NPIMap

Organization Active NPI

Oaktree Medical Centre, PC

Doing business as Pain Managenent Associates

  • Multi-Specialty Clinic/Center
  • Greenville, SC
National Provider Identifier
1083814438
Registry record updated Dec 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
OAKTREE MEDICAL CENTRE, PC
Doing business as
Pain Managenent Associates
Practice address
1005 Grove Rd
Greenville, SC 29605-4630
Phone
(864) 404-3096
Fax
(864) 404-3183
NPI assigned
Jul 24, 2007
Last updated
Dec 21, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2009

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

Authorized official

Name
Dr. Daniel A. McCollum, D.C.
Title
President
Phone
(864) 855-1633

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X NU Primary

Addresses

Primary practice location

1005 Grove Rd
Greenville, SC 29605-4630

Mailing address

PO Box 484
Easley, SC 29641-0484
Phone (864) 855-1633

Other identifiers 1

IdentifierTypeStateIssuer
GP2763MedicaidSC

Other names 1

  • Pain Managenent Associates Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Pickens Family Practice15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7857/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261353600000",
    "number": "1083814438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 484",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296410484",
            "telephone_number": "864-855-1633",
            "fax_number": "864-855-1323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 GROVE RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296054630",
            "telephone_number": "864-404-3096",
            "fax_number": "864-404-3183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKTREE MEDICAL CENTRE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-24",
        "last_updated": "2009-12-21",
        "status": "A",
        "authorized_official_last_name": "MCCOLLUM",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "864-855-1633",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP2763",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pain Managenent Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2009; 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.