DR. ROBERT L. DETERS MD NPI 1942294004

NPI Information

NPI: 1942294004
Provider Name: DR. ROBERT L. DETERS, MD
Classification: Pain Medicine - 208VP0014X
Entity Type: Individual

Specialization: Interventional Pain Medicine

PECOS Registration: Yes

Address:
222 EAST MEDICAL LANE
SUITE 200
WEST COLUMBIA, SC
ZIP 29169
Phone: (803) 935-8410
Get Directions

DR. Robert L. Deters, MD 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. DR. Robert L. Deters, MD NPI is 1942294004. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

222 EAST MEDICAL LANE
SUITE 200
WEST COLUMBIA, SC
ZIP 29169-801
Phone: (803) 935-8410
Fax: (803) 936-7816

The NPI 1942294004 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 enumeration date for this NPI number is 9/6/2005 and was last updated on 10/27/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208100000X	Physical Medicine & Rehabilitation		78809	MASSACHUSETTS	No
2	2081P2900X	Physical Medicine & Rehabilitation	Pain Medicine	78809	MASSACHUSETTS	No
3	2081P2900X	Physical Medicine & Rehabilitation	Pain Medicine	11526	NEW HAMPSHIRE	No
4	208VP0014X	Pain Medicine	Interventional Pain Medicine	81664	SOUTH CAROLINA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	110053869A	MEDICAID	MASSACHUSETTS
2	30201961	MEDICAID	NEW HAMPSHIRE
3	3118916	MEDICAID	MASSACHUSETTS
4	80667	OTHER	NEW HAMPSHIRE	CIGNA
5	M20928	OTHER		MEDICARE GROUP

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

NPI Synchronization or Removal

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