MIDLANDS NEUROLOGY & PAIN ASSOC, P.A (NPI# 1699280644) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699280644 |
| Entity Type | Organization |
| Organization Name | MIDLANDS NEUROLOGY & PAIN ASSOC, P.A |
| Practice Address |
2601 Millwood Ave Columbia SC 29205-1218 |
| Mailing Address |
Po Box 209 State Park SC 29147-0209 |
| Practice Telephone | 8037880038 |
| Enumeration Date | 2017-12-12 |
| Last Update Date | 2017-12-13 |
| Authorized Official Name | ELEANYA OGBURU-OGBONNAYA (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 | 324500000X | Substance Abuse Rehabilitation Facility | 18323 | SC | Residential Treatment Facilities |
| Y | 2084A0401X |
Psychiatry & Neurology Specialization: Addiction Medicine |
18323 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | GP1403 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629084132 | Midlands Neurology & Pain Assoc, P.a | Psychiatry & Neurology | 2601 Millwood Ave, Midlands Neurology & Pain Assoc, P.a, Columbia, SC 29205-1218 | 2006-08-01 |
| Street Address |
2601 MILLWOOD AVE |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29205-1218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629084132 | Midlands Neurology & Pain Assoc, P.a | Psychiatry & Neurology | 2601 Millwood Ave, Midlands Neurology & Pain Assoc, P.a, Columbia, SC 29205-1218 | 2006-08-01 |
| 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 |
| 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 | 2084A0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Addiction Medicine |
| A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |
| Notes: Source: American Osteopathic Board of Neurology and Psychiatry, 2007 [1/1/2008: definition added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760559181 | Thomas James Breidenstein | Psychiatry & Neurology | 108 E Green Meadows Rd, Suite 8, Columbia, MO 65203-3633 | 2006-11-29 |
| 1962819326 | Oluwole Popoola | Psychiatry & Neurology | One Hospital Dr, Columbia, MO 65212 | 2014-07-17 |
| 1922203223 | Joseph David Markowitz | Psychiatry & Neurology | 3555 Harden Street Ext Ste 141, Columbia, SC 29203 | 2007-06-18 |
| 1275643538 | Diana L. Thorne | Psychiatry & Neurology | 6439 Garners Ferry Rd, Columbia, SC 29209-1638 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093280620 | Capeside Addiction Care, Pllc | Psychiatry & Neurology | 4889 Highway 17 Byp S, Myrtle Beach, SC 29577-6683 | 2018-10-10 |
| 1205996303 | Susan Jayne Olson | Psychiatry & Neurology | 1297 Professional Dr, Ste 104, Myrtle Beach, SC 29577-5713 | 2006-12-11 |
| 1982037529 | Charleston Addiction Medicine, LLC | Psychiatry & Neurology | 2175 Ashley Phosphate Rd, Suite G, North Charleston, SC 29406-4181 | 2013-08-19 |
| 1104101054 | South Carolina Research Group LLC | Psychiatry & Neurology | 68 Parkway Commons Way, Greer, SC 29650-5213 | 2011-10-11 |
| 1558663294 | Michael J Huggins | Psychiatry & Neurology | 2175 Ashley Phosphate Rd, Suite G, North Charleston, SC 29406-4181 | 2010-12-01 |
| 1164746392 | Anmed Health | Psychiatry & Neurology | 800 N Fant St, Anderson, SC 29621-5708 | 2010-03-17 |
| 1396957445 | Robert Holden Stafford | Psychiatry & Neurology | 910 Cook Rd, Orangeburg, SC 29118-2124 | 2007-05-03 |
| 1538229448 | Strand Psychiatric Associates Pa | Psychiatry & Neurology | 3025 Newcastle Loop, Myrtle Beach, SC 29588-4502 | 2006-12-11 |
| 1295824159 | Spartanburg Medical Center | Psychiatry & Neurology | 391 Serpentine Dr, Suite 400, Doctor's Center, Spartanburg, SC 29303-3096 | 2006-10-11 |
| 1750481727 | Faraz Qureshi | Psychiatry & Neurology | 109 Bee St, Charleston, SC 29401-5703 | 2006-09-22 |
| Find all providers with the same taxonomy | ||||
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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.