Active NPI
Lexington Urological Associates, PA
- Specialist
- West Columbia, SC
National Provider Identifier
1710908900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- LEXINGTON UROLOGICAL ASSOCIATES, PA
- Practice address
- 139 Summerplace Dr
West Columbia, SC 29169-3058 - Phone
- (803) 796-9968
- Fax
- (803) 791-0376
- NPI assigned
- Jul 22, 2006
- Last updated
- Oct 12, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Barbara Watson, CMM
- Title
- Administrator
- Phone
- (803) 796-9968
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
139 Summerplace Dr
West Columbia, SC 29169-3058
Mailing address
139 Summerplace Dr
West Columbia, SC 29169-3058
Phone (803) 796-9968
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Urology Physician
- West Columbia, SC
- NPI 1215961842
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153526400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1192147200000",
"number": "1710908900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "139 SUMMERPLACE DR",
"city": "WEST COLUMBIA",
"state": "SC",
"postal_code": "291693058",
"telephone_number": "803-796-9968",
"fax_number": "803-791-0376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "139 SUMMERPLACE DR",
"city": "WEST COLUMBIA",
"state": "SC",
"postal_code": "291693058",
"telephone_number": "803-796-9968",
"fax_number": "803-791-0376"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEXINGTON UROLOGICAL ASSOCIATES, PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-22",
"last_updated": "2007-10-12",
"status": "A",
"authorized_official_last_name": "WATSON",
"authorized_official_first_name": "BARBARA",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "803-796-9968",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "CMM"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Columbia, SC
- Lexington Radiology Associates
- Lexington Radiology Associates, P.a.
- Lexington Rehabilitation and Nursing Center-Lexington SC LLC (Heartland of Lexington Rehabilitation and Nursing Center)
- Lexington School District 2
- Lexington Treatment Specialists LLC
- Jacquanna Janice Leysath
- Jialiu David Li, M.D.
- Jeffrey S Libbey, MD
- Jill E Libbey, CRNA
- Karen Cerjak Liberatore, CRNA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.