Lake Murray OBGYN

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

Legal business name

LAKE MURRAY OBGYN

Practice address

1404 W Main St Ste 1
Lexington, SC 29072-2332

Phone

(803) 996-5550

NPI assigned

Dec 4, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Stacy L Smithson, M.D.NPI 1063499895

Title

Owner

Phone

(803) 996-5550

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/16810/brand/1/csg/1/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stacy L Smithson, M.D.

  • Obstetrics & Gynecology Physician
  • Lebanon, KY
  • NPI 1063499895

  SC

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003974171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1404 W MAIN ST STE 1",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290722332",
            "telephone_number": "803-996-5550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1404 W MAIN ST STE 1",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290722332",
            "telephone_number": "803-996-5550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE MURRAY OBGYN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMITHSON",
        "authorized_official_first_name": "STACY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-996-5550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Raymond Kutyla, DPM
• Kyle Garlitz DDS LLC
• Jacob Davis Kyzer III, PHARMD
• Lagleva Transitions MHT LLC
• Lake Murray Hearing Associates, LLC
• Lake Murray OT
• Michelle Dupre Lake
• Lakeside Center for Ocd & Anxiety, LLC
• Jennifer Callis Lamberth, MA, CCC-SLP
• Jennifer Lambeth, OTR/L

• Gynecology Physician in Lexington, SC
• Providers in Lexington, SC by specialty
• Gynecology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.