Organization Active NPI

Sustainable Lifestyle and Metabolic Clinic Inc

  • Obesity Medicine (Internal Medicine) Physician
  • Austin, TX
National Provider Identifier
1902529753
Registry record updated Sep 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obesity Medicine (Internal Medicine) PhysicianTaxonomy code 207RB0002X
Legal business name
SUSTAINABLE LIFESTYLE AND METABOLIC CLINIC INC
Practice address
301 West Ave Apt 4302
Austin, TX 78701-4763
Phone
(503) 819-7386
NPI assigned
Sep 26, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2022

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

Authorized official

Name
Dr. Kofi Sarfo-Kantanka, MDNPI 1386176246
Title
Ceo
Phone
(503) 819-7386

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
Obesity Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RB0002X Primary

Addresses

Primary practice location

301 West Ave Apt 4302
Austin, TX 78701-4763

Mailing address

301 West Ave Apt 4302
Austin, TX 78701-4763
Phone (503) 819-7386

Other names 1

  • SLIM CLINIC Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1664150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664150400000",
    "number": "1902529753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 WEST AVE APT 4302",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787014763",
            "telephone_number": "503-819-7386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 WEST AVE APT 4302",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787014763",
            "telephone_number": "503-819-7386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSTAINABLE LIFESTYLE AND METABOLIC CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-26",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A",
        "authorized_official_last_name": "SARFO-KANTANKA",
        "authorized_official_first_name": "KOFI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "503-819-7386",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RB0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Obesity Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SLIM CLINIC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2022; 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.