Charles M Miyaji (NPI# 1710052311, PAC ID# 6901834308) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORAL SURGERY.
| Nation Provider ID (NPI) | 1710052311 |
| PAC ID by PECOS | 6901834308 |
| Professional Enrollment ID | I20050727000824 |
| Full Name | Charles M Miyaji |
| Organization Legal Name | ASSOCIATES IN ORAL AND MAXILLOFACIAL SURGERY, PA |
| Address |
109 Reed Ave Lexington SC 29072-2016 |
| Phone Number | 8039576113 |
| Gender | M |
| Credential | DDS |
| Medical School | TUFTS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1988 |
| Primary Specialty | ORAL SURGERY |
| Group Practice PAC ID | 6901865344 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 109 Reed Ave, Lexington, SC 29072-2016 | 8039576113 | ASSOCIATES IN ORAL AND MAXILLOFACIAL SURGERY, PA |
| 112 Saluda Ridge Ct, Suite 400, West Columbia, SC 29169-3461 | 8037965791 | ASSOCIATES IN ORAL AND MAXILLOFACIAL SURGERY, PA |
| Organization Legal Name | ASSOCIATES IN ORAL AND MAXILLOFACIAL SURGERY, PA |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Scott C Wietecha | Maxillofacial Surgery | Associates In Oral and Maxillofacial Surgery, Pa | 112 Saluda Ridge Ct, Suite 400, West Columbia, SC 29169-3461 |
| Isaac E Davis Iii | Maxillofacial Surgery | Associates In Oral and Maxillofacial Surgery, Pa | 109 Reed Ave, Lexington, SC 29072-2016 |
| Edward Mccray Wise Jr. | Maxillofacial Surgery | Associates In Oral and Maxillofacial Surgery, Pa | 109 Reed Ave, Lexington, SC 29072-2016 |
| Street Address |
109 REED AVE |
| City | LEXINGTON |
| State | SC |
| Zip | 29072-2016 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Isaac E Davis Iii | Maxillofacial Surgery | Associates In Oral and Maxillofacial Surgery, Pa | 109 Reed Ave, Lexington, SC 29072-2016 |
| Edward Mccray Wise Jr. | Maxillofacial Surgery | Associates In Oral and Maxillofacial Surgery, Pa | 109 Reed Ave, Lexington, SC 29072-2016 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vanessa Epps Byrd | Physical Therapy | The Weston Group of South Carolina Inc | 218 Old Chapin Rd, Lexington, SC 29072-2030 |
| Kristen M Carlson | Physical Therapy | The Weston Group of South Carolina Inc | 218 Old Chapin Rd, Lexington, SC 29072-2030 |
| John S Rodell | Physical Therapy | Paxxon Healthcare Services LLC | 218 Old Chapin Rd, Lexington, SC 29072-2030 |
| Derranita Essonya Finklin | Occupational Therapy | The Weston Group of South Carolina Inc | 218 Old Chapin Rd, Lexington, SC 29072-2030 |
| Chelsea Hamric | Physical Therapy | Paxxon Healthcare Services LLC | 218 Old Chapin Rd, Lexington, SC 29072-2030 |
| Catherine Jane Rathbun | Occupational Therapy | The Weston Group of South Carolina Inc | 218 Old Chapin Rd, Lexington, SC 29072-2030 |
| Ellen Little | Physical Therapy | The Weston Group of South Carolina Inc | 218 Old Chapin Rd, Lexington, SC 29072-2030 |
| Melissa A Baker | Physical Therapy | The Weston Group of South Carolina Inc | 218 Old Chapin Rd, Lexington, SC 29072-2030 |
| Taulbi J Morrison | Physical Therapy | Paxxon Healthcare Services LLC | 218 Old Chapin Rd, Lexington, SC 29072-2030 |
| Clarence E Coker Iii | Family Medicine | Lexington County Health Services District Inc | 2006 Augusta Hwy, Lexington, SC 29072-2208 |
| Find all physicians in zip 29072 | |||
| City | LEXINGTON |
| Zip Code | 29072 |
| Specialty | ORAL SURGERY |
| City + Specialty | LEXINGTON + ORAL SURGERY |
Please comment or provide details below to improve the information on Charles M Miyaji.
| 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.