Provider Type Icon

PAIN MEDICINE SPECIALISTS PA NPI 1679118657


NPI Information

NPI: 1679118657
Provider Name: PAIN MEDICINE SPECIALISTS, PA

Doing Business As: DR GISELE J GIRAULT, MD - PAIN MEDICINE SPECIALISTS

Classification: Pain Medicine - 208VP0014X
Entity Type: Organization

Specialization: Interventional Pain Medicine

CLIA Number: 42D2191989

Address:
3410 SUNSET BLVD
WEST COLUMBIA, SC
ZIP 29169
Phone: (803) 791-9200
Get Directions

PAIN MEDICINE SPECIALISTS, PA is an interventional pain medicine pain medicine in West Columbia, SC. The provider is interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. PAIN MEDICINE SPECIALISTS, PA NPI is 1679118657. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Dr Gisele J Girault, Md - Pain Medicine Specialists.

The provider's business location address is:

3410 SUNSET BLVD
WEST COLUMBIA, SC
ZIP 29169-042
Phone: (803) 791-9200
Fax: (803) 791-9207

The provider's authorized official is Courtney Semken .
The authorized official title is Practice Manager and has the following contact phone number (503) 866-1438.

The CLIA number assigned to this NPI record is 42D2191989 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/13/2019 and was last updated on 8/5/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistNo
2207LP2900XAnesthesiologyPain MedicineNo
3208VP0014XPain MedicineInterventional Pain MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1T73364MEDICAIDSOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.