Individual provider Active NPI

Stephen Bryan Pociask, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Rock Hill, SC
National Provider Identifier
1003870593
Registry record updated Oct 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Practice address
1665 Herlong CT
Suite B
Rock Hill, SC 29732-1193
Phone
(877) 524-1083
Fax
(803) 328-6455
NPI assigned
Apr 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X NC Primary

Addresses

Primary practice location

1665 Herlong CT
Suite B
Rock Hill, SC 29732-1193

Mailing address

PO Box 36351
Charlotte, NC 28236-6351
Phone (704) 377-5772

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040813000427 NC Practitioner - Pain ManagementPractitioner - AnesthesiologyPractitioner - Interventional Pain Management 5294708780 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2001-00447NCMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Anesthesiology of North Carolina, PLLC Current Accepting new patients
Advanced Pain Relief Centers Inc Past Accepting new patients
Southeast Pain & Spine Care Specialists, LLC PastSince Dec 22, 2024 Accepting new patients
Southeast Pain Management Services, PLLC Pain Medicine Past Accepting new patients
Loudoun Anesthesia Associates Pain Medicine Past Accepting new patients
Southeast Anesthesiology Consultants of Virginia, PLLC PastSince Apr 18, 2016 Accepting new patients

Locations

4420 Lake Boone Trl
Raleigh, NC 27607
Phone (919) 784-3034

Interoperability endpoints

  • Direct secure messaging: spociask237530@direct.unc.nchie.net
  • FHIR API: https://fhir4.healow.com/fhir/r4/CDEHDD

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193011200000",
    "number": "1003870593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 36351",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282366351",
            "telephone_number": "704-377-5772",
            "fax_number": "704-377-3389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1665 HERLONG CT",
            "address_2": "SUITE B",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297321193",
            "telephone_number": "877-524-1083",
            "fax_number": "803-328-6455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POCIASK",
        "first_name": "STEPHEN",
        "middle_name": "BRYAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-13",
        "last_updated": "2007-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Hill, SC

Sources for this page

Verify at the official NPI Registry.