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CHARLES SHANE DANIELS MD NPI 1710167168


NPI Information

NPI: 1710167168
Provider Name: CHARLES SHANE DANIELS, MD
Classification: Pain Medicine - 208VP0014X
Entity Type: Individual

Specialization: Interventional Pain Medicine

PECOS Registration: Yes

Address:
4130 OLEANDER DR STE 100
WILMINGTON, NC
ZIP 28403
Phone: (910) 338-3494
Get Directions

Charles Shane Daniels, MD is an interventional pain medicine pain medicine in Wilmington, NC with 20 years of experience. 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. Charles Shane Daniels, MD NPI is 1710167168. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Graduation Year:2004

The provider's business location address is:

4130 OLEANDER DR STE 100
WILMINGTON, NC
ZIP 28403-844
Phone: (910) 338-3494
Fax: (910) 338-0860

The NPI 1710167168 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection, dexamethasone sodium phosphate, 1 mg (HCPCS:J1100)
  • Destruction of lower or sacral spinal facet joint nerves using imaging guidance (HCPCS:64635)
  • Testing for presence of drug (HCPCS:80305)
  • Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance (HCPCS:64483)

The enumeration date for this NPI number is 11/13/2007 and was last updated on 1/8/2024.


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
1207LP2900XAnesthesiologyPain Medicine2023-01908NORTH CAROLINANo
2208100000XPhysical Medicine & RehabilitationA94985CALIFORNIANo
3208VP0000XPain MedicinePain Medicine2023-01908NORTH CAROLINANo
4208VP0014XPain MedicineInterventional Pain Medicine2023-01908NORTH CAROLINAYes

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.