Active NPI
Lexington County Health Services District, Inc.
- Internal Medicine Physician
- Lexington, SC
National Provider Identifier
1922026889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- LEXINGTON COUNTY HEALTH SERVICES DISTRICT, INC.
- Practice address
- 811 W Main St Ste 201
Lexington, SC 29072 - Phone
- (803) 358-6220
- Fax
- (803) 358-6225
- NPI assigned
- Jul 18, 2006
- Organization subpart
- Yes
- Parent organization
- LEXINGTON COUNTY HEALTH SERVICES DISTRICT, INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Melinda P Kruzner
- Title
- Executive Vice President
- Phone
- (803) 791-2000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
811 W Main St Ste 201
Lexington, SC 29072
Mailing address
PO Box 896239
Charlotte, NC 28289-6239
Phone (803) 358-6220
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GP4196 | Medicaid | SC |
Other names 1
- Lexington Internists
National Provider Directory
National Provider Directory- Part of
- Lexington County Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1534118400000",
"number": "1922026889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 896239",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282896239",
"telephone_number": "803-358-6220",
"fax_number": "803-358-6225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "811 W MAIN ST STE 201",
"city": "LEXINGTON",
"state": "SC",
"postal_code": "29072",
"telephone_number": "803-358-6220",
"fax_number": "803-358-6225"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEXINGTON COUNTY HEALTH SERVICES DISTRICT, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "LEXINGTON COUNTY HEALTH SERVICES DISTRICT, INC",
"enumeration_date": "2006-07-18",
"last_updated": "2018-08-13",
"status": "A",
"authorized_official_last_name": "KRUZNER",
"authorized_official_first_name": "MELINDA",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
"authorized_official_telephone_number": "803-791-2000"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GP4196",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Lexington Internists",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Lexington Internists",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Lexington, SC
- Lexington County Health Services District, Inc.
- Lexington County Health Services District, Inc.
- Lexington County Health Services District, Inc.
- Lexington County Health Services District, Inc.
- Lexington County Health Services District, Inc.
- Lexington County Health Services Districts, Inc.
- Lexington Facial and Oral Surgery
- Lexington Family Dental Care
- Lexington Family Smiles
- Lexington Gastroenterology
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.