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TRIDENT ANESTHESIA GROUP LLC NPI 1952597551


NPI Information

NPI: 1952597551
Provider Name: TRIDENT ANESTHESIA GROUP, LLC

Doing Business As: PAIN CARE PHYSICIANS OF CHARLESTON, LLC

Classification: Anesthesiology - 207LP2900X
Entity Type: Organization

Specialization: Pain Medicine

Address:
9263 MEDICAL PLAZA DR
STE B
CHARLESTON, SC
ZIP 29406
Phone: (843) 414-1224
Get Directions

TRIDENT ANESTHESIA GROUP, LLC is a pain medicine anesthesiology in Charleston, SC. The provider is an anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. TRIDENT ANESTHESIA GROUP, LLC NPI is 1952597551. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Pain Care Physicians Of Charleston, Llc.

The provider's business location address is:

9263 MEDICAL PLAZA DR
STE B
CHARLESTON, SC
ZIP 29406-112
Phone: (843) 414-1224
Fax: (843) 414-1226

The provider's authorized official is Richard L Fishman .
The authorized official title is Partner/medical Director and has the following contact phone number (843) 414-1224.

The enumeration date for this NPI number is 9/18/2007 and was last updated on 7/19/2012.


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 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
13605MEDICARE UPINSOUTH CAROLINA
2GP0090MEDICAIDSOUTH CAROLINA
3GP4750MEDICAIDSOUTH CAROLINA
48840MEDICARE UPINSOUTH 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

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