Active NPI
Three Rivers Pain Management LLC
- Pain Medicine Physician
- West Columbia, SC
National Provider Identifier
1730355298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- License
- 17489
- Legal business name
- THREE RIVERS PAIN MANAGEMENT LLC
- Practice address
- 169 Medical Cir
Suite a
West Columbia, SC 29169-3655 - Phone
- (803) 454-1661
- Fax
- (803) 454-1660
- NPI assigned
- May 5, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Donna M. Ward
- Title
- Office Manager
- Phone
- (803) 454-1661
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine Physician | 208VP0000X | 17489 | SC | Primary |
Addresses
Primary practice location
169 Medical Cir
Suite a
West Columbia, SC 29169-3655
Mailing address
169 Medical Cir
Suite a
West Columbia, SC 29169-3655
Phone (803) 454-1661
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 17489 | Other | SC | STATE LISCENSE NUMBER |
| 8327 | Other | SC | PROVIDER NUMBER |
National Provider Directory
National Provider DirectoryLocations
169 Medical Cir
#A
West Columbia, SC 29169
Phone (803) 454-1661
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209945600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1328745600000",
"number": "1730355298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "169 MEDICAL CIR",
"address_2": "SUITE A",
"city": "WEST COLUMBIA",
"state": "SC",
"postal_code": "291693655",
"telephone_number": "803-454-1661",
"fax_number": "803-454-1660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "169 MEDICAL CIR",
"address_2": "SUITE A",
"city": "WEST COLUMBIA",
"state": "SC",
"postal_code": "291693655",
"telephone_number": "803-454-1661",
"fax_number": "803-454-1660"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THREE RIVERS PAIN MANAGEMENT LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-05",
"last_updated": "2012-02-09",
"status": "A",
"authorized_official_last_name": "WARD",
"authorized_official_first_name": "DONNA",
"authorized_official_middle_name": "M.",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "803-454-1661",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "208VP0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pain Medicine, Pain Medicine",
"state": "SC",
"license": "17489",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LISCENSE NUMBER",
"identifier": "17489",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVIDER NUMBER",
"identifier": "8327",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in West Columbia, SC
- Three Rivers Behavioral Health LLC
- Three Rivers Behavioral Health LLC
- Three Rivers Behavioral Health LLC
- Three Rivers Midlands
- Three Rivers Pain Management
- Three Rivers Residential Treatment Midlands Campus
- Three Rivers Residential Treatment Midlands Campus, Inc.
- Saahil Thukral, DO
- Tyler J Thurston, PT
- Tidewater Home Health, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.