Individual provider Active NPI

John C Maize Jr., MD

  • Dermatopathology Physician
  • Charleston, SC
National Provider Identifier
1043299787
Registry record updated Nov 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology PhysicianTaxonomy code 207ND0900X
License
22238 Issued in SC
Practice address
9295 Medical Plaza Dr
Suite a
Charleston, SC 29406-9137
Phone
(843) 797-3960
Fax
(843) 553-4216
NPI assigned
Jan 11, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Medical University of South Carolina College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trident Dermatology PA 8 clinicians

Practice addresses (Care Compare)

9295 Medical Plaza Dr
Charleston, SC 29406-9137
Phone (843) 797-3960

Hospital & facility affiliations

  • Trident Medical Center Hospital, Charleston, SC, CCN 420079

Merit-based Incentive Payment System (MIPS)

Final score
80.71 of 100Reported as individual
Quality
65.47
Promoting interoperability
99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision20
Removal of skin lesions569
Removal or shaving of skin growth30
Skin biopsy157

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060123000076 SC Practitioner - Dermatology 0345264008 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Trident Dermatology, PA CurrentSince Jul 1, 2012 Accepting new patients
Ameripath SC Inc Past Accepting new patients

Locations

9295 Medical Plaza Dr
Ste A
Charleston, SC 29406
Phone (843) 797-3960

9295 Medical Plaza Dr
Ste B
Charleston, SC 29406
Phone (843) 797-3960

9295 Medical Plaza Dr
Ste Ab
North Charleston, SC 29406
Phone (843) 797-3960

NPPES NPI Registry

Updated by the provider on Nov 19, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatopathology Physician 207ND0900X 22238 SC Primary
Dermatopathology (Pathology) Physician 207ZD0900X 22238 SC

Addresses

Primary practice location

9295 Medical Plaza Dr
Suite a
Charleston, SC 29406-9137

Mailing address

9295 Medical Plaza Dr
Suite a
Charleston, SC 29406-9137
Phone (843) 797-3960

Other identifiers 1

IdentifierTypeStateIssuer
222388MedicaidSC

NPI Registry JSON

The complete record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416355200000",
    "number": "1043299787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9295 MEDICAL PLAZA DR",
            "address_2": "SUITE A",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294069137",
            "telephone_number": "843-797-3960",
            "fax_number": "843-553-4216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9295 MEDICAL PLAZA DR",
            "address_2": "SUITE A",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294069137",
            "telephone_number": "843-797-3960",
            "fax_number": "843-553-4216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAIZE",
        "first_name": "JOHN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-11",
        "last_updated": "2014-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "SC",
            "license": "22238",
            "primary": true
        },
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "SC",
            "license": "22238",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "222388",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.