CHARLESTON SPINE & PHYSICAL MEDICINE


Address: 2093 Henry Tecklenburg Dr, Ste 310, Charleston, SC 29414-5743
Phone: 8434020111

CHARLESTON SPINE & PHYSICAL MEDICINE (NPI# 1417929027) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417929027
Entity Type Organization
Organization Name CHARLESTON SPINE & PHYSICAL MEDICINE
Practice Address 2093 Henry Tecklenburg Dr
Ste 310
Charleston
SC 29414-5743
Practice Telephone 8434020111
Practice Fax Number 8434029010
Mailing Telephone 8434020111
Mailing Fax Number 8434029010
Enumeration Date 2006-02-07
Last Update Date 2020-08-22
Authorized Official Name MR. GREGORY M JONES (PRESIDENT)
Authorized Official Telephone 8434020111
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208VP0000X Pain Medicine
Specialization: Pain Medicine
15923 SC Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
SC GP2334 05

Office Location

Street Address 2093 HENRY TECKLENBURG DR
STE 310
City CHARLESTON
State SC
Zip Code 29414-5743

Providers in the same location

NPI Name Taxonomy Address Enumeration
1184628935 Kathryn Manning Hargrove Obstetrics & Gynecology 2093 Henry Tecklenburg Dr, Ste 207, Charleston, SC 29414-5741 2005-06-09
1760934087 Alexander L Miller Physician Assistant 2093 Henry Tecklenburg Dr, Suite 200, Charleston, SC 29414-5741 2016-11-03
1427448273 Sawyer Ann Langston Physician Assistant 2093 Henry Tecklenburg Dr, Suite 200, Charleston, SC 29414-5741 2015-02-02
1952706475 Terri Southard Counselor 2093 Henry Tecklenburg Dr, Suite 202 East, Charleston, SC 29414-5741 2014-10-27
1134538986 Roper Saint Francis Physicians Network Internal Medicine 2093 Henry Tecklenburg Dr, Suite 300e, Charleston, SC 29414 2014-08-06
1871923524 Jessica Elizabeth Raux Physician Assistant 2093 Henry Tecklenburg Dr, Ste. 202e, Charleston, SC 29414-5741 2013-11-16
1891047205 Roper Saint Francis Physicians Network Orthopaedic Surgery 2093 Henry Tecklenburg Dr, Suite 200, Charleston, SC 29414-5741 2012-10-09
1730457250 Callie Rowland Powell Registered Nurse 2093 Henry Tecklenburg Dr, Suite 300, Charleston, SC 29414-5741 2011-12-12
1356620397 Roper Saint Franics Physicians Network Internal Medicine 2093 Henry Tecklenburg Dr, Suite 202 East, Charleston, SC 29414-5741 2011-08-09
1245540277 Roper Saint Francis Physicians Network Surgery 2093 Henry Tecklenburg Dr, Suite 202e, Charleston, SC 29414 2010-10-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1902444508 Harris Teeter LLC Durable Medical Equipment & Medical Supplies 3865 West Ashley Circle, Charleston, SC 29414 2019-12-13
1215440169 Christine Michelle Delcioppo Nurse Practitioner 2085 Henry Tecklenburg Dr Fl 2or2, Charleston, SC 29414 2017-11-14
1871013508 Carolyn Sorenson Assistant Behavior Analyst 2218 Hunter Creek Dr, Charleston, SC 29414 2017-06-23
1205387354 Rachel Klatt Physical Therapist 2230 Ashley Crossing Dr., Charleston, SC 29414 2016-10-24
1295286912 Mary M Butler Physical Therapy Assistant 2230 Ashley Crossing Drive, Charleston, SC 29414 2016-10-18
1295104982 Charlene Barbot Registered Nurse 3741 Clover St, Charleston, SC 29414 2015-09-23
1720467525 Sasha M. Perez Family Medicine 3030 Ashley Town Center Dr Ste 102a, Charleston, SC 29414 2015-05-26
1104226240 Angela Mcinvale Counselor 3030 Ashley Town Center Dr., Bldg. B-203, Charleston, SC 29414 2014-08-26
1659790087 Catherine Jefferson Vanderwerker Physical Therapist 3019 Saintsbury Cove Dr, Charleston, SC 29414 2014-04-14
1104266741 Elizabeth A Burguieres Psychiatry & Neurology Scdmh- Charleston Telepsychiatry Office, 706 Orleans Rd, Charleston, SC 29414 2013-06-27
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Taxonomy Information

Taxonomy Code 208VP0000X
Grouping Allopathic & Osteopathic Physicians
Classification Pain Medicine
Specialization Pain Medicine

Taxonomy Definition

Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient’s pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies.
Notes: Source: American Academy of Pain Medicine, www.painmed.org
- Additional Resources:The American Board of Pain Medicine provides Board Certification.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1497128045 Compass Pain Care LLC Pain Medicine 706 Arcadian Way, Charleston, SC 29407-7109 2015-11-04
1376507566 Josiah Kenneth Lilly IIi Pain Medicine 4001 Virginia Ave Se, Charleston, WV 25304-1603 2006-04-14
1790158343 Compass Pain Care LLC Pain Medicine 706 Arcadian Way, Charleston, SC 29407-7109 2015-11-04
1437599206 Roper Saint Francis Physicians Network Pain Medicine 2145 Henry Tecklenburg Dr, Suite 220w, Charleston, SC 29414-5893 2013-06-26

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1659915445 Trident Pain Center P A Pain Medicine 176 Mcswain Dr, West Columbia, SC 29169-4825 2019-11-05
1437793353 Trident Pain Center P A Pain Medicine 205 Eddie Chasteen Dr, Walterboro, SC 29488-5728 2019-11-04
1295381291 Palmetto Bone and Joint Pain Medicine 104 Ellett Road, Chapin, SC 29036 2019-08-15
1104472109 Palmetto Bone and Joint Pain Medicine Palmetto Bone and Joint, 2605 Kinard St Suite 105, Newberry, SC 29108 2019-08-15
1194138255 Trident Pain Center Pain Medicine 302 Medical Park Dr Ste 207a, Walterboro, SC 29488-5749 2014-06-06
1679991301 Hospice & Palliative Care Charlotte Region Pain Medicine 1057 Red Ventures Dr, Suite 150, Fort Mill, SC 29707-5001 2014-03-31
1508009614 Pee Dee Pain Care, LLC Pain Medicine 552 W Carolina Ave, Hartsville, SC 29550-5412 2009-04-20
1710151808 George Calhoun Aycock Jr. Pain Medicine 377 Rast St, Sumter, SC 29150-2583 2008-04-18
1356546162 Leanne Y Watkins Pain Medicine 1350 Parkway, Greenwood, SC 29646-3860 2007-06-20
1700833878 Michael Tannehill Grier Pain Medicine 100 Health Way Suite 1260, Piedmont Comprehensive Pain Management Group, Anderson, SC 29621 2006-05-27
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Competitor

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City CHARLESTON
Zip Code 29414

Improve Information

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Dataset Information

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.

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