MIA LASSITER MEDLOCK (NPI# 1518417799) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518417799 |
| Entity Type | Individual |
| Full Name | MIA LASSITER MEDLOCK |
| Credential | PA-C |
| Practice Address |
838 W Meeting St Medical Arts 5 Suite H Lancaster SC 29720 |
| Mailing Address |
838 W Meeting St Medical Arts 5 Suite H Lancaster SC 29720-6233 |
| Practice Telephone | 8032867633 |
| Enumeration Date | 2016-10-11 |
| Last Update Date | 2018-05-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 2619 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 2885PA | 05 |
| Street Address |
838 W MEETING ST MEDICAL ARTS 5 SUITE H |
| City | LANCASTER |
| State | SC |
| Zip Code | 29720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942292172 | George L David Jr. | Surgery | 838 W Meeting St, Ste E, Lancaster, SC 29720 | 2005-08-15 |
| 1760030944 | Laqueena Tyeasha Williams | Physician Assistant | 838 W Meeting St, Lancaster, SC 29720-6233 | 2019-08-30 |
| 1659778579 | Charlotte Eye Ear Nose & Throat Associates, Pa | Otolaryngology | 838 W Meeting St, Suite C, Lancaster, SC 29720-6233 | 2014-11-20 |
| 1508170077 | William A Chinery | Pediatrics | 838 W Meeting St, Suite E, Lancaster, SC 29720-6233 | 2010-07-27 |
| 1477880037 | Lancaster Clinic Corp | Clinic/Center | 838 W Meeting St, Suite A, Lancaster, SC 29720-6233 | 2009-11-03 |
| 1629304068 | Bradlee Allexia Johnson | Specialist | 838 W Meeting St, Suite F, Lancaster, SC 29720 | 2009-10-20 |
| 1528265998 | Mary Camille Hiott Nutter | Family Medicine | 838 W Meeting St, Medical Arts 5 Suite H, Lancaster, SC 29720-6233 | 2007-06-29 |
| 1629184379 | Morphis Pediatric Group of Lancaster, P.a. | Clinic/Center | 838 W Meeting St, Suite A, Lancaster, SC 29720-6233 | 2006-08-22 |
| 1073521605 | Darniya P Belton | Pediatrics | 838 W Meeting St, Suite B, Lancaster, SC 29720-6233 | 2006-08-03 |
| 1164448247 | Center for Urological Diseases At Lancaster | Urology | 838 W Meeting St, Suite E, Lancaster, SC 29720-6233 | 2006-07-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295342517 | Brandi Breunta Guinyard | Pharmacist | 805 Highway 9, Lancaster, SC 29720 | 2020-09-30 |
| 1831703172 | Faithful Nurses Healthcare | In Home Supportive Care | 108 D Woodland Park Drive, Lancaster, NC 29720 | 2020-09-03 |
| 1114568532 | Lancaster Youth Leadership & Development Program | Voluntary or Charitable | 916 15th Street, Lancaster, SC 29720 | 2019-10-07 |
| 1407320815 | Kristina Marie Medinger | Specialist/Technologist | 4290 Tabernacle Rd, Lancaster, SC 29720 | 2019-01-18 |
| 1154898179 | Crystal B Clark | Family Medicine | 112 Woodland Drive, Lancaster, SC 29720 | 2018-10-29 |
| 1104330802 | Community Medicine Foundation, Inc | Clinic/Center | 1906 Highway 521 Bypass, Catawba Community Mental Health Center Lancaster Clinic, Lancaster, SC 29720 | 2017-11-17 |
| 1467992768 | Endocrinology and Diabetes of The Carolinas LLC | Internal Medicine | 901 West Meeting Street, Suite 205, Lancaster, SC 29720 | 2017-03-06 |
| 1285080341 | Carolinas Physicians Network, Inc. | Orthopaedic Surgery | 1201-1203 Colonial Commons Court, Lancaster, SC 29720 | 2016-05-09 |
| 1568827814 | Instride Foot and Ankle Specialists, Pllc | Podiatrist | 1190, Sc-9, Lancaster, SC 29720 | 2015-12-30 |
| 1023491651 | Karen Mcgarvey | Nurse Practitioner | 333 Sc-9 Bypass, Lancaster, SC 29720 | 2015-07-01 |
| Find all providers in zip 29720 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881223022 | Shelly J Kasik | Physician Assistant | 1629 Cloverdale Dr, Lancaster, OH 43130-8109 | 2020-04-08 |
| 1043843550 | Caitlin Lee Evans | Physician Assistant | 618 Pleasantville Rd Ste 202, Lancaster, OH 43130-3346 | 2020-02-13 |
| 1932745999 | Laurice Dominick Ingram | Physician Assistant | 838 W Meeting St Ste H, Lancaster, SC 29720-6261 | 2019-11-25 |
| 1831731629 | Jenna Elizabeth Stover | Physician Assistant | 930 Red Rose Ct Ste 301, Lancaster, PA 17601-1981 | 2019-10-13 |
| 1750939021 | Kayla Nicole Smith | Physician Assistant | 838 W Meeting St Bldg 5, Lancaster, SC 29720-6233 | 2019-08-29 |
| 1548725666 | Simarjeet Singh Manocha | Physician Assistant | 44215 15th St W Ste 315, Lancaster, CA 93534-5505 | 2019-02-02 |
| 1134503782 | Lien B Trinh | Physician Assistant | 2600 W Pleasant Run Rd Ste 340, Lancaster, TX 75146-1114 | 2015-07-14 |
| 1821470659 | Emily Ann Norris | Physician Assistant | 1625 Oregon Pike Ste 102, Lancaster, PA 17601-4335 | 2015-06-29 |
| 1699171843 | Shanna Rutty Beyah | Physician Assistant | 44451 16th St W, Suite #101, Lancaster, CA 93534-2882 | 2014-11-17 |
| 1205236965 | Maria Taylor | Physician Assistant | 555 N Duke Street, Lghp Hospitalists, Lancaster, PA 17602 | 2014-09-01 |
| Find all providers in LANCASTER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.