MIDLANDS NEUROLOGY & PAIN ASSOC, P.A (NPI# 1629084132) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629084132 |
| Entity Type | Organization |
| Organization Name | MIDLANDS NEUROLOGY & PAIN ASSOC, P.A |
| Practice Address |
2601 Millwood Ave Midlands Neurology & Pain Assoc, P.a Columbia SC 29205-1218 |
| Mailing Address |
Po Box 209 Midlands Neurology & Pain Assoc, P.a State Park SC 29147-0209 |
| Practice Telephone | 8037880038 |
| Practice Fax Number | 8037880655 |
| Mailing Telephone | 8037880038 |
| Mailing Fax Number | 8037880655 |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2016-11-07 |
| Authorized Official Name | E OGBURU-OGBONNAYA MD (PRESIDENT CEO) |
| Authorized Official Telephone | 8037880038 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
18323 | SC | Allopathic & Osteopathic Physicians |
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
18323 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | GP1403 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699280644 | Midlands Neurology & Pain Assoc, P.a | Substance Abuse Rehabilitation Facility | 2601 Millwood Ave, Columbia, SC 29205-1218 | 2017-12-12 |
| Street Address |
2601 MILLWOOD AVE MIDLANDS NEUROLOGY & PAIN ASSOC, P.A |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29205-1218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386287241 | Michelle Lynn Oden Webb | Social Worker | 2601 Millwood Ave, Columbia, SC 29205-1218 | 2019-10-23 |
| 1831661503 | Midlands Comprehensive Pain, LLC | Pain Medicine | 2601 Millwood Ave, Columbia, SC 29205-1218 | 2018-12-19 |
| 1699280644 | Midlands Neurology & Pain Assoc, P.a | Substance Abuse Rehabilitation Facility | 2601 Millwood Ave, Columbia, SC 29205-1218 | 2017-12-12 |
| 1639549322 | Linda W. Scott | Social Worker | 2601 Millwood Ave, Columbia, SC 29203 | 2015-10-07 |
| 1285997833 | Clifford Bernard Marsh | Social Worker | 2601 Millwood Ave, Columbia, SC 29205-1218 | 2012-06-19 |
| 1104005941 | Eleanya Ogburu-ogbonnaya | Psychiatry & Neurology | 2601 Millwood Ave, Columbia, SC 29205-1218 | 2007-10-29 |
| 1770607327 | Ebony H Hudson | Social Worker | 2601 Millwood Ave, Columbia, SC 29205 | 2007-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104462241 | New Life Home Care LLC | In Home Supportive Care | 4423 Ste. D, Devine Street, Columbia, SC 29205 | 2019-11-25 |
| 1689144222 | Jessica M Jarman LLC | Counselor | 610 Holly St., Columbia, SC 29205 | 2018-11-27 |
| 1073083648 | Christopher James Troyer | Psychologist | 2805 Millwood Ave., Columbia, SC 29205 | 2018-11-27 |
| 1891277505 | Daniel Long | Pharmacist | 630 Kilbourne Road, Columbia, SC 29205 | 2018-08-30 |
| 1699126136 | Steven Matthew Ferrufino | Counselor | 417 S Edisto Ave, Columbia, SC 29205 | 2016-06-27 |
| 1619351863 | Deangela Lenore Delaney | Nurse Practitioner | 2739 Laurel Street, Columbia, SC 29205 | 2015-07-17 |
| 1548677131 | Maegan Elizabeth Dean | Pharmacist | 2708 Rosewood Drive, Columbia, SC 29205 | 2014-07-16 |
| 1144561465 | Abby Habicht | Speech-Language Pathologist | 705 Maple St., H 102, Columbia, SC 29205 | 2013-03-12 |
| 1750630562 | Pamela B. Robertson | Pharmacist | 3312 Devine Street, Columbia, SC 29205 | 2012-09-07 |
| 1609124023 | Kristen Anne Tice | Dietitian, Registered | 1029 Deerwood Street, Columbia, SC 29205 | 2012-08-15 |
| Find all providers in zip 29205 | ||||
| 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.