MR. RICHARD BLAKE KLINE (NPI# 1902824378) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902824378 |
| Entity Type | Individual |
| Full Name | MR. RICHARD BLAKE KLINE |
| Credential | MD |
| Practice Address |
1500 Main St Conway SC 29526-3569 |
| Practice Telephone | 8434883437 |
| Practice Fax Number | 8436616400 |
| Mailing Telephone | 8434883437 |
| Mailing Fax Number | 8436789245 |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2016-03-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | 20364 | SC | Allopathic & Osteopathic Physicians |
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
20364 | SC | Allopathic & Osteopathic Physicians |
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 203648 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689889628 | Richard Mark Kline | Dentist | 120 Alpine Cir, Columbia, SC 29223-6385 | 2007-05-12 |
| 1053426361 | Richard Alan Kline | Dentist | 8831 Satyr Hill Road, Suite 200, Baltimore, MD 21234 | 2006-08-20 |
| 1265464440 | Richard J Kline | Surgery | 17 South Warren St, Zufall Health Center, Dover, NJ 07801 | 2006-07-07 |
| 1437154515 | Richard Mahlon Kline Jr. | Plastic Surgery | 1300 Hospital Dr, Ste 120, Mount Pleasant, SC 29464-3204 | 2005-06-16 |
| 1003252966 | Richard Kline | Student in an Organized Health Care Education/Training Program | 1322 3rd St Se, Suite 240, Puyallup, WA 98372-3771 | 2013-05-20 |
| 1124191085 | Richard Addison Kline | Surgery | 2505 Samaritan Dr, Suite 504, San Jose, CA 95124-4006 | 2006-11-16 |
| 1932158656 | Richard C Kline | Obstetrics & Gynecology | 1514 Jefferson Hwy, New Orleans, LA 70121-2429 | 2006-05-09 |
| 1649241035 | Richard B Kline | Emergency Medicine | 320 W Main St, White Sulphur Springs, WV 24986-2414 | 2006-02-01 |
| Street Address |
1500 MAIN ST |
| City | CONWAY |
| State | SC |
| Zip Code | 29526-3569 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538625876 | Ashleigh Hotaling | Nurse Practitioner | 1500 Main St, Conway, SC 29526-3569 | 2019-02-12 |
| 1699285411 | Rita Richardson Cagle | Nurse Practitioner | 1500 Main St, Conway, SC 29526-3569 | 2017-10-06 |
| 1629460381 | Atlantic Coast Pain Specialists, Inc | Anesthesiology | 1500 Main St, Conway, SC 29526-3569 | 2015-03-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457975237 | Terri L Champion | Massage Therapist | 172 Waccamaw Medical Park Court, Conway, SC 29526 | 2020-06-08 |
| 1689204398 | Alayna Defalco | Clinical Exercise Physiologist | 1320 501 Business, Unit E, Conway, SC 29526 | 2020-01-22 |
| 1124672662 | Proxsys Rx - Sc, LLC | Pharmacy | 300 Singelton Ridge Road, Conway, SC 29526 | 2019-08-01 |
| 1598227431 | Surgery Center of Conway Inc | Clinic/Center | 1405 Main Street, Conway, SC 29526 | 2019-04-01 |
| 1801374962 | Trevor James Hess | Specialist/Technologist | 905 One Landon Loop, Conway, SC 29526 | 2018-08-01 |
| 1851800817 | Katherine Ann Nimphius | Behavioral Analyst | 105 Timberline Dr, Conway, SC 29526 | 2017-09-21 |
| 1922544253 | William Houck | Specialist/Technologist | 925 One Landon Loop, Conway, SC 29526 | 2017-01-10 |
| 1952857278 | Courtney Jeanette Smith | Counselor | 164 Waccamaw Medical Park Dr., Conway, SC 29526 | 2016-08-28 |
| 1336502632 | Jebediah S. Christy, D.d.s - Conway, Pllc | Dentist | 2756 Church St, Conway, SC 29526 | 2016-04-04 |
| 1447615208 | Abl Enterprises, LLC | Optometrist | 113 Citadel Drive, Conway, SC 29526 | 2015-12-22 |
| Find all providers in zip 29526 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| 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 |
|---|---|---|---|---|
| 1447518840 | Daniel Thornton Judkins | Anesthesiology | 650 United Dr Ste 340, Conway, AR 72032-7826 | 2012-04-24 |
| 1760927404 | Arkansas Health Group | Anesthesiology | 650 United Dr Ste 340, Conway, AR 72032-7826 | 2017-01-05 |
| 1659737120 | Richard E Moore Medical Pa | Anesthesiology | 523 Harkrider St, Conway, AR 72032-5631 | 2016-01-13 |
| 1457733057 | Conway Pain Clinic, Pllc | Anesthesiology | 2425 Prince St, Suite 3, Conway, AR 72034-3746 | 2015-06-19 |
| 1679831440 | Sheffield Kent | Anesthesiology | 650 United Dr Ste 340, Conway, AR 72032-7826 | 2012-04-30 |
| 1508021569 | United Pain Care, Conway | Anesthesiology | 350 Salem Rd, Suite 6h, Conway, AR 72034-7525 | 2008-07-18 |
| 1841309952 | Richard Eugene Moore | Anesthesiology | 523 Harkrider St, Conway, AR 72032 | 2006-08-30 |
| 1871532820 | Ar Anesthesia & Pain Management P A | Anesthesiology | 1080 Pats Ln, Conway, AR 72032-4754 | 2006-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982246633 | Southern Coast Specialists, LLC | Anesthesiology | 16 Okatie Center Blvd S Ste 201, Bluffton, SC 29909-7544 | 2019-10-15 |
| 1487120622 | Pain Specialists of Charleston | Anesthesiology | 135 Sea Island Pkwy, Beaufort, SC 29907-1500 | 2018-10-15 |
| 1235610767 | Premier Pain Solutions Pllc | Anesthesiology | 201 Richard St Ste A, Easley, SC 29640-1442 | 2018-08-23 |
| 1902316557 | Anesthesia Aficianados, LLC | Anesthesiology | 10630 Clemson Blvd Ste 200, Seneca, SC 29678-4545 | 2017-10-10 |
| 1285157735 | Sgkf LLC | Anesthesiology | 764 Saint Andrews Blvd, Charleston, SC 29407-7168 | 2017-07-17 |
| 1053860841 | Emergencymd, LLC | Anesthesiology | 2555 Boiling Springs Rd, Boiling Springs, SC 29316-5351 | 2016-09-22 |
| 1992156400 | Arcis Healthcare, LLC | Anesthesiology | 109 Park Place Ct, Lexington, SC 29072-6690 | 2016-06-27 |
| 1215302823 | Low Country Pain & Spine | Anesthesiology | 9180 Ocean Hwy Unit 6, Pawleys Island, SC 29585-8670 | 2015-12-08 |
| 1760888127 | Seaside Professional Services LLC | Anesthesiology | 25 Sherington Park Drive, Suite D-1, Bluffton, SC 29910 | 2014-11-13 |
| 1336559830 | Ryan Peyton Hostutler | Anesthesiology | 201 Richard St Unit A, Easley, SC 29640-1442 | 2014-05-06 |
| 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.