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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
15923 | SC | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SC | GP2334 | 05 |
Street Address |
2093 HENRY TECKLENBURG DR STE 310 |
City | CHARLESTON |
State | SC |
Zip Code | 29414-5743 |
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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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 Code | 208VP0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pain Medicine |
Specialization | Pain Medicine |
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. |
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 |
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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City | CHARLESTON |
Zip Code | 29414 |
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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.