PAIN MEDICINE SPECIALISTS, PA (NPI# 1679118657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679118657 |
| Entity Type | Organization |
| Organization Name | PAIN MEDICINE SPECIALISTS, PA |
| Other Organization Name | DR GISELE J GIRAULT, MD - PAIN MEDICINE SPECIALISTS |
| Practice Address |
3410 Sunset Blvd West Columbia SC 29169-3042 |
| Mailing Address |
1750 Highway 160 West Suite 101#319 Fort Mill SC 29708-1759 |
| Practice Telephone | 8037919200 |
| Practice Fax Number | 8037919207 |
| Mailing Telephone | 8038027100 |
| Mailing Fax Number | 8038028378 |
| Enumeration Date | 2019-11-13 |
| Last Update Date | 2020-08-05 |
| Authorized Official Name | MS. COURTNEY SEMKEN (PRACTICE MANAGER) |
| Authorized Official Telephone | 5038661438 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | Other Service Providers | ||
| N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | T73364 | 05 |
| Other Name | Type Code |
|---|---|
| Dr Gisele J Girault, MD - Pain Medicine Specialists | Doing Business As Name - Organization |
| Street Address |
3410 SUNSET BLVD |
| City | WEST COLUMBIA |
| State | SC |
| Zip Code | 29169-3042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720318256 | Firstchoice Healthcare, PC | Anesthesiology | 3410 Sunset Blvd, West Columbia, SC 29169-3042 | 2010-01-06 |
| 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 | 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 |
|---|---|---|---|---|
| 1720047202 | Iva Thigpen Chapple | Pain Medicine | 421 Hulon Ln, West Columbia, SC 29169-4832 | 2006-03-22 |
| 1992115935 | Christopher A Beal | Pain Medicine | 222 E Medical Ln Ste 200, West Columbia, SC 29169 | 2014-04-29 |
| 1275727224 | Carolina Pain Specialists LLC | Pain Medicine | 421 Hulon Ln, West Columbia, SC 29169-4832 | 2007-09-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972120517 | Greater Greer Pain Relief Center, LLC | Pain Medicine | 127 Mills Ave Ste B, Greer, SC 29651-2514 | 2020-06-30 |
| 1649803313 | Synergy Spine Center, Pa | Pain Medicine | 457 U.S. Highway 123, Suite D, Seneca, SC 29678 | 2020-02-20 |
| 1649783374 | Carolina Healthchoice of Orangeburg, LLC | Pain Medicine | 1737 Village Park Dr, Orangeburg, SC 29118-2475 | 2017-11-16 |
| 1528596202 | Florence Pain Solutions LLC | Pain Medicine | 491 W Cheves St Ste C, Florence, SC 29501-4407 | 2017-05-25 |
| 1710414305 | Sc Pain & Spine Specialists, LLC | Pain Medicine | 4112 Carolina Commercial Dr, Myrtle Beach, SC 29579-4223 | 2017-05-15 |
| 1538557780 | Sc Pain and Spine Specialist | Pain Medicine | 230 S Fraser Street, Georgetown, SC 29440 | 2014-12-22 |
| 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 |
| 1760636856 | Pain Specialists of Charleston Pa | Pain Medicine | 2695 Elms Plantation Blvd Ste A, North Charleston, SC 29406-7132 | 2008-11-17 |
| 1982867875 | Low Country Pain Center LLC | Pain Medicine | 793 Cook Road, Orangeburg, SC 29118-9008 | 2008-07-09 |
| 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.