Carolinas Center for Advanced Management of Pain, PA

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

184375 Issued in SC

Legal business name

CAROLINAS CENTER FOR ADVANCED MANAGEMENT OF PAIN, PA

Practice address

10 Enterprise Blvd Ste 201
Greenville, SC 29615-3554

Phone

(864) 295-9609

Fax

(864) 295-2337

NPI assigned

Jan 11, 2010

Last updated

Jan 10, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Y Eugene Mironer, DO

Title

Managing Partner

Phone

(864) 583-0053

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1263168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578614400000",
    "number": "1043540222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6130",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293046130",
            "telephone_number": "864-583-0053",
            "fax_number": "864-583-0390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 ENTERPRISE BLVD STE 201",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296153554",
            "telephone_number": "864-295-9609",
            "fax_number": "864-295-2337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINAS CENTER FOR ADVANCED MANAGEMENT OF PAIN, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-11",
        "last_updated": "2020-01-10",
        "certification_date": "2020-01-10",
        "status": "A",
        "authorized_official_last_name": "MIRONER",
        "authorized_official_first_name": "Y EUGENE",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "864-583-0053",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "SC",
            "license": "184375",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP2967",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carolina Spine & Health Inc.
• Carolina Spine & Rehab LLC
• Carolina Urgent Dental Care
• Carolina Vein Care and Aesthetics, LLC (Carolina Vein Care Aesthetics, LLC)
• Carolina's Eye Care, P.a.
• Carolinas Center for Dental Implants (Envision Dental Implant Centers)
• Carolinas Fertility Institute, P.a.
• Carolinas Medical Center (Sanger Heart & Vascular Institute Heart Failure & Transplant Greenvill)
• Caroline Price Dermatology, PA
• Carol A Caron, MA

• Pain Medicine (Anesthesiology) Physician in Greenville, SC
• Providers in Greenville, SC by specialty
• Pain Medicine (Anesthesiology) Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2020; 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.