Carolina Spine and Sport Rehabiliatation Specialist,P.a.

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

License

918 Issued in SC

Legal business name

CAROLINA SPINE AND SPORT REHABILIATATION SPECIALIST,P.A.

Practice address

763 Travelers Blvd Ste D
Summerville, SC 29485-8796

Phone

(843) 569-5421

Fax

(843) 569-5973

NPI assigned

May 19, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Nancy Rose Lembo, M.D.NPI 1154388064

Title

Owner

Phone

(843) 569-5421

Specialties & licenses 1

Addresses

Other names 1

• Carolian Spine and Sport Rehabilitation Specialists,P.A. Former legal business name

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 1

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

• Nancy Rose Lembo, D.O.

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Summerville, SC
  • NPI 1154388064
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455235200000",
    "number": "1770740664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "763 TRAVELERS BLVD STE D",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294858796",
            "telephone_number": "843-569-5421",
            "fax_number": "843-569-5973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "763 TRAVELERS BLVD STE D",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294858796",
            "telephone_number": "843-569-5421",
            "fax_number": "843-569-5973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA SPINE AND SPORT REHABILIATATION SPECIALIST,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-19",
        "last_updated": "2016-02-12",
        "status": "A",
        "authorized_official_last_name": "LEMBO",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-569-5421",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "SC",
            "license": "918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carolian Spine and Sport Rehabilitation Specialists,P.A.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Keith A Carothers
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• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Summerville, SC
• Providers in Summerville, SC by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2016; 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.