NPIMap

Organization Active NPI

Pain and Spine Consultants PA

  • Pain Medicine Physician
  • Greenville, SC
National Provider Identifier
1184946352
Registry record updated May 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
23453 Issued in SC
Legal business name
PAIN AND SPINE CONSULTANTS PA
Practice address
2076 Woodruff Rd
Greenville, SC 29607-5939
Phone
(864) 373-7246
Fax
(864) 286-3077
NPI assigned
Feb 16, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2014

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

Authorized official

Name
Dr. Aathirayen Thiyagarajah, MDNPI 1962490698
Title
President
Phone
(864) 373-7246

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0000X 23453 SC Primary

Addresses

Primary practice location

2076 Woodruff Rd
Greenville, SC 29607-5939

Mailing address

2076 Woodruff Rd
Greenville, SC 29607-5939
Phone (864) 373-7246

Other identifiers 1

IdentifierTypeStateIssuer
234534MedicaidSC

Other names 1

  • SPINE AND PAIN CARE Doing business as

National Provider Directory

National Provider Directory

Locations

3150 Highway 153
Piedmont, SC 29673
Phone (846) 605-0018

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1266278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399852800000",
    "number": "1184946352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2076 WOODRUFF RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296075939",
            "telephone_number": "864-373-7246",
            "fax_number": "864-286-3077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2076 WOODRUFF RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296075939",
            "telephone_number": "864-373-7246",
            "fax_number": "864-286-3077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN AND SPINE CONSULTANTS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-16",
        "last_updated": "2014-05-12",
        "status": "A",
        "authorized_official_last_name": "THIYAGARAJAH",
        "authorized_official_first_name": "AATHIRAYEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "864-373-7246",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "SC",
            "license": "23453",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "234534",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SPINE AND PAIN CARE",
            "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 May 12, 2014; 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.