Pain Care Physicians Of Charleston, Llc

LBN: Trident Anesthesia Group, Llc
Pain Care Physicians Of Charleston, Llc is an health care organization with primary practice located at 9263 Medical Plaza Dr Ste B, Charleston SC 29406-7112. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as the primary health care specialty. Trident Anesthesia Group, Llc can be contacted via phone (843) 414-1224, or through Fishman, Richard L via phone (843) 414-1224.

Contact Information

Primary practice address
9263 Medical Plaza Dr Ste B Charleston SC 29406-7112
Fax: (843) 414-1226
Website:
Authorized official contact:
Name: Fishman, Richard L Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X

Profile Details

NPI number 1952597551
LBN Legal business name Trident Anesthesia Group, Llc
DBA Doing business as Pain Care Physicians Of Charleston, Llc
Authorized official Fishman, Richard L Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 18th, 2007
Last updated Jul 19th, 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 1952597551 NPPES
South Carolina MEDICAID GP4750
South Carolina MEDICAID GP0090

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