CENTA MEDICAL GROUP PA (NPI# 1881626133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881626133 |
| Entity Type | Organization |
| Organization Name | CENTA MEDICAL GROUP PA |
| Practice Address |
157 Corley Mill Rd Lexington SC 29072 |
| Practice Telephone | 8032562483 |
| Practice Fax Number | 8037994624 |
| Mailing Telephone | 8032562483 |
| Mailing Fax Number | 8037994624 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2014-07-21 |
| Authorized Official Name | JANE M. ALBRIGHT (CREDENTIALING) |
| Authorized Official Telephone | 8035205448 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | PA1382 | 05 | |
| RAILROAD MEDICARE | DC6996 | 01 | |
| SC | MEDICAID AUDIOLOGY GRP NUMBER | GP4644 | 01 |
| Street Address |
157 CORLEY MILL RD |
| City | LEXINGTON |
| State | SC |
| Zip Code | 29072 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811938830 | Jonathan D King | Otolaryngology | 157 Corley Mill Rd, Ste 510, Lexington, SC 29072-7600 | 2006-06-09 |
| 1679132450 | Leanne Morgan Browning | Audiologist | 157 Corley Mill Rd, Lexington, SC 29072-7600 | 2019-06-06 |
| 1083270912 | Prima Dorothy Ray | Physician Assistant | 157 Corley Mill Rd, Lexington, SC 29072-7600 | 2019-05-16 |
| 1588037584 | Matthew J Clements | Physician Assistant | 157 Corley Mill Rd, Lexington, SC 29072-7600 | 2015-11-12 |
| 1174906804 | Jessica Holt | Audiologist | 157 Corley Mill Rd, Lexington, SC 29072-7600 | 2015-06-30 |
| 1790178200 | Valerie Bradley Dantzler | Nurse Practitioner | 157 Corley Mill Rd, Lexington, SC 29072-7600 | 2015-03-08 |
| 1063825974 | Stephanie Bergeron | Audiologist | 157 Corley Mill Rd, Lexington, SC 29072-7600 | 2014-06-09 |
| 1306106794 | Aaron Michael Hilton | Otolaryngology | 157 Corley Mill Rd, Lexington, SC 29072-7600 | 2012-05-21 |
| 1598842189 | John Cameron Kirchner | Otolaryngology | 157 Corley Mill Rd, Lexington, SC 29072-7600 | 2006-11-01 |
| 1417990672 | Horace E Beasley | Audiologist | 157 Corley Mill Rd, Lexington, SC 29072-7600 | 2006-06-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700484821 | Grace Physicians Services | Clinic/Center | 1483 Old Cherokee Road, Lexington, SC 29072 | 2020-10-12 |
| 1750995007 | Trinity Health and Wellness | Clinic/Center | 1483 Old Cherokee Rd, Lexington, SC 29072 | 2020-09-03 |
| 1730727629 | Erika Watts | Occupational Therapist | 100 Tarrar Springs Road, Sped, Lexington, SC 29072 | 2019-12-11 |
| 1194380600 | Lexington County Health Services District, Inc. | Clinic/Center | 154 Saluda Pointe Ct, Lexington, SC 29072 | 2019-05-09 |
| 1962973768 | William R. Key | Counselor | Lexington Community Mental Health Center, 301 Palmetto Park Boulevard, Lexington, SC 29072 | 2018-12-06 |
| 1639651961 | Lindsey Terry | Social Worker | 108 Palmetto Pk. Boulveard, Suite D, Lexington, SC 29072 | 2018-09-04 |
| 1922594126 | Dental Professional of South Carolina, P.C. | Dentist | 2448 Augusta Hwy, Lexington, SC 29072 | 2018-07-11 |
| 1598251605 | Lynn Marceline Beckett-lowe | Nurse Practitioner | 124 Pink Camellia Lane, Lexington, SC 29072 | 2018-07-02 |
| 1083120620 | Diana Reiss | Counselor | 714 S Lake Drive, 120, Lexington, SC 29072 | 2017-12-19 |
| 1649781857 | Constance Jean Lynch | Occupational Therapist | 800 North Lake Boulevard, Lexington, SC 29072 | 2017-10-14 |
| Find all providers in zip 29072 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164076600 | Oglethorpe Ear, Nose & Throat, LLC | Otolaryngology | 219 West Boggs Street, Lexington, GA 30648 | 2019-08-01 |
| 1174029078 | Michael Bryan Mullen | Otolaryngology | 358 Duke Rd, Lexington, KY 40502 | 2018-04-01 |
| 1609370683 | Casey Michael Fitzgerald | Otolaryngology | 740 South Limestone Ears Nose and Throat Clinic, Lexington, KY 40536 | 2018-03-22 |
| 1891227666 | Kaitlin July O'brien | Otolaryngology | 740 South Limestone C 300, Lexington, KY 40536-0001 | 2017-03-31 |
| 1568993509 | Christopher Rayle | Otolaryngology | 800 Rose St Rm C-236, Lexington, KY 40536 | 2017-03-22 |
| 1598127094 | Nicole C Craker | Otolaryngology | University of Kentucky 800 Rose St Rm C-236, Lexington, KY 40536-3058 | 2016-03-23 |
| 1659755502 | Ryan Neff | Otolaryngology | 740 S Limestone; C300, Lexington, KY 40536-0293 | 2015-07-09 |
| 1396126017 | Adam Vanhorn | Otolaryngology | Uk Otolaryngology, 800 Rose Street Room C236, Lexington, KY 40536-0293 | 2015-06-18 |
| 1710321963 | Caitlin Fiorillo | Otolaryngology | 740 South Limestone C300, Lexington, KY 40536-0001 | 2013-04-18 |
| 1760746150 | Jessica Leigh Lange | Otolaryngology | 120 N Eagle Creek Dr Ste 102, Lexington, KY 40509-1827 | 2012-06-29 |
| Find all providers in LEXINGTON | ||||
Please comment or provide details below to improve the information on CENTA MEDICAL GROUP PA.
| 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.