NPIMap

Organization Active NPI

Lexington County Health Serv

Doing business as Lexington Medical Specialists

  • Internal Medicine Physician
  • West Columbia, SC
National Provider Identifier
1982637773
Registry record updated Nov 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
LEXINGTON COUNTY HEALTH SERV
Doing business as
Lexington Medical Specialists
Practice address
110 E Medical LN Ste 140
West Columbia, SC 29169-4817
Phone
(803) 936-8900
NPI assigned
Jul 8, 2006
Last updated
Nov 15, 2007By the provider in NPPES
Organization subpart
Yes
Parent organization
LEXINGTON COUNTY HEALTH SERVAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 15, 2007

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

Authorized official

Name
Karen Henderson
Title
Credentialing Specialist
Phone
(803) 936-7679

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Primary

Addresses

Primary practice location

110 E Medical LN Ste 140
West Columbia, SC 29169-4817

Mailing address

2720 Sunset Blvd
Attn Credentialing
West Columbia, SC 29169-4810
Phone (803) 936-7679

Other identifiers 1

IdentifierTypeStateIssuer
GP4221MedicaidSC

Other names 1

  • Lexington Medical Specialists Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Internal Medicine Assoi17 organizations share this tax ID, including this one
Part of
Internal Medicine Assoi

Other organizations with this tax ID 16

Organizations that report the same tax identification number in the National Provider Directory.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195084800000",
    "number": "1982637773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2720 SUNSET BLVD",
            "address_2": "ATTN CREDENTIALING",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291694810",
            "telephone_number": "803-936-7679",
            "fax_number": "803-791-2122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E MEDICAL LN STE 140",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291694817",
            "telephone_number": "803-936-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEXINGTON COUNTY HEALTH SERV",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LEXINGTON COUNTY HEALTH SERV",
        "enumeration_date": "2006-07-08",
        "last_updated": "2007-11-15",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "803-936-7679"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP4221",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lexington Medical Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.

Verify at the official NPI Registry.