Gerald Conrad Bauknight
PROVIDENCE GROUP PRACTICES II LLC


Address: 2435 Forest Dr, Columbia, SC 29204-2026
Phone: 8034097170

Gerald Conrad Bauknight (NPI# 1144279084, PAC ID# 8325089188) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).

Physician Overview

Nation Provider ID (NPI) 1144279084
PAC ID by PECOS 8325089188
Professional Enrollment ID I20050523000111
Full Name Gerald Conrad Bauknight
Organization Legal Name PROVIDENCE GROUP PRACTICES II LLC
Address 2435 Forest Dr
Columbia
SC 29204-2026
Phone Number 8034097170
Gender M
Credential MD
Medical School UNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE
Graduation Year 1986
Primary Specialty CARDIOVASCULAR DISEASE (CARDIOLOGY)
Secondary Specialties CARDIAC ELECTROPHYSIOLOGY
Group Practice PAC ID 2668768276
Number of Group Practice Members 27
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
420026 PROVIDENCE HEALTH
420070 TUOMEY HEALTHCARE SYSTEM
420068 TRMC OF ORANGEBURG & CALHOUN

Other Locations

Address Phone Organization
1655 Bernardin Ave, Suite 220, Columbia, SC 29204-2044 8034097170 PROVIDENCE GROUP PRACTICES II LLC
2435 Forest Dr, Columbia, SC 29204-2026 8034097170 PROVIDENCE GROUP PRACTICES II LLC

Organization Information

Organization Legal Name PROVIDENCE GROUP PRACTICES II LLC
Physicians 30

Physicians with the same organization

Name Specialty Organization Address
Erin Jaynes Belk Nurse Practitioner Providence Group Practices II LLC 2001 Laurel St, Columbia, SC 29204-1018
James Huger Richardson Cardiovascular Disease (cardiology) Providence Group Practices II LLC 1330 Haile St, Camden, SC 29020-3002
Bashir A Lone Cardiovascular Disease (cardiology) Providence Group Practices II LLC 506 N St, Bamberg, SC 29003-1319
Himaxi M Maisuria Cardiovascular Disease (cardiology) Providence Group Practices II LLC 108 Palmetto Park Blvd, Suite C, Lexington, SC 29072-7969
Holly L Grooms Nurse Practitioner Providence Group Practices II LLC 2435 Forest Dr, Columbia, SC 29204-2026
James William Phillips Cardiovascular Disease (cardiology) Providence Group Practices II LLC 1655 Bernardin Ave, Suite 130, Columbia, SC 29204-2039
Loren G Morgan Interventional Cardiology Providence Group Practices II LLC 2435 Forest Dr, Columbia, SC 29204-2026
Brandon E Brown Cardiovascular Disease (cardiology) Providence Group Practices II LLC 1655 Bernardin Ave, Suite 220, Columbia, SC 29204-2044
Himadri Dasgupta Cardiovascular Disease (cardiology) Providence Group Practices II LLC 506 N St, Bamberg, SC 29003-1319
Charlie W Devlin Cardiovascular Disease (cardiology) Providence Group Practices II LLC 506 N St, Bamberg, SC 29003-1319

Office Location

Street Address 2435 FOREST DR
City COLUMBIA
State SC
Zip 29204-2026

Physicians in the same location

Name Specialty Organization Address
Daniel G Sanner Certified Registered Nurse Anesthetist (crna) Medstream Anesthesia Pllc 2435 Forest Dr, Columbia, SC 29204-2026
Robert A. Herstine Certified Registered Nurse Anesthetist (crna) Medstream Anesthesia Pllc 2435 Forest Dr, Columbia, SC 29204-2026
Robert Y Beesburg Jr. Anesthesiology Medstream Anesthesia Pllc 2435 Forest Dr, Columbia, SC 29204-2026
Judith Ann Hoffman Anesthesiology Medstream Anesthesia Pllc 2435 Forest Dr, Columbia, SC 29204-2026
Donna S Cambron Nurse Practitioner Providence Physician Practices, LLC 2435 Forest Dr, Columbia, SC 29204-2026
Holly L Grooms Nurse Practitioner Providence Group Practices II LLC 2435 Forest Dr, Columbia, SC 29204-2026
Margaret J Prewitt Certified Registered Nurse Anesthetist (crna) Medstream Anesthesia Pllc 2435 Forest Dr, Columbia, SC 29204-2026
Michael John Woodland Certified Registered Nurse Anesthetist (crna) Medstream Anesthesia Pllc 2435 Forest Dr, Columbia, SC 29204-2026
Marc E Kushinka Emergency Medicine Broad River Physicians Group, LLC 2435 Forest Dr, Columbia, SC 29204-2026
Mary C Philbeck Emergency Medicine Broad River Physicians Group, LLC 2435 Forest Dr, Columbia, SC 29204-2026
Find all physicians in the same address

Physicians in the same zip code

Name Specialty Organization Address
Erin Jaynes Belk Nurse Practitioner Providence Group Practices II LLC 2001 Laurel St, Columbia, SC 29204-1018
Benedict R Studnicka Internal Medicine Providence Physician Practices, LLC 2001 Laurel St, Suite 300, Columbia, SC 29204-1018
Charis P Taylor Internal Medicine Providence Physician Practices, LLC 2001 Laurel St, Suite 300, Columbia, SC 29204-1018
Brittany Winestock Nurse Practitioner Providence Group Practices II LLC 2001 Laurel St, Columbia, SC 29204-1018
Susan K Caudle Physician Assistant Providence Physician Practices, LLC 2001 Laurel St, Suite 300, Columbia, SC 29204-1018
Stephen Mullaney Nurse Practitioner Providence Physician Practices, LLC 2001 Laurel St, Suite 300, Columbia, SC 29204-1018
Ala Bianca Naomi Lucky Nurse Practitioner Providence Group Practices II LLC 2001 Laurel St, Columbia, SC 29204-1018
Kaitlin N Corwin Physician Assistant Providence Physician Practices, LLC 2001 Laurel St, Suite 300, Columbia, SC 29204-1018
Lanneau D Lide Cardiovascular Disease (cardiology) Providence Group Practices LLC 2001 Laurel St, Columbia, SC 29204-1018
Stephanie C Peterson Physician Assistant Providence Physician Practices, LLC 2001 Laurel St, Suite 300, Columbia, SC 29204-1018
Find all physicians in zip 29204

Competitor

Search similar physicians

City COLUMBIA
Zip Code 29204
Specialty CARDIOVASCULAR DISEASE (CARDIOLOGY)
City + Specialty COLUMBIA + CARDIOVASCULAR DISEASE (CARDIOLOGY)

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Dataset Information

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.

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