Lisa Maselli (NPI# 1346212834, PAC ID# 8426220229) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1346212834 |
| PAC ID by PECOS | 8426220229 |
| Professional Enrollment ID | I20111230000571 |
| Full Name | Lisa Maselli |
| Organization Legal Name | CAROLINA OB-GYN LLC |
| Address |
1007 N Fraser St Georgetown SC 29440-2848 |
| Phone Number | 8435274343 |
| Gender | F |
| Medical School | MARSHALL UNIVERSITY SCHOOL MEDICINE |
| Graduation Year | 1996 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 6204740343 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420098 | TIDELANDS WACCAMAW COMMUNITY HOSPITAL |
| 420020 | TIDELANDS HEALTH |
| 420085 | GRAND STRAND REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1007 N Fraser St, Georgetown, SC 29440-2848 | 8435274343 | CAROLINA OB-GYN LLC |
| 4017 Hwy 17, Womens Health Center, Murrells Inlet, SC 29576-5032 | 8436516525 | CAROLINA OB-GYN LLC |
| Organization Legal Name | CAROLINA OB-GYN LLC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melissa J Moore | Obstetrics/gynecology | Carolina Ob-gyn LLC | 4017 Hwy 17, Womens Health Center, Murrells Inlet, SC 29576-5032 |
| Gayle Serafini Richmond | Obstetrics/gynecology | Carolina Ob-gyn LLC | 1007 N Fraser St, Georgetown, SC 29440-2848 |
| Valerie Lasry | Obstetrics/gynecology | Carolina Ob-gyn LLC | 1007 N Fraser St, Georgetown, SC 29440-2848 |
| Cynthia G Bindner | Obstetrics/gynecology | Carolina Ob-gyn LLC | 1007 N Fraser St, Georgetown, SC 29440-2848 |
| Street Address |
1007 N FRASER ST |
| City | GEORGETOWN |
| State | SC |
| Zip | 29440-2848 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gayle Serafini Richmond | Obstetrics/gynecology | Carolina Ob-gyn LLC | 1007 N Fraser St, Georgetown, SC 29440-2848 |
| Valerie Lasry | Obstetrics/gynecology | Carolina Ob-gyn LLC | 1007 N Fraser St, Georgetown, SC 29440-2848 |
| Cynthia G Bindner | Obstetrics/gynecology | Carolina Ob-gyn LLC | 1007 N Fraser St, Georgetown, SC 29440-2848 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Suzanne M Blakeley | Nurse Practitioner | Patricia R. Grant, Md Pa | 219 Church St, Georgetown, SC 29440-2403 |
| Patricia R Grant | Interventional Pain Management | Patricia R. Grant, Md Pa | 219 Church St, Georgetown, SC 29440-2403 |
| Barbara Lynn Horn-weisgerber | Optometry | Indigo Vision Center Pa | 302 Church St, Georgetown, SC 29440-2406 |
| Owen Cannon Johnson | Optometry | Indigo Vision Center Pa | 302 Church St, Georgetown, SC 29440-2406 |
| Kaleigh Elizabeth Hudak | Physician Assistant | Georgetown Physician Associates LLC | 469 Marina Dr, Georgetown, SC 29440-2410 |
| Terry L Fry | Otolaryngology | 401 Marina Dr, Georgetown, SC 29440-2410 | |
| Alfred J Daniels | Family Medicine | St. James-santee Family Health Center Inc. | 2020 Highmarket St, Georgetown, SC 29440-2618 |
| Robert Jason Heineck | Obstetrics/gynecology | Georgetown Physician Associates LLC | 1306 N Fraser St, Georgetown, SC 29440-2800 |
| Ashley Marie Miller | Nurse Practitioner | Georgetown Physician Associates LLC | 1306 N Fraser St, Georgetown, SC 29440-2800 |
| Xaviera M Carter | Obstetrics/gynecology | Georgetown Physician Associates LLC | 1306 N Fraser St, Georgetown, SC 29440-2800 |
| Find all physicians in zip 29440 | |||
| City | GEORGETOWN |
| Zip Code | 29440 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | GEORGETOWN + OBSTETRICS/GYNECOLOGY |
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| 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.