Sumter Interventional Pain Associates

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

23150 Issued in SC

Legal business name

SUMTER INTERVENTIONAL PAIN ASSOCIATES

Practice address

764 W Liberty St
Ste 3
Sumter, SC 29150-4770

Phone

(803) 774-2570

Fax

(803) 774-2571

NPI assigned

Jan 29, 2007

Organization subpart

No

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

Authorized official

Name

Kamran Z Koranloo, M.D.

Title

M.D.

Phone

(803) 774-2570

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195084800000",
    "number": "1811033822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "764 W LIBERTY ST",
            "address_2": "STE 3",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291504770",
            "telephone_number": "803-774-2570",
            "fax_number": "803-774-2571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "764 W LIBERTY ST",
            "address_2": "STE 3",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291504770",
            "telephone_number": "803-774-2570",
            "fax_number": "803-774-2571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMTER INTERVENTIONAL PAIN ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2007-11-15",
        "status": "A",
        "authorized_official_last_name": "KORANLOO",
        "authorized_official_first_name": "KAMRAN",
        "authorized_official_middle_name": "Z",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "803-774-2570",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "SC",
            "license": "23150",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "231500",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sumter Family Health Center - Administration
• Sumter Family Medicine Associates, P.a.
• Sumter Gastroenterology
• Sumter Hearing Associates
• Sumter Internal Medicine Associates
• Sumter Medical Consultants
• Sumter Medical Specialists PA
• Sumter Medical Supplies Inc
• Sumter N&R, LLC
• Sumter Nephrology LLC

• Pain Medicine (Anesthesiology) Physician in Sumter, SC
• Providers in Sumter, SC by specialty
• Pain Medicine (Anesthesiology) Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2007; 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.