Active NPI
Sustainable Lifestyle and Metabolic Clinic Inc
- Obesity Medicine (Internal Medicine) Physician
- Austin, TX
National Provider Identifier
1902529753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obesity Medicine (Internal Medicine) Physician
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kofi Sarfo-Kantanka, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Obesity Medicine (Internal Medicine) Physician | 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
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.
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.