TRIDENT PAIN CENTER P A (NPI# 1659915445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659915445 |
| Entity Type | Organization |
| Organization Name | TRIDENT PAIN CENTER P A |
| Practice Address |
176 Mcswain Dr West Columbia SC 29169-4825 |
| Mailing Address |
9267 Medical Plaza Dr Ste G Charleston SC 29406-9139 |
| Practice Telephone | 8437973636 |
| Practice Fax Number | 8437973637 |
| Mailing Telephone | 8437973636 |
| Mailing Fax Number | 8437973637 |
| Enumeration Date | 2019-11-05 |
| Last Update Date | 2019-11-05 |
| Authorized Official Name | DR. JOSEPH EDWARD NOLAN (MD) |
| Authorized Official Telephone | 8437973636 |
| Is Organization Subpart | Y |
| Parent Organization Name | TRIDENT PAIN CENTER P A |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437793353 | Trident Pain Center P A | Pain Medicine | 205 Eddie Chasteen Dr, Walterboro, SC 29488-5728 | 2019-11-04 |
| 1154757482 | Trident Pain Center P A | Anesthesiology | 108 N Highway 52, Moncks Corner, SC 29461-3910 | 2013-09-18 |
| 1124661194 | Trident Pain Center P A | Anesthesiology | 1930 Charlie Hall Blvd, Charleston, SC 29414-5837 | 2019-10-23 |
| 1104468594 | Trident Pain Center P A | Anesthesiology | 4711 Sunset Blvd, Lexington, SC 29072-9151 | 2019-10-17 |
| Street Address |
176 MCSWAIN DR |
| City | WEST COLUMBIA |
| State | SC |
| Zip Code | 29169-4825 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457960726 | Jerry Scott Oreilly | Physical Therapy Assistant | 100 Dreher Rd, Suite 100, West Columbia, SC 29169 | 2020-07-23 |
| 1134759921 | A&m Medical, LLC | Durable Medical Equipment & Medical Supplies | 1053 Sunset Boulevard, West Columbia, SC 29169 | 2020-01-21 |
| 1750946067 | First Physical Therapy, LLC | Clinic/Center | 100 Dreher Rd., Suite 100, West Columbia, SC 29169 | 2019-05-02 |
| 1295217545 | Tynaka Kwans Wilson | Nurse Practitioner | Sc House Calls Inc, 1053 Center Street, West Columbia, SC 29169 | 2018-09-04 |
| 1588183826 | Kimberly Jane Jennings | Registered Nurse | 1052 Center Street, Sc House Calls Inc, West Columbia, SC 29169 | 2017-09-19 |
| 1164943213 | Jacob Luke Wayland | Emergency Medicine | Lexington Medical Center-emergency Medicine Dept, 2720 Sunset Blvd, West Columbia, SC 29169 | 2017-06-29 |
| 1740721232 | Heather Detwiler | Physical Therapy Assistant | 2705 Leaphart Rd., Carolina Gardens, West Columbia, SC 29169 | 2017-03-16 |
| 1588110761 | Virginia I Hall | Nurse Practitioner | 2720 Susnet Blvd, West Columbia, SC 29169 | 2016-08-29 |
| 1215395744 | Stacey Khalifa | Social Worker | 160 Medical Cir Fl 1, West Columbia, SC 29169 | 2016-01-28 |
| 1407252331 | Sandy Frye Boone | Counselor | 2318 Sunset Blvd # 2a, West Columbia, SC 29169 | 2014-11-04 |
| Find all providers in zip 29169 | ||||
| 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 |
|---|---|---|---|---|
| 1235114737 | John M Motto | Pain Medicine | 169 Medical Cir, Suite A, West Columbia, SC 29169-3655 | 2005-12-07 |
| 1730355298 | Three Rivers Pain Management LLC | Pain Medicine | 169 Medical Cir, Suite A, West Columbia, SC 29169-3655 | 2008-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1497128045 | Compass Pain Care LLC | Pain Medicine | 706 Arcadian Way, Charleston, SC 29407-7109 | 2015-11-04 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | WEST COLUMBIA |
| Zip Code | 29169 |
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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.