Lawrence Edwin Rudisill Jr. (NPI# 1699725952, PAC ID# 6204865132) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is HAND SURGERY.
Nation Provider ID (NPI) | 1699725952 |
PAC ID by PECOS | 6204865132 |
Professional Enrollment ID | I20050906000740 |
Full Name | Lawrence Edwin Rudisill Jr. |
Organization Legal Name | PRISMA HEALTH UNIVERSITY MEDICAL GROUP |
Address |
1011 Frontage Rd Greenville SC 29615-4240 |
Phone Number | 8642424263 |
Gender | M |
Credential | MD |
Medical School | BOWMAN GRAY SCHOOL OF MEDICINE OF WAKE FOREST UNIVERSITY |
Graduation Year | 1980 |
Primary Specialty | HAND SURGERY |
Secondary Specialties | ORTHOPEDIC SURGERY |
Group Practice PAC ID | 8325950983 |
Number of Group Practice Members | 1439 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
420078 | GHS GREENVILLE MEMORIAL HOSPITAL |
Address | Phone | Organization |
---|---|---|
1011 Frontage Rd, Greenville, SC 29615-4240 | 8642424263 | PRISMA HEALTH UNIVERSITY MEDICAL GROUP |
Organization Legal Name | PRISMA HEALTH UNIVERSITY MEDICAL GROUP |
Physicians | 1371 |
Name | Specialty | Organization | Address |
---|---|---|---|
Brittany Edge Thomas | Nurse Practitioner | Prisma Health University Medical Group | 9100 Hwy 14, Gray Court, SC 29645-4152 |
Shiven S Patel | Allergy/immunology | Prisma Health University Medical Group | 10 Halton Green Way, Greenville, SC 29607-6606 |
Jamie C Goodman | Family Medicine | Prisma Health University Medical Group | 2400 Boiling Springs Rd, Suite A, Boiling Springs, SC 29316-5304 |
Karyn Marie Dyehouse | Medical Oncology | Prisma Health University Medical Group | 131 Lila Doyle Dr, Seneca, SC 29672-9495 |
Doris A Best | Family Medicine | Prisma Health University Medical Group | 3551 A Rutherford Rd, Taylors, SC 29687-2195 |
Elizabeth Ann Lacy | Nurse Practitioner | Prisma Health University Medical Group | 106 John St, Easley, SC 29640-1415 |
Rebecca Anne Frost | Psychiatry | Prisma Health University Medical Group | 109 Physicians Dr, Suite B, Greer, SC 29650-2446 |
Elizabeth Van Huffel Dray | Urology | Prisma Health University Medical Group | 11 Park Creek Dr, University Medical Group, Greenville, SC 29605-4268 |
Jonathan Douglas Hufford | Obstetrics/gynecology | Prisma Health University Medical Group | 1351 Crestview Rd, Easley, SC 29642-2408 |
Nathan Michael Moroski | Sports Medicine | Prisma Health University Medical Group | 10630 Clemson Blvd, Suite 100, Seneca, SC 29678-4545 |
Street Address |
1011 FRONTAGE RD |
City | GREENVILLE |
State | SC |
Zip | 29615-4240 |
Name | Specialty | Organization | Address |
---|---|---|---|
Gregory Knowlton Faucher | Hand Surgery | Prisma Health University Medical Group | 1011 Frontage Rd, Greenville, SC 29615-4240 |
Timothy Yiu-chuen Dew | Hand Surgery | Prisma Health University Medical Group | 1011 Frontage Rd, Greenville, SC 29615-4240 |
Meah Hamrick | Occupational Therapy | Prisma Health University Medical Group | 1011 Frontage Rd, Greenville, SC 29615-4240 |
Ann D Schaumburg | Occupational Therapy | Prisma Health University Medical Group | 1011 Frontage Rd, Greenville, SC 29615-4240 |
Andrew Walker Cross | Hand Surgery | Prisma Health University Medical Group | 1011 Frontage Rd, Greenville, SC 29615-4240 |
Name | Specialty | Organization | Address |
---|---|---|---|
Brittany Scoggins | Chiropractic | Pure Motion Sports and Spine | 4109 E N St, Suite 600, Greenville, SC 29615 |
Jenna L Titcombe | Chiropractic | Pure Motion Sports and Spine | 4109 E N St, Suite 600, Greenville, SC 29615 |
James Alexander | General Practice | Exigent Inc | 2310 Wade Hampton Blvd, Greenville, SC 29615-1043 |
Joseph Carrano | Chiropractic | 2520 Wade Hampton Blvd, Suite B, Greenville, SC 29615-1148 | |
Christopher Kosmicki | Chiropractic | Carter Chiropractic Center LLC | 2510 Wade Hampton Blvd, Suite B1, Greenville, SC 29615-1172 |
Leonard Clay Carter | Chiropractic | Carter Chiropractic Center LLC | 2510 Wade Hampton Blvd, Suite B1, Greenville, SC 29615-1172 |
Reginald R Brannen | Chiropractic | Carter Chiropractic Center LLC | 2510 Wade Hampton Blvd, Suite B1, Greenville, SC 29615-1172 |
Dominic Geno Lupori | Chiropractic | 2702 E N St, Greenville, SC 29615-1715 | |
Marcella V Young | Internal Medicine | 540 Old Howell Rd B, Greenville, SC 29615-1969 | |
Paul J Hennicken | Chiropractic | 530 Howell Rd, Suite 100, Greenville, SC 29615-2000 | |
Find all physicians in zip 29615 |
City | GREENVILLE |
Zip Code | 29615 |
Specialty | HAND SURGERY |
City + Specialty | GREENVILLE + HAND SURGERY |
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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.