DR. CHANNING DALE WILLOUGHBY (NPI# 1235336421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235336421 |
| Entity Type | Individual |
| Full Name | DR. CHANNING DALE WILLOUGHBY |
| Credential | MD |
| Practice Address |
4040 Highway 17 Suite206 Murrells Inlet SC 29576-5098 |
| Mailing Address |
Po Box 1209 Murrells Inlet SC 29576-1209 |
| Practice Telephone | 8436528260 |
| Practice Fax Number | 8436528269 |
| Mailing Telephone | 8436528220 |
| Mailing Fax Number | 8435208365 |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2016-04-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
33509 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | STATE MEDICAL LICENSE | 33509 | 01 |
| Street Address |
4040 HIGHWAY 17 SUITE206 |
| City | MURRELLS INLET |
| State | SC |
| Zip Code | 29576-5098 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164489761 | Daniel J Single | Orthopaedic Surgery | 4040 Highway 17, Suite 101, Murrells Inlet, SC 29576-5098 | 2006-04-27 |
| 1528593233 | Jennifer Marie Dickerson | Physician Assistant | 4040 Highway 17, Suite 206, Murrells Inlet, SC 29576-5098 | 2017-05-01 |
| 1679944839 | Bryce Edward Paull | Physician Assistant | 4040 Highway 17, Suite 101, Murrells Inlet, SC 29576-5098 | 2015-10-14 |
| 1467837369 | Carrie Suzanne Gwyer | Nurse Practitioner | 4040 Highway 17, Suite 302, Murrells Inlet, SC 29576-5098 | 2015-07-21 |
| 1295113207 | Georgetown Physician Associates, LLC | Clinic/Center | 4040 Highway 17, Suite 105, Murrells Inlet, SC 29576 | 2015-05-11 |
| 1851705206 | Georgetown Physician Associates, LLC | Orthopaedic Surgery | 4040 Highway 17, Suite 101, Murrells Inlet, SC 29576 | 2014-06-13 |
| 1982998100 | Mark Leslie Witkowski | Surgery | 4040 Highway 17, Suite 202, Murrells Inlet, SC 29576-5098 | 2011-06-06 |
| 1053638973 | Rebecca Ann Turner | Nurse Practitioner | 4040 Highway 17, Suite 302, Murrells Inlet, SC 29576-5098 | 2010-05-02 |
| 1821313057 | Christopher Tran Bach | Internal Medicine | 4040 Highway 17, Suite 302, Murrells Inlet, SC 29576-5098 | 2010-03-31 |
| 1679602551 | Todd Richard Rowland | Physical Medicine & Rehabilitation | 4040 Highway 17, Suite 101, Murrells Inlet, SC 29576-5098 | 2007-03-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619577665 | Mobilityworks, LLC | Durable Medical Equipment & Medical Supplies | 11816 Frontage Rd., Murrells Inlet, SC 29576 | 2020-10-29 |
| 1457986267 | Seaside Eye Associates South LLC | Optometrist | 640 Morse Ave, Unit 11, Murrells Inlet, SC 29576 | 2020-03-12 |
| 1710443833 | Sirach Health Professional Limited Liability Company | Physical Medicine & Rehabilitation | 4070 Us Highway 17 Bypass South, Murrells Inlet, SC 29576 | 2019-02-13 |
| 1801350871 | Doctors Care, P.a. | Emergency Medicine | 12015 Highway 707, Murrells Inlet, SC 29576 | 2019-01-24 |
| 1568949154 | Melanie Lewis | Physical Therapist | 2586 Hwy 17 Business S, Murrells Inlet, SC 29576 | 2018-07-26 |
| 1528550035 | Lauren Munck | Family Medicine | Tidelands Waccamaw Community Hospital, 4070 Highway 17, Murrells Inlet, SC 29576 | 2018-05-31 |
| 1003312521 | Myrtle Beach Rehabilitation Hospital, LLC | Rehabilitation Hospital | 4070 Hwy 17 Bypass South, Murrells Inlet, SC 29576 | 2018-04-03 |
| 1467952218 | Jamaica E Alston | Student in an Organized Health Care Education/Training Program | 14 Ambassador Lane, Murrells Inlet, SC 29576 | 2018-02-19 |
| 1891209227 | Caleb Sims Whitney | Physical Medicine & Rehabilitation | 10800 Sc 707, Murrells Inlet, SC 29576 | 2017-11-21 |
| 1043720964 | Chartwell Durable Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 671 Jamestown Drive, Suite 104, Murrells Inlet, SC 29576 | 2017-10-05 |
| Find all providers in zip 29576 | ||||
| Taxonomy Code | 208VP0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Pain Medicine |
| Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient’s pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies. |
| Notes: Source: American Academy of Pain Medicine, www.painmed.org - Additional Resources:The American Board of Pain Medicine provides Board Certification. |
| 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 |
| 1295381291 | Palmetto Bone and Joint | Pain Medicine | 104 Ellett Road, Chapin, SC 29036 | 2019-08-15 |
| 1104472109 | Palmetto Bone and Joint | Pain Medicine | Palmetto Bone and Joint, 2605 Kinard St Suite 105, Newberry, SC 29108 | 2019-08-15 |
| 1497128045 | Compass Pain Care LLC | Pain Medicine | 706 Arcadian Way, Charleston, SC 29407-7109 | 2015-11-04 |
| 1194138255 | Trident Pain Center | Pain Medicine | 302 Medical Park Dr Ste 207a, Walterboro, SC 29488-5749 | 2014-06-06 |
| 1679991301 | Hospice & Palliative Care Charlotte Region | Pain Medicine | 1057 Red Ventures Dr, Suite 150, Fort Mill, SC 29707-5001 | 2014-03-31 |
| 1508009614 | Pee Dee Pain Care, LLC | Pain Medicine | 552 W Carolina Ave, Hartsville, SC 29550-5412 | 2009-04-20 |
| 1710151808 | George Calhoun Aycock Jr. | Pain Medicine | 377 Rast St, Sumter, SC 29150-2583 | 2008-04-18 |
| 1356546162 | Leanne Y Watkins | Pain Medicine | 1350 Parkway, Greenwood, SC 29646-3860 | 2007-06-20 |
| Find all providers with the same taxonomy | ||||
| City | MURRELLS INLET |
| Zip Code | 29576 |
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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.