Mallory L Bodolosky (NPI# 1033589080, PAC ID# 6406165935) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1033589080 |
| PAC ID by PECOS | 6406165935 |
| Professional Enrollment ID | I20170104000960 |
| Full Name | Mallory L Bodolosky |
| Organization Legal Name | LEXINGTON COUNTY HEALTH SERVICES DISTRICT, INC. |
| Address |
2720 Sunset Blvd West Columbia SC 29169-4810 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 7618871799 |
| Number of Group Practice Members | 546 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2720 Sunset Blvd, West Columbia, SC 29169-4810 | LEXINGTON COUNTY HEALTH SERVICES DISTRICT, INC. |
| Organization Legal Name | LEXINGTON COUNTY HEALTH SERVICES DISTRICT, INC. |
| Physicians | 40 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lon P Hamby | Diagnostic Radiology | Lexington County Health Services District, Inc. | 120 E Medical Lane, West Columbia, SC 29169-4814 |
| Randall S Suarez | Orthopedic Surgery | Lexington County Health Services District, Inc. | 110 E Medical Lane, West Columbia, SC 29169-4817 |
| Teresa M Bowers | Nurse Practitioner | Lexington County Health Services District, Inc. | 2720 Sunset Blvd, West Columbia, SC 29169-4810 |
| Christine Masters Barrett | Nurse Practitioner | Lexington County Health Services District, Inc. | 338 E Columbia Ave, Batesburg, SC 29070-9285 |
| Layne R Clemenz | Diagnostic Radiology | Lexington County Health Services District, Inc. | 811 W Main St, Lexington, SC 29072-2507 |
| Paul D Smith | General Surgery | Lexington County Health Services District, Inc. | 2720 Sunset Blvd, West Columbia, SC 29169-4810 |
| Paula Taylor | Nurse Practitioner | Lexington County Health Services District, Inc. | 132 Sunset Ct, West Columbia, SC 29169-2429 |
| Paul M Kirschenfeld | Pulmonary Disease | Lexington County Health Services District, Inc. | 146 N Hospital Dr, Suite 330, West Columbia, SC 29169-4800 |
| Charles F Shipley Iii | Obstetrics/gynecology | Lexington County Health Services District, Inc. | 935 W 2nd St, Swansea, SC 29160-9102 |
| Theresa D Jameson | Certified Registered Nurse Anesthetist | Lexington County Health Services District, Inc. | 2720 Sunset Blvd, West Columbia, SC 29169-4810 |
| Street Address |
2720 SUNSET BLVD |
| City | WEST COLUMBIA |
| State | SC |
| Zip | 29169-4810 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Caroline M Bedingfield | Certified Registered Nurse Anesthetist (crna) | Lexington County Health Services District Inc | 2720 Sunset Blvd, West Columbia, SC 29169-4810 |
| Olin B Hutto | Certified Registered Nurse Anesthetist (crna) | Lexington County Health Services District Inc | 2720 Sunset Blvd, West Columbia, SC 29169-4810 |
| Vijaya Korrapati | Hematology/oncology | Lexington County Health Services District Inc | 2720 Sunset Blvd, West Columbia, SC 29169-4810 |
| Parthivkumar N Kundaria | Hospitalist | Lexington County Health Services District Inc | 2720 Sunset Blvd, West Columbia, SC 29169-4810 |
| Russell E Ditzler | Family Medicine | Lexington County Health Services District Inc | 2720 Sunset Blvd, West Columbia, SC 29169-4810 |
| Andrew S. Weisinger | Anesthesiology | Lexington County Health Services District Inc | 2720 Sunset Blvd, West Columbia, SC 29169-4810 |
| Renee F Eaves | Certified Registered Nurse Anesthetist (crna) | Lexington County Health Services District Inc | 2720 Sunset Blvd, West Columbia, SC 29169-4810 |
| Perrie Ryan | Hematology/oncology | Lexington County Health Services District Inc | 2720 Sunset Blvd, West Columbia, SC 29169-4810 |
| Victor A Gomez | Physician Assistant | Lexington County Health Services District Inc | 2720 Sunset Blvd, West Columbia, SC 29169-4810 |
| Jill B Healey | Emergency Medicine | Lexington County Health Services District Inc | 2720 Sunset Blvd, West Columbia, SC 29169-4810 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen Matthew Hypes | Ophthalmology | Palmetto Retina Center LLC | 124 Sunset Ct, West Columbia, SC 29169-2429 |
| Elizabeth M Mcmicken | Nurse Practitioner | Lexington County Health Services District Inc | 131 Sunset Ct, West Columbia, SC 29169-2429 |
| Pattie M Farlow | Nurse Practitioner | Lexington County Health Services District Inc | 132 Sunset Ct, West Columbia, SC 29169-2429 |
| Gwendolyn C Galphin | Internal Medicine | Lexington County Health Services District Inc | 131 Sunset Ct, West Columbia, SC 29169-2429 |
| William Andrew Little | Nurse Practitioner | Lexington County Health Services District Inc | 131 Sunset Ct, West Columbia, SC 29169-2429 |
| Swathi Beeravolu | Endocrinology | Lexington County Health Services District Inc | 132 Sunset Ct, West Columbia, SC 29169-2429 |
| Gayatri Kuraganti | Endocrinology | Lexington County Health Services District Inc | 132 Sunset Ct, West Columbia, SC 29169-2429 |
| John M Lazaro | Internal Medicine | Lexington County Health Services District Inc | 131 Sunset Ct, West Columbia, SC 29169-2429 |
| Vijay A Koli | Internal Medicine | Lexington County Health Services District Inc | 131 Sunset Ct, West Columbia, SC 29169-2429 |
| Brent Michael Powers | Internal Medicine | Lexington County Health Services District Inc | 131 Sunset Ct, West Columbia, SC 29169-2429 |
| Find all physicians in zip 29169 | |||
| City | WEST COLUMBIA |
| Zip Code | 29169 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | WEST COLUMBIA + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Mallory L Bodolosky.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.