Active NPI
Trident Pain Center P a
- Pain Medicine (Anesthesiology) Physician
- Columbia, SC
National Provider Identifier
1104468594
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- Legal business name
- TRIDENT PAIN CENTER P A
- Practice address
- 120 Highland Center Dr
Columbia, SC 29203-9127 - Phone
- (843) 797-3636
- Fax
- (843) 797-3637
- NPI assigned
- Oct 17, 2019
- Organization subpart
- Yes
- Parent organization
- TRIDENT PAIN CENTER LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joseph Edward Nolan, MD
- Title
- Medical Director
- Phone
- (843) 797-3636
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | Primary |
Addresses
Primary practice location
120 Highland Center Dr
Columbia, SC 29203-9127
Mailing address
9267 Medical Plaza Dr Ste G
North Charleston, SC 29406-9139
Phone (843) 797-3636
National Provider Directory
National Provider Directory- Part of
- Trident Pain Center LLC
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571270400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1710720000000",
"number": "1104468594",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9267 MEDICAL PLAZA DR STE G",
"city": "NORTH CHARLESTON",
"state": "SC",
"postal_code": "294069139",
"telephone_number": "843-797-3636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 HIGHLAND CENTER DR",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292039127",
"telephone_number": "843-797-3636",
"fax_number": "843-797-3637"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRIDENT PAIN CENTER P A",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "TRIDENT PAIN CENTER LLC",
"enumeration_date": "2019-10-17",
"last_updated": "2024-03-18",
"certification_date": "2024-03-18",
"status": "A",
"authorized_official_last_name": "NOLAN",
"authorized_official_first_name": "JOSEPH",
"authorized_official_middle_name": "EDWARD",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "843-797-3636",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology, Pain Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.