SK Pain Medicine, PLLC

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

2009-01151 Issued in NC

Legal business name

SK PAIN MEDICINE, PLLC

Practice address

7780 Brier Creek Pkwy
Ste. 200
Raleigh, NC 27617-7849

Phone

(919) 596-3400

Fax

(919) 596-3499

NPI assigned

Feb 21, 2012

Last updated

Feb 21, 2012By the provider in NPPES

Organization subpart

Yes

Parent organization

BRIER CREEK INTEGRATED PAIN & SPINEAs reported in NPPES

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

Authorized official

Name

Demetrius Hardison

Title

Practice Manager

Phone

(919) 596-3400

Specialties & licenses 1

Addresses

Part of

Brier Creek Integrated Pain

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Brier Creek Integrated Pain & Spine PLLC

  • Medical Specialty Clinic/Center
  • Raleigh, NC
  • NPI 1538352760
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robin Wilcox, FNP

  • Nurse Practitioner
  • Wilmington, NC
  • NPI 1629587589
  NPD

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

{
    "created_epoch": "1329782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329782400000",
    "number": "1023381175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7780 BRIER CREEK PKWY",
            "address_2": "STE. 200",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276177849",
            "telephone_number": "919-596-3400",
            "fax_number": "919-596-3499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7780 BRIER CREEK PKWY",
            "address_2": "STE. 200",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276177849",
            "telephone_number": "919-596-3400",
            "fax_number": "919-596-3499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SK PAIN MEDICINE, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BRIER CREEK INTEGRATED PAIN & SPINE",
        "enumeration_date": "2012-02-21",
        "last_updated": "2012-02-21",
        "status": "A",
        "authorized_official_last_name": "HARDISON",
        "authorized_official_first_name": "DEMETRIUS",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "919-596-3400"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NC",
            "license": "2009-01151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Six Forks Rescue Squad, Inc.
• Emma Marie Sizemore
• Jane Sizemore, OTR/L
• Henrik Andreas Sjoberg, PHARMD, RPH
• SJV 1 Raleigh Opco LLC (Sunrise of Raleigh)
• Leigh Mary Skehan, AG-ACNP
• Kimberly Dawn Skelton, PTA
• Skills Management Group, Inc
• Cristian Blake Skinner, DO, PHD, ABPN
• Ericka Christine Skinner, LPCA

• Pain Medicine (Anesthesiology) Physician in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Pain Medicine (Anesthesiology) Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.