Active NPI
Sinclair J Harcus Jr., MD
- Family Medicine Physician
- Lexington, VA
National Provider Identifier
1689646804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0101-035372
- Practice address
- 108 Houston St
Suite C
Lexington, VA 24450-2455 - Phone
- (540) 463-7628
- Fax
- (540) 463-6956
- NPI assigned
- Feb 2, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0101-035372 | VA | Primary |
Addresses
Primary practice location
108 Houston St
Suite C
Lexington, VA 24450-2455
Mailing address
108 Houston St
Suite C
Lexington, VA 24450-2455
Phone (540) 463-7628
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010296005 | Medicaid | VA | |
| 005623961 | Medicaid | VA |
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101-035372 | VA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313020800000",
"number": "1689646804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 HOUSTON ST",
"address_2": "SUITE C",
"city": "LEXINGTON",
"state": "VA",
"postal_code": "244502455",
"telephone_number": "540-463-7628",
"fax_number": "540-463-6956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 HOUSTON ST",
"address_2": "SUITE C",
"city": "LEXINGTON",
"state": "VA",
"postal_code": "244502455",
"telephone_number": "540-463-7628",
"fax_number": "540-463-6956"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARCUS",
"first_name": "SINCLAIR",
"middle_name": "J",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-02",
"last_updated": "2011-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0101-035372",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010296005",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "005623961",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.