Trident Anesthesia Group, Llc

LBN: Trident Anesthesia Group, Llc
Trident Anesthesia Group, Llc is an health care organization with primary practice located at 9263 Medical Plaza Dr. Ste E, Charleston SC 29406-7112. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as the primary health care specialty. Trident Anesthesia Group, Llc can be contacted via phone (843) 572-1228, or through Fishman, Richard L via phone (843) 572-1228.

Contact Information

Primary practice address
9263 Medical Plaza Dr. Ste E Charleston SC 29406-7112
Phone: (843) 572-1228
Fax: (877) 561-7564
Website:
Map and Directions
Authorized official contact:
Name: Fishman, Richard L Doctor of Medicine (MD)
Phone: (843) 572-1228

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X

Profile Details

NPI number 1376595520
LBN Legal business name Trident Anesthesia Group, Llc
DBA Doing business as
Authorized official Fishman, Richard L Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 16th, 2006
Last updated Jun 20th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376595520 NPPES
South Carolina MEDICAID GP0090

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