Lexmedical, Inc

Key facts

NPI

1497728208

Entity type

Organization (NPI type 2)

Primary specialty

Internal Medicine Physician 207R00000X

Legal business name

LEXMEDICAL, INC

Practice address

105 Hospital Dr
Lexington, NC 27292-6776

Phone

(336) 236-4460

Fax

(336) 236-4462

NPI assigned

Feb 10, 2006

Organization subpart

No

Authorized official

Name

Mr. Anthony G. Mina

Title

Executive Director

Phone

(336) 243-4653

National Provider Directory

Specialties & licenses

Addresses

Other identifiers

Other names

• Davidson Internists Doing business as

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 13, 2008.

{
    "created_epoch": "1139529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205366400000",
    "number": "1497728208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1537",
            "city": "LEXINGTON",
            "state": "NC",
            "postal_code": "272931537",
            "telephone_number": "336-243-4656",
            "fax_number": "336-243-4664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 HOSPITAL DR",
            "city": "LEXINGTON",
            "state": "NC",
            "postal_code": "272926776",
            "telephone_number": "336-236-4460",
            "fax_number": "336-236-4462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEXMEDICAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-10",
        "last_updated": "2008-03-13",
        "status": "A",
        "authorized_official_last_name": "MINA",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "336-243-4653",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP NUMBER",
            "identifier": "0254Q",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "690254Q",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CG1312",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "2329354",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "5640047",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Davidson Internists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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