CAROLINA SPINE AND SPORT REHABILIATATION SPECIALIST,P.A. (NPI# 1770740664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770740664 |
| Entity Type | Organization |
| Organization Name | CAROLINA SPINE AND SPORT REHABILIATATION SPECIALIST,P.A. |
| Other Organization Name | CAROLIAN SPINE AND SPORT REHABILITATION SPECIALISTS,P.A. |
| Practice Address |
763 Travelers Blvd Ste D Summerville SC 29485-8796 |
| Practice Telephone | 8435695421 |
| Practice Fax Number | 8435695973 |
| Mailing Telephone | 8435695421 |
| Mailing Fax Number | 8435695973 |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2016-02-12 |
| Authorized Official Name | DR. NANCY ROSE LEMBO (OWNER) |
| Authorized Official Telephone | 8435695421 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
918 | SC | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Carolian Spine and Sport Rehabilitation Specialists,P.A. | Former Legal Business Name - Organization |
| Street Address |
763 TRAVELERS BLVD STE D |
| City | SUMMERVILLE |
| State | SC |
| Zip Code | 29485-8796 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487267365 | Cp Dentistry, LLC | Dentist | 9919 Dorchester Road, Summerville, SC 29485 | 2020-08-28 |
| 1922622604 | Rachel Elaine Digiacomo | Physical Therapist | 10160 Dorchester Road, Summerville, SC 29485 | 2020-05-29 |
| 1396220034 | Amanda W Peebles | Nurse Practitioner | 4278 Ladson Rd., Summerville, SC 29485 | 2018-09-28 |
| 1396230728 | Gerald Darnell Woods | Counselor | 10825 Dorchester Rd. #3077, Summerville, SC 29485 | 2018-06-27 |
| 1063901072 | Elite Barber Spa, LLC | Specialist | 850 E Bacons Bridge Road, Suite 303, Summerville, SC 29485 | 2018-05-04 |
| 1598253528 | Daniel Joseph Neitzke | Student in an Organized Health Care Education/Training Program | 9228 Medical Plaza Drive, Charleston, SC 29485 | 2018-04-25 |
| 1700315447 | Donna Marie White | Counselor | 9214 Ayscough Road, Summerville, SC 29485 | 2017-06-07 |
| 1043763212 | Brockman Davis Smith | Dentist | 1710 B Trolley Road, Summerville, SC 29485 | 2016-07-25 |
| 1336508530 | Meca Home Health, LLC | Home Health | 415 Savannah River Rd, Summerville, SC 29485 | 2016-02-16 |
| 1609241033 | Dental Professionals of South Carolina, PC | Dentist | 9510 Dorchester Rd, Suite 400, North Charleston, SC 29485 | 2015-12-10 |
| Find all providers in zip 29485 | ||||
| Taxonomy Code | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114092897 | Craig Dyer Harris | Physical Medicine & Rehabilitation | 130 East Third North Street, Summerville, SC 29483 | 2006-11-21 |
| 1023180031 | Craig D Harris Md Pa | Physical Medicine & Rehabilitation | 310 N Gum St, Summerville, SC 29483-6874 | 2006-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861983249 | Southern Pain Specialists | Physical Medicine & Rehabilitation | 115 Blarney Dr Ste 111, Columbia, SC 29223 | 2018-05-22 |
| 1598295230 | Arcis Healthcare, LLC | Physical Medicine & Rehabilitation | 1300 Hospital Dr Ste 130, Mount Pleasant, SC 29464-3204 | 2017-06-15 |
| 1255401782 | Jeffrey C. Wilkins | Physical Medicine & Rehabilitation | 631 Bellamy Ave, Unit A, Murrells Inlet, SC 29576-6459 | 2006-11-09 |
| 1700992922 | Waccamaw Pain Partners Pa | Physical Medicine & Rehabilitation | 4033 Hwy 17 Bypass, Suite 108, Murrells Inlet, SC 27576 | 2006-08-21 |
| 1669433298 | John Robert Alexander Jr. | Physical Medicine & Rehabilitation | 526 Johnnie Dodds Blvd Ste 301, Mt Pleasant, SC 29464 | 2006-03-31 |
| 1447242813 | Matthew Terzella | Physical Medicine & Rehabilitation | 303 E Wood St, Spartanburg, SC 29303-3020 | 2005-08-22 |
| 1780684829 | George Alan Bitting | Physical Medicine & Rehabilitation | 718 Lafayette Ave, Camden, SC 29020-3522 | 2005-07-29 |
| 1225648777 | Low Country Pain and Neuropthy | Physical Medicine & Rehabilitation | 1123 Queensborough Blvd, Mt Pleasant, SC 29464-3682 | 2020-08-08 |
| 1083120729 | Arcis Healthcare, LLC | Physical Medicine & Rehabilitation | 929 Bowman Rd Ste 400, Mount Pleasant, SC 29464-3237 | 2017-12-18 |
| 1972963494 | Spartanburg Medical Center | Physical Medicine & Rehabilitation | 2755 S Highway 14, Suite 1450, Greer, SC 29650-4902 | 2016-02-25 |
| Find all providers with the same taxonomy | ||||
| City | SUMMERVILLE |
| Zip Code | 29485 |
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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.