Active NPI
Lexington County Health Serv
- Surgery Physician
- West Columbia, SC
National Provider Identifier
1114945078
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- LEXINGTON COUNTY HEALTH SERV
- Doing business as
- SC Obesity Surgery Center
- Practice address
- 146 East Hospital Dr Ste 430
West Columbia, SC 29169 - Phone
- (803) 791-2828
- Fax
- (803) 791-2824
- NPI assigned
- Jul 18, 2006
- Organization subpart
- Yes
- Parent organization
- LEXINGTON COUNTY HEALTH SERVICES DISTRICT INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Melinda Sarvis
- Title
- Executive VP
- Phone
- (803) 791-2000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary |
Addresses
Primary practice location
146 East Hospital Dr Ste 430
West Columbia, SC 29169
Mailing address
PO Box 896239
Charlotte, NC 28289-6239
Phone (803) 791-2828
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GP4626 | Medicaid | SC |
Other names 1
- SC Obesity Surgery Center
National Provider Directory
National Provider Directory- Part of
- Lexington County Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1539820800000",
"number": "1114945078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 896239",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282896239",
"telephone_number": "803-791-2828",
"fax_number": "803-791-2824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "146 EAST HOSPITAL DR STE 430",
"city": "WEST COLUMBIA",
"state": "SC",
"postal_code": "29169",
"telephone_number": "803-791-2828",
"fax_number": "803-791-2824"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEXINGTON COUNTY HEALTH SERV",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "LEXINGTON COUNTY HEALTH SERVICES DISTRICT INC",
"enumeration_date": "2006-07-18",
"last_updated": "2018-10-18",
"status": "A",
"authorized_official_last_name": "SARVIS",
"authorized_official_first_name": "MELINDA",
"authorized_official_title_or_position": "EXECUTIVE VP",
"authorized_official_telephone_number": "803-791-2000"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GP4626",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "SC Obesity Surgery Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "SC Obesity Surgery Center",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in West Columbia, SC
- 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
- Lexington County Health Services District Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.