CAROLINA INTERVENTIONAL PAIN INSTITUTE, LLC (NPI# 1629576848) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629576848 |
Entity Type | Organization |
Organization Name | CAROLINA INTERVENTIONAL PAIN INSTITUTE, LLC |
Other Organization Name | CAROLINA INTERVENTIONAL PAIN INSTITUTE, LLC |
Practice Address |
2611 Forest Dr Ste 100 Columbia SC 29204-2371 |
Mailing Address |
1655 Bernardin Ave Ste 240 Columbia SC 29204-2044 |
Practice Telephone | 8037793263 |
Mailing Telephone | 8037793263 |
Enumeration Date | 2018-01-23 |
Last Update Date | 2018-10-15 |
Authorized Official Name | DANA DOVE (DIRECTOR OF BILLING AND COLLECTIONS) |
Authorized Official Telephone | 8037793263 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Carolina Interventional Pain Institute, LLC | Doing Business As Name - Organization |
Street Address |
2611 FOREST DR STE 100 |
City | COLUMBIA |
State | SC |
Zip Code | 29204-2371 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992215149 | Ricardo Colon II | Registered Nurse | 3000 Hampton Street, Columbia, SC 29204 | 2017-10-02 |
1780113522 | Carla Star Noe | Registered Nurse | Sc Department of Health and Environmental Control, 2100 Bull Street, Collumbia, SC 29204 | 2017-06-06 |
1124568514 | Kristy L Thompson | Nurse Practitioner | 1655 Bernardin Ave Ste 240, Columbia, SC 29204 | 2017-03-03 |
1982052031 | Harold Eugene Cook Iv | Podiatrist | 1730 St Julian Place, Columbia, SC 29204 | 2016-05-31 |
1851748974 | Shaquita Banks | Counselor | 1810 Allen Benedict Ct, A1, Columbia, SC 29204 | 2016-05-18 |
1265804835 | Premier Care, LLC | Case Management | 2712 Middleburg Drive, Suite 206, Columbia, SC 29204 | 2015-10-22 |
1023492287 | Shamiquia N. Mcpherson | Counselor | 1627 Auburn St., Columbia, SC 29204 | 2015-07-16 |
1285028449 | The Columbia Free Medical Clinic, Inc. | Clinic/Center | 1875 Harden Street, Columbia, SC 29204 | 2015-03-26 |
1629473459 | Leslie Wilson | Counselor | 2323 Lady Street, Columbia, SC 29204 | 2014-10-22 |
1053728683 | Candyce Sutton | Social Worker | 1135 Carter Street, Columbia, SC 29204 | 2014-07-15 |
Find all providers in zip 29204 |
Taxonomy Code | 261QA1903X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Ambulatory Surgical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871052712 | Kuresmart Pain Management Surgery Center-columbia LLC | Clinic/Center | 5500 Knoll North Dr Ste 501, Columbia, MD 21045-2370 | 2019-03-19 |
1720514359 | Johns Hopkins Surgery Centers Series | Clinic/Center | 5450 Knoll North Dr Ste 301, Columbia, MD 21045-2373 | 2017-05-02 |
1760860977 | Mid Missouri Surgery Center, LLC | Clinic/Center | 1410 Forum Katy Parkway, Suite 102, Columbia, MO 65203 | 2015-05-08 |
1457779399 | Csa Surgical Center LLC | Clinic/Center | 3220 Bluff Creek Dr Ste 104, Columbia, MO 65201-3664 | 2014-03-28 |
1780998633 | Parkridge Surgery Center LLC | Clinic/Center | 190 Parkridge Dr Ste 108, Columbia, SC 29212-1748 | 2010-08-03 |
1831360247 | Surgical Center At Columbia Orthopaedic Group LLC | Clinic/Center | 1 South Keene, Columbia, MO 65201-6645 | 2008-03-13 |
1649393695 | Columbia Md Orthopaedic Asc, LLC | Clinic/Center | 10700 Charter Dr #301, Columbia, MD 21044-4000 | 2007-04-06 |
1568510196 | Columbia Surgery Center Inc | Clinic/Center | 338 Harbison Blvd, Columbia, SC 29212-2248 | 2007-01-08 |
1104851088 | Maryland Surgeons Center of Columbia | Clinic/Center | 11055 Little Patuxent Pky, Suite L-6, Columbia, MD 21044 | 2006-07-11 |
1801827993 | South Carolina Endoscopy Center - Northeast | Clinic/Center | 11 Gateway Corners Park, Columbia, SC 29203-8902 | 2006-07-06 |
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.