NPIMap

Organization Active NPI

Pain Medicine Specialists, PA

  • Interventional Pain Medicine Physician
  • West Columbia, SC
National Provider Identifier
1679118657
Registry record updated Aug 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
PAIN MEDICINE SPECIALISTS, PA
Practice address
3410 Sunset Blvd
West Columbia, SC 29169-3042
Phone
(803) 791-9200
Fax
(803) 791-9207
NPI assigned
Nov 13, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2020

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

Authorized official

Name
Ms. Courtney Semken
Title
Practice Manager
Phone
(503) 866-1438

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X
Pain Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LP2900X
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0014X Primary

Addresses

Primary practice location

3410 Sunset Blvd
West Columbia, SC 29169-3042

Mailing address

1750 Highway 160 West
Suite 101#319
Fort Mill, SC 29708-1759
Phone (803) 802-7100

Other identifiers 1

IdentifierTypeStateIssuer
T73364MedicaidSC

Other names 1

  • Dr Gisele J Girault, MD - Pain Medicine Specialists Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200514002528 SC Part B Supplier - Clinic/Group Practice 6709217383 Receives reassigned benefits from 8 practitioners
Practice locations: Columbia, SC

National Provider Directory

National Provider Directory

Locations

1750 Highway 160 W
Ste 319
Fort Mill, SC 29708

1750 Highway 160 W
Fort Mill, SC 29708
Phone (803) 396-0450

1750 Highway 160 W
Ste 101319
Fort Mill, SC 29708

342 Patricia Ln
Ste 102
Fort Mill, SC 29708
Phone (803) 620-1822

Interoperability endpoints

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

Practitioners & affiliated clinicians

Practitioners 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1573603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596585600000",
    "number": "1679118657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 HIGHWAY 160 WEST",
            "address_2": "SUITE 101#319",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297081759",
            "telephone_number": "803-802-7100",
            "fax_number": "803-802-8378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3410 SUNSET BLVD",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291693042",
            "telephone_number": "803-791-9200",
            "fax_number": "803-791-9207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN MEDICINE SPECIALISTS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-13",
        "last_updated": "2020-08-05",
        "certification_date": "2020-08-05",
        "status": "A",
        "authorized_official_last_name": "SEMKEN",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "503-866-1438",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "T73364",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr Gisele J Girault, MD - Pain Medicine Specialists",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dr Gisele J Girault, MD - Pain Medicine Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2020; 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.