Maurio Antwann Riley (NPI# 1790189678, PAC ID# 2961725023) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1790189678 |
| PAC ID by PECOS | 2961725023 |
| Professional Enrollment ID | I20141220000290 |
| Full Name | Maurio Antwann Riley |
| Organization Legal Name | MIDLANDS ORTHOPAEDICS AND NEUROSURGERY PA |
| Address |
109 Park Place Ct Lexington SC 29072-6690 |
| Phone Number | 8032564107 |
| Gender | M |
| Medical School | MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE |
| Graduation Year | 2014 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 8628963287 |
| Number of Group Practice Members | 39 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420026 | PROVIDENCE HEALTH |
| 420086 | PALMETTO HEALTH BAPTIST |
| 420048 | KERSHAWHEALTH |
| 420106 | PALMETTO HEALTH BAPTIST PARKRIDGE |
| Address | Phone | Organization |
|---|---|---|
| 1910 Blanding St, Columbia, SC 29201-3520 | 8032564107 | MIDLANDS ORTHOPAEDICS AND NEUROSURGERY PA |
| 109 Park Place Ct, Lexington, SC 29072-6690 | 8032564107 | MIDLANDS ORTHOPAEDICS AND NEUROSURGERY PA |
| Organization Legal Name | MIDLANDS ORTHOPAEDICS AND NEUROSURGERY PA |
| Physicians | 40 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jonathan P Lindler | Physical Therapy | Midlands Orthopaedics and Neurosurgery Pa | 109 Park Place Ct, Lexington, SC 29072-6690 |
| Karl A Lozanne | Neurosurgery | Midlands Orthopaedics and Neurosurgery Pa | 1013 Lake Murray Blvd, Irmo, SC 29063-2824 |
| Michael R Ugino | Hand Surgery | Midlands Orthopaedics and Neurosurgery Pa | 1910 Blanding St, Columbia, SC 29201-3520 |
| Elizabeth Way | Occupational Therapy | Midlands Orthopaedics and Neurosurgery Pa | 1013 Lake Murray Blvd, Irmo, SC 29063-2824 |
| Latisha Denise Washington | Occupational Therapy | Midlands Orthopaedics and Neurosurgery Pa | 1013 Lake Murray Blvd, Irmo, SC 29063-2824 |
| John Thomas Mcneely Jr. | Occupational Therapy | Midlands Orthopaedics and Neurosurgery Pa | 1013 Lake Murray Blvd, Irmo, SC 29063-2824 |
| Lauren Shuler Mothena | Physician Assistant | Midlands Orthopaedics and Neurosurgery Pa | 1910 Blanding St, Columbia, SC 29201-3520 |
| Abigail Creese | Nurse Practitioner | Midlands Orthopaedics and Neurosurgery Pa | 1910 Blanding St, Columbia, SC 29201-3520 |
| Bryce Stallings | Physician Assistant | Midlands Orthopaedics and Neurosurgery Pa | 109 Park Place Ct, Lexington, SC 29072-6690 |
| James A O Leary | Sports Medicine | Midlands Orthopaedics and Neurosurgery Pa | 1910 Blanding St, Columbia, SC 29201-3520 |
| Street Address |
109 PARK PLACE CT |
| City | LEXINGTON |
| State | SC |
| Zip | 29072-6690 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jonathan P Lindler | Physical Therapy | Midlands Orthopaedics and Neurosurgery Pa | 109 Park Place Ct, Lexington, SC 29072-6690 |
| Bryce Stallings | Physician Assistant | Midlands Orthopaedics and Neurosurgery Pa | 109 Park Place Ct, Lexington, SC 29072-6690 |
| William O Reeside Iii | Physical Therapy | Midlands Orthopaedics and Neurosurgery Pa | 109 Park Place Ct, Lexington, SC 29072-6690 |
| Stavros A Chrysostomides | Physician Assistant | Midlands Orthopaedics and Neurosurgery Pa | 109 Park Place Ct, Lexington, SC 29072-6690 |
| Seth Harrison Bowman | Orthopedic Surgery | Midlands Orthopaedics and Neurosurgery Pa | 109 Park Place Ct, Lexington, SC 29072-6690 |
| 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 |
| Find all physicians in zip 29072 | |||
| City | LEXINGTON |
| Zip Code | 29072 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | LEXINGTON + PHYSICIAN ASSISTANT |
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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.