney Grove Rd, Columbia, SC 29210 | 2016-04-25 |
| 1790167690 | Wanda Al-lahabi | Specialist | 1030 St. Andrews Rd., Suite B-3, Columbia, SC 29210 | 2015-06-26 |
| 1285040279 | Debra R. Smart | Counselor | 652 Bush Road, Suite 216, Columbia, SC 29210 | 2014-07-10 |
| 1144665282 | Snf Transportation LLC | Home Health | 810 Dutch Center Blvd, Columbia, SC 29210 | 2013-05-02 |
| Find all providers in zip 29210 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1194856773 | Gregory Richard Bowers | Pain Medicine | 1510 Hatcher Ln, Suite 1, Columbia, TN 38401-4813 | 2007-03-08 |
| 1952396384 | Giovanni Faccia | Pain Medicine | 230 E James M Campbell Blvd Ste 102, Columbia, TN 38401-0504 | 2005-09-12 |
| 1376175000 | Carolina Pain Solutions, LLC | Pain Medicine | 2712 Middleburg Dr Ste 206, Columbia, SC 29204-2415 | 2020-02-11 |
| 1831661503 | Midlands Comprehensive Pain, LLC | Pain Medicine | 2601 Millwood Ave, Columbia, SC 29205-1218 | 2018-12-19 |
| 1922511658 | Carolina Healthchoice of Columbia, LLC | Pain Medicine | 1494 Lake Murray Blvd, Columbia, SC 29212-8697 | 2017-11-16 |
| 1871021550 | Midlands Pain Solutions LLC | Pain Medicine | 4531 Hard Scrabble Rd, Columbia, SC 29229-8561 | 2017-05-25 |
| 1689004277 | Center for Pain Management, LLC | Pain Medicine | 7120 Minstrel Way, Ste. 106, Columbia, MD 21045-5248 | 2013-11-18 |
| 1588926711 | Steve Storick, Md, Pa | Pain Medicine | 223 Stoneridge Dr, Columbia, SC 29210-8049 | 2012-06-13 |
| 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.