Lexington County Health Services District, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

LEXINGTON COUNTY HEALTH SERVICES DISTRICT, INC.

Doing business as

Lake Ridge Family Medicine

Practice address

557 Columbia Avenue
Suite D
Chapin, SC 29036

Phone

(803) 345-1288

Fax

(803) 345-1623

NPI assigned

Jul 11, 2006

Last updated

Jun 1, 2010By the provider in NPPES

Organization subpart

Yes

Parent organization

LEXINGTON COUNTY HEALTH SERVICES DISTRICT, INC.As reported in NPPES

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

Authorized official

Name

Melinda P Kruzner

Title

Cfo & Sr. VP

Phone

(803) 791-2000

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Lake Ridge Family Medicine Doing business as

Part of

Internal Medicine Assoi

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275350400000",
    "number": "1992739015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "557 COLUMBIA AVENUE",
            "address_2": "SUITE D",
            "city": "CHAPIN",
            "state": "SC",
            "postal_code": "29036",
            "telephone_number": "803-345-1288",
            "fax_number": "803-345-1623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "557 COLUMBIA AVENUE",
            "address_2": "SUITE D",
            "city": "CHAPIN",
            "state": "SC",
            "postal_code": "29036",
            "telephone_number": "803-345-1288",
            "fax_number": "803-345-1623"
        }
    ],
    "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": "2006-07-11",
        "last_updated": "2010-06-01",
        "status": "A",
        "authorized_official_last_name": "KRUZNER",
        "authorized_official_first_name": "MELINDA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CFO & SR. VP",
        "authorized_official_telephone_number": "803-791-2000"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP4194",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake Ridge Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christopher George Lehmann, DC
• Lexington County Health Serv (Chapin Nuclear Medicine)
• Lexington County Health Services District, Inc. (Chapin Family Practice)
• Lexington County Health Services District, Inc. (Lexington Medical Center Chapin)
• Lexington County Health Services District, Inc. (Chapin Womens Care)
• Lexington Health Inc (Chapin Women's Care)
• Lexington Health Inc (Chapin Family Practice)
• Lexington Health Inc (Lexington Health Urgent Care)
• Lexington Health Inc (Chapin Family Medicine)
• Life Long Care LLC

• Family Medicine Physician in Chapin, SC
• Providers in Chapin, SC by specialty
• Family Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2010; 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.