SPINE-PAIN CENTER, LLC (NPI# 1255856878) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255856878 |
| Entity Type | Organization |
| Organization Name | SPINE-PAIN CENTER, LLC |
| Other Organization Name | SPINE PAIN CENTER NORTH CHARLESTON |
| Practice Address |
5633 Rivers Ave North Charleston SC 29406-6022 |
| Practice Telephone | 4406535973 |
| Enumeration Date | 2017-08-04 |
| Last Update Date | 2017-08-04 |
| Authorized Official Name | MR. GREG SCHMITZ JR. (CREDENTIALING SUPERVISOR) |
| Authorized Official Telephone | 4406535973 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | Chiropractic Providers |
| Other Name | Type Code |
|---|---|
| SPINE PAIN CENTER NORTH CHARLESTON | Doing Business As Name - Organization |
| Street Address |
5633 RIVERS AVE |
| City | NORTH CHARLESTON |
| State | SC |
| Zip Code | 29406-6022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629543699 | April Middleton | Massage Therapist | 5633 Rivers Ave, North Charleston, SC 29406 | 2018-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023622289 | Sara Desmarais | Physical Therapist | 2760 Tricom St, North Charleston, SC 29406 | 2020-09-04 |
| 1669036448 | Pink Elephant Autism Project | In Home Supportive Care | 8738 Red Oak Drive, Charleston, SC 29406 | 2019-04-26 |
| 1083171185 | Medical University Hospital Authority | Pharmacy | 2250 Mall Drive, North Charleston, SC 29406 | 2019-02-25 |
| 1336627371 | Truesdale Medical Center LLC | Internal Medicine | 6296 Rivers Ave., Suite 310, N. Charleston, SC 29406 | 2018-08-01 |
| 1164914552 | Amanda R Dipiazza | Nurse Anesthetist, Certified Registered | 9330 Medical Plaza Dr Ste E, Charleston, SC 29406 | 2018-06-01 |
| 1982148490 | Trident Medical Center | Psychiatric Hospital | 9225 C Medical Plaza Drive, Charleston, SC 29406 | 2016-12-19 |
| 1649726217 | First Choice Counseling Services, LLC | Community/Behavioral Health | 2245 Greenridge Rd., Unit#414, North Charleston, SC 29406 | 2016-09-01 |
| 1821443896 | Liberty Doctors, LLC | Family Medicine | 9275 D Medical Plaza Dr., North Charleston, SC 29406 | 2016-04-27 |
| 1174984645 | Ashia George | Developmental Therapist | 6650 Rivers Avenue, Ste 100, Charleston, SC 29406 | 2016-03-11 |
| 1023488582 | Etta Smith | Counselor | 2470 Mall Dr Unit Cd, North Charleston, SC 29406 | 2015-09-28 |
| Find all providers in zip 29406 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467097600 | Shaun Anson | Chiropractor | 5150 Ashley Phosphate Rd, North Charleston, SC 29418-2839 | 2019-11-12 |
| 1215588132 | Michael Krueger | Chiropractor | 5750 Rivers Ave Ste A, North Charleston, SC 29406-6029 | 2019-09-23 |
| 1215418835 | Complete Chiropractic, PC | Chiropractor | 2409 Mall Dr Ste C, North Charleston, SC 29406-6506 | 2018-08-22 |
| 1952844797 | Morgan Iloncaie | Chiropractor | 2070 Northbrook Blvd Ste B5, North Charleston, SC 29406-9254 | 2016-11-28 |
| 1548712656 | Coastal Spine and Sport, LLC | Chiropractor | 7509 Northside Dr, Suite B, North Charleston, SC 29420-4211 | 2016-10-25 |
| 1003265828 | Health Edge Laser LLC | Chiropractor | 4965 Centre Pointe Dr. Suite 100, North Charleston, SC 29418 | 2016-06-13 |
| 1881947919 | Joshua Bruce Headley | Chiropractor | 5122 North Rhett Avenue, North Charleston, SC 29405-4240 | 2012-10-26 |
| 1811267925 | Body Chiropractic | Chiropractor | 7671 Northwoods Blvd Ste G, North Charleston, SC 29406-4058 | 2012-01-05 |
| 1891948535 | Dr. Carolyn Hunter Professional Corporation | Chiropractor | 2102 Otranto Blvd., North Charleston, SC 29406 | 2008-10-28 |
| 1093905366 | Michael Tresnicky | Chiropractor | 5401 Netherby Ln Ste 201, North Charleston, SC 29420-7363 | 2007-08-01 |
| Find all providers in NORTH CHARLESTON | ||||
| City | NORTH CHARLESTON |
| Zip Code | 29406 |
Please comment or provide details below to improve the information on SPINE-PAIN CENTER, LLC.
| 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.