Himaxi M Maisuria
PROVIDENCE GROUP PRACTICES II LLC


Address: 108 Palmetto Park Blvd, Suite C, Lexington, SC 29072-7969
Phone: 8033560949

Himaxi M Maisuria (NPI# 1902832058, PAC ID# 9133293103) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).

Physician Overview

Nation Provider ID (NPI) 1902832058
PAC ID by PECOS 9133293103
Professional Enrollment ID I20080808000571
Full Name Himaxi M Maisuria
Organization Legal Name PROVIDENCE GROUP PRACTICES II LLC
Address 108 Palmetto Park Blvd
Suite C
Lexington
SC 29072-7969
Phone Number 8033560949
Gender F
Graduation Year 1988
Primary Specialty CARDIOVASCULAR DISEASE (CARDIOLOGY)
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
420073 LEXINGTON MEDICAL CENTER
420048 KERSHAWHEALTH

Other Locations

Address Phone Organization
108 Palmetto Park Blvd, Suite C, Lexington, SC 29072-7969 8033560949 PROVIDENCE GROUP PRACTICES II LLC
3103 Sunset Blvd, West Columbia, SC 29169-3425 8037943950 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
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
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 108 PALMETTO PARK BLVD
SUITE C
City LEXINGTON
State SC
Zip 29072-7969

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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
Charles M Miyaji Oral Surgery Associates In Oral and Maxillofacial Surgery, Pa 109 Reed Ave, Lexington, SC 29072-2016
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
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Competitor

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City LEXINGTON
Zip Code 29072
Specialty CARDIOVASCULAR DISEASE (CARDIOLOGY)
City + Specialty LEXINGTON + 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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