LORIS ANESTHESIA AND PAIN TREATMENT, PLLC (NPI# 1871817437) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871817437 |
| Entity Type | Organization |
| Organization Name | LORIS ANESTHESIA AND PAIN TREATMENT, PLLC |
| Practice Address |
3655 Mitchell St Loris SC 29569-2827 |
| Mailing Address |
Po Box 602437 Charlotte NC 28260-2437 |
| Practice Telephone | 8437167000 |
| Mailing Telephone | 8003299156 |
| Enumeration Date | 2010-03-25 |
| Last Update Date | 2010-03-25 |
| Authorized Official Name | STEPHEN HOLTZCLAW (OWNER) |
| Authorized Official Telephone | 9544751300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | Allopathic & Osteopathic Physicians |
| Street Address |
3655 MITCHELL ST |
| City | LORIS |
| State | SC |
| Zip Code | 29569-2827 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467441329 | James N Moore IIi | Family Medicine | 3655 Mitchell St, Loris, SC 29569-2827 | 2005-10-13 |
| 1437785888 | Hunter Tyson Chestnut | Registered Nurse | 3655 Mitchell St, Loris, SC 29569-2827 | 2020-03-17 |
| 1700417474 | Madeline Soucy | Nurse Practitioner | 3655 Mitchell St, Loris, SC 29569-2827 | 2020-01-30 |
| 1730627712 | Chad Dewayne Buffkin | Emergency Medicine | 3655 Mitchell St, Loris, SC 29569-2827 | 2017-02-09 |
| 1093172256 | Joann Hannah | Nurse Anesthetist, Certified Registered | 3655 Mitchell St, Loris, SC 29569-2827 | 2016-01-19 |
| 1699148569 | Horizon Emergency Physicians, LLC | Physician Assistant | 3655 Mitchell St, Loris, SC 29569-2827 | 2015-11-02 |
| 1376916114 | Symposium Emergency Physicians, LLC | Nurse Practitioner | 3655 Mitchell St, Loris, SC 29569-2827 | 2015-11-02 |
| 1497177216 | David Justin Guthrie | Registered Nurse | 3655 Mitchell St, Loris, SC 29569-2827 | 2014-01-14 |
| 1962753988 | Mohamed Bassiouny | Internal Medicine | 3655 Mitchell St, Loris, SC 29569-2827 | 2012-10-01 |
| 1265708119 | Mcleod Loris Seacoast Hospital | Emergency Medicine | 3655 Mitchell St, Loris, SC 29569-2827 | 2012-03-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427464247 | Denise Logan | Dietitian, Registered | 3811 Walnut St, Loris, SC 29569 | 2014-07-02 |
| 1801231634 | Melissa Ann Miara | Internal Medicine | 3617 Casey St Ste C, Loris, SC 29569 | 2013-05-07 |
| 1356684161 | Gwyn Gordon Mcgutchen | Dentist | 3681 Spivey St., Loris, SC 29569 | 2013-03-29 |
| 1336486174 | Winferd Dale Holt | Dentist | 3980 Main Street, Loris, SC 29569 | 2013-01-14 |
| 1528314325 | Southern Living Emergency Physicians LLC | Physician Assistant | 6988 Mitchell Street, Loris, SC 29569 | 2012-07-30 |
| 1124347604 | Regina F. Holmes | Nurse Practitioner | Agape Senior Primary Care Inc Dba Main Street Physician, 3612 Mitchell Street, Loris, SC 29569 | 2010-05-24 |
| 1801914122 | Dr Gwyn Gordon Mccutchen Inc | Dentist | 3681 Spivey Street, Loris, SC 29569 | 2007-03-26 |
| 1700911203 | Twin States Helping Hands | Home Health | 1620 Hwy 701 N, Loris, SC 29569 | 2007-02-23 |
| 1306922646 | Loris Community Hospital District | Clinic/Center | 3204 Casey St, Loris, SC 29569 | 2006-10-30 |
| 1619074119 | South Carolina Cvs Pharmacy LLC | Pharmacy | 4767 Broad St, Loris, SC 29569 | 2006-09-20 |
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| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972587012 | Frederick William Bellamy | Anesthesiology | 3655 Mitchell St, Loris, SC 29569-2827 | 2005-12-02 |
| 1831172493 | Raymond Craig Collins | Anesthesiology | 3655 Mitchell St, Loris, SC 29569-2827 | 2005-11-28 |
| 1073596631 | Ramiro Jay Godines | Anesthesiology | 3655 Mitchell St, Loris, SC 29569-2827 | 2005-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184240897 | Alexander Hayes Meinzer | Anesthesiology | 167 Ashley Ave Rm 202, Charleston, SC 29425-8905 | 2020-06-18 |
| 1366000457 | Stephen Paul Eason | Anesthesiology | Musc Gme Office 169 Ashley Avenue Room 202 Muh Msc 333, Charleston, SC 29425-0001 | 2019-06-03 |
| 1396207221 | Prisma Health-upstate | Anesthesiology | 905 Verdae Blvd Ste 102, Greenville, SC 29607-4029 | 2019-04-01 |
| 1124511332 | Taylor Adam Carter | Anesthesiology | 1928 Staffwood Rd, Johns Island, SC 29455-8223 | 2018-06-12 |
| 1477056794 | Palmetto Moon Anesthesia, LLC | Anesthesiology | 3045 St. Matthews Rd., Orangeburg, SC 29118 | 2018-03-13 |
| 1740719889 | Mark Abumoussa | Anesthesiology | Musc Anesthesia & Perioperative Medicine 167, Charleston, SC 29425-0001 | 2017-06-11 |
| 1770036410 | Devin Antonovich | Anesthesiology | 96 Johnathan Lucas St., Charleston, SC 29425 | 2016-07-29 |
| 1205287786 | Martha Anne Deberry King | Anesthesiology | 1514 Gardenia Rd, Charleston, SC 29407-5212 | 2016-06-27 |
| 1316301534 | Rishi Ashok Patel | Anesthesiology | 668 Hamlet Cir, Goose Creek, SC 29445-7116 | 2016-04-13 |
| 1225408685 | Strategy Anesthesia South Carolina LLC | Anesthesiology | 457-e Bypass 123, Seneca, SC 29678-0842 | 2015-09-29 |
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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.