Individual provider Active NPI

Alan David Laszczynski, D.O.

  • Internal Medicine Physician
  • West Columbia, SC
National Provider Identifier
1104110329
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
1485 Issued in SC
Practice address
185 Lott CT
West Columbia, SC 29169-3051
Phone
(803) 719-4050
NPI assigned
Jun 6, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 1485 SC Primary

Addresses

Primary practice location

185 Lott CT
West Columbia, SC 29169-3051

Mailing address

185 Lott CT
West Columbia, SC 29169-3051
Phone (803) 719-4050

Other identifiers 2

IdentifierTypeStateIssuer
SC3560E243OtherSCMCARE PTAN
014852MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1485SCMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lexington Treatment Specialists LLC CurrentSince Jul 12, 2020 Accepting new patients
Georgetown Treatment Specialists LLC CurrentSince Nov 1, 2018 Accepting new patients
Upstate Treatment Specialists LLC CurrentSince May 17, 2025 Accepting new patients
Sumter Treatment Specialists LLC CurrentSince Jul 12, 2020 Accepting new patients
Myrtle Beach Treatment Specialists LLC PastSince Sep 1, 2022 Accepting new patients

Locations

185 Lott Ct
West Columbia, SC 29169
Phone (803) 719-4050

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1307318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789084800000",
    "number": "1104110329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 LOTT CT",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291693051",
            "telephone_number": "803-719-4050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 LOTT CT",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291693051",
            "telephone_number": "803-719-4050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASZCZYNSKI",
        "first_name": "ALAN",
        "middle_name": "DAVID",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-06",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "1485",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCARE PTAN",
            "identifier": "SC3560E243",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "014852",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; 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.