PRISMA HEALTH MEDICAL GROUP-MIDLANDS


Address: 104 Saluda Pointe Dr, Lexington, SC 29072-7295
Phone: 8032969200

PRISMA HEALTH MEDICAL GROUP-MIDLANDS (NPI# 1922529668) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1922529668
Entity Type Organization
Organization Name PRISMA HEALTH MEDICAL GROUP-MIDLANDS
Other Organization Name PH MEDICAL GROUP MIDLANDS
Practice Address 104 Saluda Pointe Dr
Lexington
SC 29072-7295
Mailing Address Po Box 22265
Belfast
ME 04915-4473
Practice Telephone 8032969200
Practice Fax Number 8032969697
Mailing Telephone 8032967320
Mailing Fax Number 8032965928
Enumeration Date 2017-07-03
Last Update Date 2020-09-11
Authorized Official Name KRISTI LAWRENCE (DIRECTOR-PROVIDER ENROLLMENT)
Authorized Official Telephone 8643854790
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207XS0106X Orthopaedic Surgery
Specialization: Hand Surgery
Allopathic & Osteopathic Physicians
N 207XX0004X Orthopaedic Surgery
Specialization: Foot and Ankle Surgery
Allopathic & Osteopathic Physicians
Y 207X00000X Orthopaedic Surgery Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
SC DME MEDICARE PTAN 7660520004 01
SC GP8162 05
SC DME MEDICAID DE3887 01

Other Provider/Organization Names

Other Name Type Code
PH Medical Group Midlands Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1518455252 Prisma Health Medical Group-midlands Orthopaedic Surgery 100 N Sumter St Ste 200, Sumter, SC 29150-4975 2018-04-27
1992226534 Prisma Health Medical Group-midlands Orthopaedic Surgery 101 Business Park Blvd Fl 2, Columbia, SC 29203-8401 2017-07-05
1538680004 Prisma Health Medical Group-midlands Orthopaedic Surgery 300 Palmetto Health Pkwy Ste 200, Columbia, SC 29212-1762 2017-07-05
1255852901 Prisma Health Medical Group-midlands Orthopaedic Surgery 100 Palmetto Health Pkwy Ste 320, Columbia, SC 29212-1756 2017-07-03
1285678078 Prisma Health Medical Group-midlands Pediatrics 9 Richland Medical Park Dr Ste 410, Columbia, SC 29203-6859 2006-06-15
1417442864 Prisma Health Medical Group-midlands Dentist 10 Richland Medical Park Dr Ste A, Columbia, SC 29203-6892 2018-06-28
1003307166 Prisma Health Medical Group-midlands Internal Medicine 8 Richland Medical Park Dr Ste 300, Columbia, SC 29203-8008 2018-05-24
1447749510 Prisma Health Medical Group-midlands Family Medicine 115 N Sumter St Ste 115, Sumter, SC 29150 2018-05-04
1295222503 Prisma Health Medical Group-midlands Oral & Maxillofacial Surgery 3304 Forest Dr, Columbia, SC 29204-4024 2018-04-23
1457848848 Prisma Health Medical Group-midlands Pediatrics 9 Richland Medical Park Dr Ste 210, Columbia, SC 29203-6859 2018-04-20

Office Location

Street Address 104 SALUDA POINTE DR
City LEXINGTON
State SC
Zip Code 29072-7295

Providers in the same location

NPI Name Taxonomy Address Enumeration
1609864321 Brian Duane Curless Specialist/Technologist 104 Saluda Pointe Dr, Moore Center for Orthpedics, Lexington, SC 29072-7295 2005-10-06
1952760431 Kevin Macintyre Specialist/Technologist 104 Saluda Pointe Dr, Lexington, SC 29072-7295 2016-02-12
1982075198 Lightsey Laffitte Jett Dietitian, Registered 104 Saluda Pointe Dr, Lexington, SC 29072-7295 2015-10-14
1013387653 Thomas Allen Specialist/Technologist 104 Saluda Pointe Dr, Lexington, SC 29072-7295 2015-09-25
1740659309 Ryan Charles Berlinrut Physician Assistant 104 Saluda Pointe Dr, Lexington, SC 29072-7295 2015-09-24
1750767950 Palmetto Health Orthopaedic Surgery 104 Saluda Pointe Dr, Lexington, SC 29072-7295 2015-08-11
1447632997 Marshal Edrada Physical Therapist 104 Saluda Pointe Dr, Lexington, SC 29072-7295 2015-06-22
1578945028 Keri Davis Physical Therapist 104 Saluda Pointe Dr, Lexington, SC 29072-7295 2015-06-22
1740608124 Anesthesiology Professionals of Columbia LLC Anesthesiology 104 Saluda Pointe Dr, Lexington, SC 29072-7295 2014-04-02
1790103232 Robert Beesburg, LLC Anesthesiology 104 Saluda Pointe Dr, Lexington, SC 29072-7295 2014-04-02
Find all providers in the same location

Providers in the same zip code

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 Information

Taxonomy Code 207X00000X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery

Taxonomy Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
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 Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1588168611 Boshen Liu Orthopaedic Surgery 740 S Limestone Room K403, Lexington, KY 40536-0293 2018-03-22
1598265993 Cumberland Foot & Ankle Centers Orthopaedic Surgery 141 Prosperous Pl Ste 22a, Lexington, KY 40509-1854 2018-02-13
1255799011 Howard Dane Markowitz Orthopaedic Surgery 1404 Lookout Cir, Lexington, KY 40502-3002 2016-02-08
1902211832 Richard Zackary Unger Orthopaedic Surgery 740 S Limestone Rm K403, Lexington, KY 40536-0001 2014-06-30
1184987844 Maureen O'shaughnessy Orthopaedic Surgery 740 Slimestone Street Kentucky Clinic Suite K401, Lexington, KY 40536 2012-06-19
1952620718 Camden Bryce Burns Orthopaedic Surgery 740 S Limestone Ave Ste 401k, Lexington, KY 40536-0001 2010-05-19
1154649770 Paul Edward Matuszewski Orthopaedic Surgery Uk Orthopaedics, 740 S. Limestone, Lexington, KY 40536-0001 2010-05-06
1952627226 Elizabeth Walker Hubbard Orthopaedic Surgery 110 Conn Terrace, Lexington, KY 40508-3206 2010-04-12
1174851463 William Dobozi Orthopaedic Surgery 1700 Sahalee Dr, Lexington, KY 40511-9588 2009-11-24
1952638629 Vinayak P Bhavalkar Orthopaedic Surgery 3751 Appian Way, Apt 27, Lexington, KY 40517-5926 2009-11-17
Find all providers in LEXINGTON

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City LEXINGTON
Zip Code 29072

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Dataset Information

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.

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