NPIMap

Organization Active NPI

Lewisville Medical Center Incorporated

  • Family Medicine Physician
  • Richburg, SC
National Provider Identifier
1689851388
Registry record updated Jan 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
NOT APPLICABLE Issued in SC
Legal business name
LEWISVILLE MEDICAL CENTER INCORPORATED
Practice address
3248 Edgeland Hwy
Richburg, SC 29729-9478
Phone
(803) 789-6111
Fax
(803) 789-6118
NPI assigned
Jan 24, 2008
Last updated
Jan 24, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2008

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

Authorized official

Name
Mehrdad Yousefian, MDNPI 1164471751
Title
President
Phone
(803) 789-6111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NOT APPLICABLE SC Primary

Addresses

Primary practice location

3248 Edgeland Hwy
Richburg, SC 29729-9478

Mailing address

3248 Edgeland Hwy
Richburg, SC 29729-9478
Phone (803) 789-6111

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1201132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201132800000",
    "number": "1689851388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3248 EDGELAND HWY",
            "city": "RICHBURG",
            "state": "SC",
            "postal_code": "297299478",
            "telephone_number": "803-789-6111",
            "fax_number": "803-789-6118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3248 EDGELAND HWY",
            "city": "RICHBURG",
            "state": "SC",
            "postal_code": "297299478",
            "telephone_number": "803-789-6111",
            "fax_number": "803-789-6118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEWISVILLE MEDICAL CENTER INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-24",
        "last_updated": "2008-01-24",
        "status": "A",
        "authorized_official_last_name": "YOUSEFIAN",
        "authorized_official_first_name": "MEHRDAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "803-789-6111",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "NOT APPLICABLE",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richburg, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2008; 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.