Organization Active NPI

South Lexington Institute for Metabolic Surgery, PLLC

  • Surgery Physician
  • Lexington, KY
National Provider Identifier
1922238534
Registry record updated Jul 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
SOUTH LEXINGTON INSTITUTE FOR METABOLIC SURGERY, PLLC
Practice address
1401 Harrodsburg Rd
Suite B-355
Lexington, KY 40504-3763
Phone
(859) 276-5262
Fax
(859) 277-6509
NPI assigned
Jul 16, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2009

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

Authorized official

Name
Dr. John M. Harris, M.D.
Title
Partner
Phone
(859) 276-5262

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

1401 Harrodsburg Rd
Suite B-355
Lexington, KY 40504-3763

Mailing address

1401 Harrodsburg Rd
Suite B-355
Lexington, KY 40504-3763
Phone (859) 276-5262

Other identifiers 3

IdentifierTypeStateIssuer
1083619886OtherKYJOHN M. HARRIS, MD NPI
1760601025OtherKYM. ROSS TEKULVE, MD NPI
1891791158OtherKYJASON P. HARRIS, MD NPI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1247702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247702400000",
    "number": "1922238534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 HARRODSBURG RD",
            "address_2": "SUITE B-355",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405043763",
            "telephone_number": "859-276-5262",
            "fax_number": "859-277-6509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 HARRODSBURG RD",
            "address_2": "SUITE B-355",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405043763",
            "telephone_number": "859-276-5262",
            "fax_number": "859-277-6509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH LEXINGTON INSTITUTE FOR METABOLIC SURGERY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-16",
        "last_updated": "2009-07-16",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "859-276-5262",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHN M. HARRIS, MD NPI",
            "identifier": "1083619886",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "M. ROSS TEKULVE, MD NPI",
            "identifier": "1760601025",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JASON P. HARRIS, MD NPI",
            "identifier": "1891791158",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2009; 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.