NPIMap

Organization Active NPI

Pain Management Assocciates

  • Interventional Pain Medicine Physician
  • Spartanburg, SC
National Provider Identifier
1437413887
Registry record updated Jun 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
PAIN MANAGEMENT ASSOCCIATES
Practice address
138 Dillon Dr
Spartanburg, SC 29307-1018
Phone
(864) 573-2146
Fax
(864) 573-2644
NPI assigned
Jun 30, 2012
Last updated
Jun 30, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
OAKTREE MEDICAL CENTREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 30, 2012

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X
Neurology Physician 2084N0400X
Interventional Pain Medicine Physician 208VP0014X Primary

Addresses

Primary practice location

138 Dillon Dr
Spartanburg, SC 29307-1018

Mailing address

PO Box 484
Easley, SC 29641-0484
Phone (864) 343-2631

Other identifiers 1

IdentifierTypeStateIssuer
GP2763MedicaidSC

National Provider Directory

National Provider Directory
Tax ID family
Oaktree Medical Centre15 organizations share this tax ID, including this one
Part of
Oaktree Medical Centre

Other organizations with this tax ID 14

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

View all 14

Locations

138 Dillon Dr
Spartanburg, SC 29307
Phone (864) 573-2146

NPI Registry JSON

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

{
    "created_epoch": "1341014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341014400000",
    "number": "1437413887",
    "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": "864-343-2631",
            "fax_number": "864-855-1323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 DILLON DR",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293071018",
            "telephone_number": "864-573-2146",
            "fax_number": "864-573-2644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN MANAGEMENT ASSOCCIATES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OAKTREE MEDICAL CENTRE",
        "enumeration_date": "2012-06-30",
        "last_updated": "2012-06-30",
        "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": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP2763",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spartanburg, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.