Lawrence Edwin Rudisill Jr., MD

Primary specialty

Surgery of the Hand (Surgery) PhysicianTaxonomy code 2086S0105X

License

10481 Issued in SC

Practice address

1011 Frontage Rd
Greenville, SC 29615-4240

Phone

(864) 242-4263

Fax

(864) 242-2250

NPI assigned

May 10, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Greenville Health System

  • General Acute Care Hospital
  • Greenville, SC
  • NPI 1568532513
  NPD
• St Francis Physician Services Inc

  • Family Medicine Physician
  • Greenville, SC
  • NPI 1295769438

  Orthopaedic Surgery

  NPD (past)
• St Francis Physician Services Inc

  • Internal Medicine Physician
  • Greenville, SC
  • NPI 1871895771
  NPD (past)
• The Hand Center PA

  • Surgery of the Hand (Surgery) Physician
  • Seneca, SC
  • NPI 1407075187
  NPD (past)
• The Hand Center PA

  • Surgery of the Hand (Surgery) Physician
  • Greenville, SC
  • NPI 1609813906
  NPD (past)

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648080000000",
    "number": "1699725952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MCBEE AVE FL 4",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012842",
            "telephone_number": "864-522-8617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 FRONTAGE RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154240",
            "telephone_number": "864-242-4263",
            "fax_number": "864-242-2250"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16528 E Desmet Ct",
            "address_purpose": "LOCATION",
            "city": "Spokane Valley",
            "state": "WA",
            "postal_code": "992163522",
            "country_code": "US",
            "telephone_number": "509-944-8920",
            "fax_number": "509-227-7070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUDISILL",
        "first_name": "LAWRENCE",
        "middle_name": "EDWIN",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "SC",
            "license": "10481",
            "primary": false
        },
        {
            "code": "2086S0105X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgery of the Hand",
            "state": "WA",
            "license": "MD61280339",
            "primary": false
        },
        {
            "code": "2086S0105X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgery of the Hand",
            "state": "SC",
            "license": "10481",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104817",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ruby Donald Residential Care LLC
• Chrystal Levern Rucker, RN
• Michelle E Rucker, CRNA
• Virginia Ruth Rudd, RN, ANP, CRNA
• Ashley Ann Rudisill, D.D.S.
• Brittany Moree Rudy, PH.D.
• Natasha Rudy, MS, CGC
• Brandi Lea Ruffo, APRN
• Jeffrey Michael Ruggieri, M.D.
• Andres C Ruiz Alicea, MA, MSW, LCSW

• Surgery of the Hand (Surgery) Physician in Greenville, SC
• Providers in Greenville, SC by specialty
• Surgery of the Hand (Surgery) Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.