MID-CAROLINA PODIATRY, INC. (NPI# 1457543589) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457543589 |
| Entity Type | Organization |
| Organization Name | MID-CAROLINA PODIATRY, INC. |
| Other Organization Name | LEXINGTON FOOT CLINIC |
| Practice Address |
1207 N Lake Dr Lexington SC 29072-7647 |
| Practice Telephone | 8033595435 |
| Practice Fax Number | 8033594502 |
| Mailing Telephone | 8033595435 |
| Mailing Fax Number | 8033594502 |
| Enumeration Date | 2007-08-13 |
| Last Update Date | 2008-04-10 |
| Authorized Official Name | PAUL R BEARDEN (PRESIDENT) |
| Authorized Official Telephone | 8033595435 |
| Authorized Official Credential | D.P.M. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
00130 | SC | Podiatric Medicine & Surgery Service Providers |
| N | 335E00000X | Prosthetic/Orthotic Supplier | 00130 | SC | Suppliers |
| Y | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
00130 | SC | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | DMERC-PAYOR NUMBER | 18003 | 01 |
| Other Name | Type Code |
|---|---|
| Lexington Foot Clinic | Doing Business As Name - Organization |
| Street Address |
1207 N LAKE DR |
| City | LEXINGTON |
| State | SC |
| Zip Code | 29072-7647 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700484821 | Grace Physicians Services | Clinic/Center | 1483 Old Cherokee Road, Lexington, SC 29072 | 2020-10-12 |
| 1750995007 | Trinity Health and Wellness | Clinic/Center | 1483 Old Cherokee Rd, Lexington, SC 29072 | 2020-09-03 |
| 1730727629 | Erika Watts | Occupational Therapist | 100 Tarrar Springs Road, Sped, Lexington, SC 29072 | 2019-12-11 |
| 1194380600 | Lexington County Health Services District, Inc. | Clinic/Center | 154 Saluda Pointe Ct, Lexington, SC 29072 | 2019-05-09 |
| 1962973768 | William R. Key | Counselor | Lexington Community Mental Health Center, 301 Palmetto Park Boulevard, Lexington, SC 29072 | 2018-12-06 |
| 1639651961 | Lindsey Terry | Social Worker | 108 Palmetto Pk. Boulveard, Suite D, Lexington, SC 29072 | 2018-09-04 |
| 1922594126 | Dental Professional of South Carolina, P.C. | Dentist | 2448 Augusta Hwy, Lexington, SC 29072 | 2018-07-11 |
| 1598251605 | Lynn Marceline Beckett-lowe | Nurse Practitioner | 124 Pink Camellia Lane, Lexington, SC 29072 | 2018-07-02 |
| 1083120620 | Diana Reiss | Counselor | 714 S Lake Drive, 120, Lexington, SC 29072 | 2017-12-19 |
| 1649781857 | Constance Jean Lynch | Occupational Therapist | 800 North Lake Boulevard, Lexington, SC 29072 | 2017-10-14 |
| Find all providers in zip 29072 | ||||
| Taxonomy Code | 332BC3200X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Customized Equipment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
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| 1487198016 | Tmj and Sleep Dentistry Center of Central Kentucky LLC | Durable Medical Equipment & Medical Supplies | 2408 Sir Barton Way Ste 275, Lexington, KY 40509-3000 | 2016-12-16 |
| 1871953620 | Pediatric Mobility Innovations, Inc. | Durable Medical Equipment & Medical Supplies | 4458 Augusta Rd, Ste 1b, Lexington, SC 29073-7155 | 2016-03-07 |
| 1326431404 | Pediatric Mobility Innovations | Durable Medical Equipment & Medical Supplies | 4458 Augusta Road Suite 1b, Lexington, SC 29073 | 2015-03-12 |
| 1336437631 | United Seating and Mobility LLC | Durable Medical Equipment & Medical Supplies | 973 Beasley St, Suite 110, Lexington, KY 40509-4262 | 2011-07-20 |
| 1831378173 | Mh Rehab | Durable Medical Equipment & Medical Supplies | 238 E Lowry Lane, Lexington, KY 40503 | 2007-11-02 |
| 1255364212 | Extreme Mobility Inc | Durable Medical Equipment & Medical Supplies | 2551 Regency Rd, Suite 105, Lexington, KY 40503-2963 | 2006-07-09 |
| 1427019579 | Whites Medical Rentals Inc | Durable Medical Equipment & Medical Supplies | 203c Dooley Rd, Lexington, SC 29073-7614 | 2006-03-29 |
| 1205809126 | National Seating & Mobility Inc | Durable Medical Equipment & Medical Supplies | 2025 Leestown Road, Unit L, Lexington, KY 40511-1000 | 2006-02-10 |
| 1942270137 | Lovejoy Medical Inc | Durable Medical Equipment & Medical Supplies | 132 Venture Ct, Suite 12 and 13, Lexington, KY 40511-2631 | 2006-01-23 |
| 1801874680 | Hamiltons Health Aid Services, Inc. | Durable Medical Equipment & Medical Supplies | 1801 Alexandria Dr, Suite 136, Lexington, KY 40504-3150 | 2006-01-03 |
| Find all providers in LEXINGTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.