Piedmont Interventional Spine and Pain Center, LLC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

PIEDMONT INTERVENTIONAL SPINE AND PAIN CENTER, LLC

Practice address

901 W Meeting St Ste 200
Lancaster, SC 29720-6200

Phone

(803) 289-7246

Fax

(803) 285-1522

NPI assigned

Oct 2, 2006

Organization subpart

No

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

Authorized official

Name

Sanjay Nandurkar, MDNPI 1902905581

Title

Owner

Phone

(803) 289-7246

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC2 enrollments

Enrollment records 2

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EDJCCA

Practitioners 2

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

• Sanjay G. Nandurkar, MD

  • Interventional Pain Medicine Physician
  • Lancaster, SC
  • NPI 1902905581
  Medicare reassignment NPD Authorized official
• Vimal B Choudhari, MD

  • Pain Medicine (Anesthesiology) Physician
  • Lancaster, SC
  • NPI 1790883627
  Medicare reassignment NPD

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678233600000",
    "number": "1508959230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 W MEETING ST STE 200",
            "city": "LANCASTER",
            "state": "SC",
            "postal_code": "297206200",
            "telephone_number": "803-289-7246",
            "fax_number": "803-285-1522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 W MEETING ST STE 200",
            "city": "LANCASTER",
            "state": "SC",
            "postal_code": "297206200",
            "telephone_number": "803-289-7246",
            "fax_number": "803-285-1522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIEDMONT INTERVENTIONAL SPINE AND PAIN CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A",
        "authorized_official_last_name": "NANDURKAR",
        "authorized_official_first_name": "SANJAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-289-7246",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "293275",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anne Margaret Perry, APRN, FNP-BC
• Tracey Mitchell Pesce, RD, LDN
• Courtney Phillips, ARPN
• Kevin John Phillips
• Piedmont Carolinas Radiation Therapy LLC
• Piedmont Pharmacy Asscociates Inc
• Emily Pierce
• Plantation Pointe Dentistry,PA
• Plantation Pointe Surgery and Endoscopy, LLC
• Taylor Platt

• Interventional Pain Medicine Physician in Lancaster, SC
• Providers in Lancaster, SC by specialty
• Interventional Pain Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.