Loren G Morgan (NPI# 1225340292, PAC ID# 8628345618) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERVENTIONAL CARDIOLOGY.
| Nation Provider ID (NPI) | 1225340292 |
| PAC ID by PECOS | 8628345618 |
| Professional Enrollment ID | I20170523000676 |
| Full Name | Loren G Morgan |
| Organization Legal Name | PROVIDENCE GROUP PRACTICES II LLC |
| Address |
2435 Forest Dr Columbia SC 29204-2026 |
| Phone Number | 8034097170 |
| Gender | M |
| Medical School | UNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE |
| Graduation Year | 2010 |
| Primary Specialty | INTERVENTIONAL CARDIOLOGY |
| Group Practice PAC ID | 2668768276 |
| Number of Group Practice Members | 27 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420026 | PROVIDENCE HEALTH |
| 420068 | TRMC OF ORANGEBURG & CALHOUN |
| 420073 | LEXINGTON MEDICAL CENTER |
| 420048 | KERSHAWHEALTH |
| 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 Legal Name | PROVIDENCE GROUP PRACTICES II LLC |
| Physicians | 30 |
| 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 |
| Gerald Conrad Bauknight | Cardiovascular Disease (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 |
| Street Address |
2435 FOREST DR |
| City | COLUMBIA |
| State | SC |
| Zip | 29204-2026 |
| 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 |
| Gerald Conrad Bauknight | Cardiovascular Disease (cardiology) | Providence Group Practices II LLC | 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 |
| Find all physicians in the same address | |||
| 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 | |||
| City | COLUMBIA |
| Zip Code | 29204 |
| Specialty | INTERVENTIONAL CARDIOLOGY |
| City + Specialty | COLUMBIA + INTERVENTIONAL CARDIOLOGY |
Please comment or provide details below to improve the information on Loren G Morgan.
| 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.