Provider Demographics
NPI:1730190380
Name:MCCAIN, RICHARD STERLING (MD)
Entity type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:STERLING
Last Name:MCCAIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1518 PICKENS ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29201-3449
Mailing Address - Country:US
Mailing Address - Phone:803-254-8800
Mailing Address - Fax:803-254-9130
Practice Address - Street 1:1518 PICKENS ST
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29201-3449
Practice Address - Country:US
Practice Address - Phone:803-254-8800
Practice Address - Fax:803-254-9130
Is Sole Proprietor?:No
Enumeration Date:2006-08-10
Last Update Date:2021-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC9517207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC200027758OtherMEDICARE RAILROAD
SC095177Medicaid
SCC606142797Medicare PIN
SC095177Medicaid