Organization Active NPI

PM & R Consultants PA

  • Neurological Surgery Physician
  • Spartanburg, SC
National Provider Identifier
1538346309
Registry record updated Sep 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
19477 Issued in SC
Legal business name
PM & R CONSULTANTS PA
Practice address
1060 N Church St
Spartanburg, SC 29303-2796
Phone
(864) 278-6006
Fax
(864) 278-6007
NPI assigned
Jan 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2011

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

Authorized official

Name
Dr. Ashish Gajanan Shanbhag, M.D.
Title
President
Phone
(864) 278-6006

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X 19477 SC Primary

Addresses

Primary practice location

1060 N Church St
Spartanburg, SC 29303-2796

Mailing address

PO Box 6012
Spartanburg, SC 29304-6012
Phone (864) 278-6006

Other identifiers 1

IdentifierTypeStateIssuer
GP3849MedicaidSC

Other names 1

  • Palmetto Spine & Pain Physicians Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1201046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314921600000",
    "number": "1538346309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6012",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293046012",
            "telephone_number": "864-278-6006",
            "fax_number": "864-278-6007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 N CHURCH ST",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293032796",
            "telephone_number": "864-278-6006",
            "fax_number": "864-278-6007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PM & R CONSULTANTS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-23",
        "last_updated": "2011-09-02",
        "status": "A",
        "authorized_official_last_name": "SHANBHAG",
        "authorized_official_first_name": "ASHISH",
        "authorized_official_middle_name": "GAJANAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "864-278-6006",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "SC",
            "license": "19477",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP3849",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palmetto Spine & Pain Physicians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 2, 2011; 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.