Organization Active NPI

Neurology and Pain Clinic LLC

  • Neurology Physician
  • Orangeburg, SC
National Provider Identifier
1124051396
Registry record updated Nov 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
NEUROLOGY AND PAIN CLINIC LLC
Practice address
2850 Pelham CT
Orangeburg, SC 29118-1400
Phone
(803) 531-8500
Fax
(803) 533-5585
NPI assigned
Jul 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2012

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

Authorized official

Name
Dr. Mohammed I Alhatou, M.D.
Title
Owner
Phone
(803) 531-8500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X SC Primary

Addresses

Primary practice location

2850 Pelham CT
Orangeburg, SC 29118-1400

Mailing address

2850 Pelham CT
Orangeburg, SC 29118-1400
Phone (803) 531-8500

National Provider Directory

National Provider Directory

Locations

2850 Pelham Ct
Orangeburg, SC 29118
Phone (803) 395-3737

3000 Saint Matthews Rd
Orangeburg, SC 29118
Phone (803) 395-2200

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352332800000",
    "number": "1124051396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 PELHAM CT",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291181400",
            "telephone_number": "803-531-8500",
            "fax_number": "803-533-5585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 PELHAM CT",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291181400",
            "telephone_number": "803-531-8500",
            "fax_number": "803-533-5585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROLOGY AND PAIN CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2012-11-08",
        "status": "A",
        "authorized_official_last_name": "ALHATOU",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-531-8500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orangeburg, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.