Lexington County Health Serv

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

LEXINGTON COUNTY HEALTH SERV

Doing business as

Lexington Weight Management Center

Practice address

2728 Sunset Blvd Ste 303
West Columbia, SC 29169-4815

Phone

(803) 936-7505

NPI assigned

Jan 4, 2007

Organization subpart

Yes

Parent organization

LEXINGTON COUNTY HEALTH SERVAs reported in NPPES

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

Authorized official

Name

Karen Henderson

Title

Credentialing Specialist

Phone

(803) 936-7679

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Lexington Weight Management Center Doing business as

Part of

Lexington County Health

Practitioners 1

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

• Kathleen L. Antonetti, MD

  • Internal Medicine Physician
  • Columbia, SC
  • NPI 1598786188
  NPD (past)

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192665600000",
    "number": "1033266101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2720 SUNSET BLVD",
            "address_2": "ATTN CREDENTIALING",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291694810",
            "telephone_number": "803-936-7679",
            "fax_number": "803-791-2122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2728 SUNSET BLVD STE 303",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291694815",
            "telephone_number": "803-936-7505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEXINGTON COUNTY HEALTH SERV",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LEXINGTON COUNTY HEALTH SERV",
        "enumeration_date": "2007-01-04",
        "last_updated": "2007-10-18",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "803-936-7679"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP4705",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lexington Weight Management Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tami V. Leonhardt, PH.D.
• Paul J Leslie III, LPC
• Valerie Lesniak, PHARMD
• Philip A. Levin, MD
• Lexington County Health Serivces District, Inc.
• Lexington County Health Serv
• Lexington County Health Serv
• Lexington County Health Serv
• Lexington County Health Service District Inc.
• Lexington County Health Service District,Inc

• Internal Medicine Physician in West Columbia, SC
• Providers in West Columbia, SC by specialty
• Internal Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2007; 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.