WACCAMAW PAIN GROUP, LLC - NPI NUMBER 1780940312

Summary

Provider Name: WACCAMAW PAIN GROUP, LLC

NPI Number: 1780940312

Clasification: Anesthesiology (207L00000X)

Address:
4040 HIGHWAY 17 BYPASS
SUITE 206
MURRELLS INLET, SC
ZIP 29576

Phone Number: (843) 652-8260



Detailed Information

WACCAMAW PAIN GROUP, LLC is an anesthesiologist in Murrells Inlet, SC. The provider is an anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. The assigned NPI number for this provider is 1780940312 and is registered as an organization entity type and is a multi-specialty group.

The provider's business address is:

4040 HIGHWAY 17 BYPASS
SUITE 206
MURRELLS INLET, SC
ZIP 29576-033
Phone: (843) 652-8260

The provider's authorized official is Rick Kaylor .
The authorized official title is Authorized Representative and has the following contact phone number (843) 652-1100.

The enumeration date for this NPI number is 4/9/2012 and was last updated on 4/9/2012.

Map - Location of Practice

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Taxonomy Codes

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 207L00000X Anesthesiology Yes

NPI Record

No. Field Name Field Value
1 NPI 1780940312
2 Entity Type Code 2
3 Employer Identification Number EIN
4 Provider Organization Name Legal Business Name WACCAMAW PAIN GROUP, LLC
5 Provider First Line Business Practice Location Address 4040 HIGHWAY 17 BYPASS
6 Provider Second Line Business Practice Location Address SUITE 206
7 Provider Business Practice Location Address City Name MURRELLS INLET
8 Provider Business Practice Location Address State Name SC
9 Provider Business Practice Location Address Postal Code 295765033
10 Provider Business Practice Location Address Country Code If outside U S US
11 Provider Business Practice Location Address Telephone Number 8436528260
12 Provider Enumeration Date 4/9/2012
13 Last Update Date 4/9/2012
14 Authorized Official Last Name KAYLOR
15 Authorized Official First Name RICK
16 Authorized Official Title or Position AUTHORIZED REPRESENTATIVE
17 Authorized Official Telephone Number 8436521100
18 Healthcare Provider Taxonomy Code 1 207L00000X
19 Healthcare Provider Primary Taxonomy Switch 1 Y
20 Is Organization Subpart N
21 Healthcare Provider Taxonomy Group 1 193200000X MULTI-SPECIALTY GROUP

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This page was last updated on: 7/15/2014
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.