Organization Active NPI

Daniel Pistone MD PA

  • Psychiatry Physician
  • Conway, SC
National Provider Identifier
1801876446
Registry record updated Jul 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
26858 Issued in SC
Legal business name
DANIEL PISTONE MD PA
Practice address
3185 Wildhorse Dr
Conway, SC 29526-7817
Phone
(843) 234-2335
NPI assigned
Jan 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2008

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

Authorized official

Name
Dr. Daniel Nelson Pistone, M.D.NPI 1962405084
Title
Owner
Phone
(843) 234-2335

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X 26858 SC Primary

Addresses

Primary practice location

3185 Wildhorse Dr
Conway, SC 29526-7817

Mailing address

PO Box 656
Tabor City, NC 28463-0656
Phone (843) 234-2335

Other identifiers 5

IdentifierTypeStateIssuer
GP4324MedicaidSC
2003467OtherSCCIGNA
D9836OtherSCMEDCOST
N01445MedicaidSC
9344735OtherSCPRIVATE HEALTHCARE

National Provider Directory

National Provider Directory

Locations

410 Herlong Ave
Ste 105
Rock Hill, SC 29732
Phone (803) 324-7792

200 Oakland Ave
Ste D
Rock Hill, SC 29730
Phone (803) 324-7779

Practitioners & affiliated clinicians

Practitioners 3

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": "1137628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217203200000",
    "number": "1801876446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 656",
            "city": "TABOR CITY",
            "state": "NC",
            "postal_code": "284630656",
            "telephone_number": "843-234-2335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3185 WILDHORSE DR",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295267817",
            "telephone_number": "843-234-2335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL PISTONE MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-19",
        "last_updated": "2008-07-28",
        "status": "A",
        "authorized_official_last_name": "PISTONE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "NELSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-234-2335",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "SC",
            "license": "26858",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP4324",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2003467",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "D9836",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "N01445",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE HEALTHCARE",
            "identifier": "9344735",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2008; 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.