Organization Active NPI

Preferred Health Solutions

  • General Practice Physician
  • Lexington, SC
National Provider Identifier
1366088460
Registry record updated Nov 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
PREFERRED HEALTH SOLUTIONS
Practice address
120 Shoal Creek Cir
Lexington, SC 29072-7262
Phone
(866) 757-7333
Fax
(800) 720-5171
NPI assigned
Nov 23, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2020

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

Authorized official

Name
Dr. Rukudzo D Mazaiwana, M.D.
Title
President
Phone
(866) 757-7333

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
Health Service Clinic/Center 261QH0100X

Addresses

Primary practice location

120 Shoal Creek Cir
Lexington, SC 29072-7262

Mailing address

120 Shoal Creek Cir
Lexington, SC 29072-7262
Phone (866) 757-7333

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1574467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606694400000",
    "number": "1366088460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 SHOAL CREEK CIR",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290727262",
            "telephone_number": "866-757-7333",
            "fax_number": "800-720-5171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 SHOAL CREEK CIR",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290727262",
            "telephone_number": "866-757-7333",
            "fax_number": "800-720-5171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREFERRED HEALTH SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-23",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A",
        "authorized_official_last_name": "MAZAIWANA",
        "authorized_official_first_name": "RUKUDZO",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "866-757-7333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.