TRIDENT PAIN CENTER P A (NPI# 1124661194) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124661194 |
| Entity Type | Organization |
| Organization Name | TRIDENT PAIN CENTER P A |
| Practice Address |
1930 Charlie Hall Blvd Charleston SC 29414-5837 |
| Mailing Address |
9267 Medical Plaza Dr Ste G North Charleston SC 29406-9139 |
| Practice Telephone | 8437973636 |
| Mailing Telephone | 8437973636 |
| Enumeration Date | 2019-10-23 |
| Last Update Date | 2019-10-23 |
| Authorized Official Name | JOSEPH EDWARD NOLAN (OWNER) |
| Authorized Official Telephone | 8437973636 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | TRIDENT PAIN CENTER P A |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659915445 | Trident Pain Center P A | Pain Medicine | 176 Mcswain Dr, West Columbia, SC 29169-4825 | 2019-11-05 |
| 1437793353 | Trident Pain Center P A | Pain Medicine | 205 Eddie Chasteen Dr, Walterboro, SC 29488-5728 | 2019-11-04 |
| 1154757482 | Trident Pain Center P A | Anesthesiology | 108 N Highway 52, Moncks Corner, SC 29461-3910 | 2013-09-18 |
| 1104468594 | Trident Pain Center P A | Anesthesiology | 4711 Sunset Blvd, Lexington, SC 29072-9151 | 2019-10-17 |
| Street Address |
1930 CHARLIE HALL BLVD |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29414-5837 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093769424 | Charleston Breast Center, Inc. | Radiology | 1930 Charlie Hall Blvd, Charleston, SC 29414-5837 | 2006-05-20 |
| 1083661094 | Paul L Baron | Surgery | 1930 Charlie Hall Blvd, Charleston, SC 29414-5837 | 2006-05-27 |
| 1790739134 | Cancer Specialists of Charleston, Pa | Surgery | 1930 Charlie Hall Blvd, Charleston, SC 29414-5837 | 2006-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902444508 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 3865 West Ashley Circle, Charleston, SC 29414 | 2019-12-13 |
| 1215440169 | Christine Michelle Delcioppo | Nurse Practitioner | 2085 Henry Tecklenburg Dr Fl 2or2, Charleston, SC 29414 | 2017-11-14 |
| 1871013508 | Carolyn Sorenson | Assistant Behavior Analyst | 2218 Hunter Creek Dr, Charleston, SC 29414 | 2017-06-23 |
| 1205387354 | Rachel Klatt | Physical Therapist | 2230 Ashley Crossing Dr., Charleston, SC 29414 | 2016-10-24 |
| 1295286912 | Mary M Butler | Physical Therapy Assistant | 2230 Ashley Crossing Drive, Charleston, SC 29414 | 2016-10-18 |
| 1295104982 | Charlene Barbot | Registered Nurse | 3741 Clover St, Charleston, SC 29414 | 2015-09-23 |
| 1720467525 | Sasha M. Perez | Family Medicine | 3030 Ashley Town Center Dr Ste 102a, Charleston, SC 29414 | 2015-05-26 |
| 1104226240 | Angela Mcinvale | Counselor | 3030 Ashley Town Center Dr., Bldg. B-203, Charleston, SC 29414 | 2014-08-26 |
| 1659790087 | Catherine Jefferson Vanderwerker | Physical Therapist | 3019 Saintsbury Cove Dr, Charleston, SC 29414 | 2014-04-14 |
| 1104266741 | Elizabeth A Burguieres | Psychiatry & Neurology | Scdmh- Charleston Telepsychiatry Office, 706 Orleans Rd, Charleston, SC 29414 | 2013-06-27 |
| Find all providers in zip 29414 | ||||
| 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 |
|---|---|---|---|---|
| 1285157735 | Sgkf LLC | Anesthesiology | 764 Saint Andrews Blvd, Charleston, SC 29407-7168 | 2017-07-17 |
| 1144248907 | Mid-atlantic Anesthesia Consultants, LLC | Anesthesiology | 100 Peyton Way Ste 200, Charleston, WV 25309-8545 | 2006-07-18 |
| 1396776670 | Anesthesia Associates of Charleston, P.a. | Anesthesiology | 125 Doughty St Ste 420, Charleston, SC 29403-5741 | 2006-07-05 |
| 1336756907 | Denovo Pain Management, LLC | Anesthesiology | 1012 Physicians Dr Ste 102, Charleston, SC 29414-5719 | 2020-09-28 |
| 1982065025 | Mid-atlantic Anesthesia Consultants, LLC | Anesthesiology | 100 Peyton Way Ste 200, Charleston, WV 25309-8545 | 2016-03-17 |
| 1962897272 | Alyson Marie Engle | Anesthesiology | 400 Court St Ste 100, Charleston, WV 25301-1652 | 2015-04-02 |
| 1215251921 | Charleston Pain Care, LLC | Anesthesiology | 9263 Medical Plaza Dr, Ste B, Charleston, SC 29406-7112 | 2010-03-24 |
| 1952597551 | Trident Anesthesia Group, LLC | Anesthesiology | 9263 Medical Plaza Dr, Ste B, Charleston, SC 29406-7112 | 2007-09-18 |
| 1881788636 | Russell Jeffrey Seymore | Anesthesiology | 171 Ashley Ave, Charleston, SC 29425-8908 | 2006-10-03 |
| 1831116375 | Center for Pain Relief, Inc. | Anesthesiology | 400 Court St Ste 100, Charleston, WV 25301-1652 | 2006-07-17 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 29414 |
Please comment or provide details below to improve the information on TRIDENT PAIN CENTER P A.
| 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.