LEXINGTON HEALTH INC (NPI# 1619574969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619574969 |
| Entity Type | Organization |
| Organization Name | LEXINGTON HEALTH INC |
| Other Organization Name | LEXINGTON PEDIATRICS |
| Practice Address |
811 W Main St Ste 204 Lexington SC 29072-2500 |
| Mailing Address |
Po Box 6069 West Columbia SC 29171-6069 |
| Practice Telephone | 8033598855 |
| Practice Fax Number | 8033591257 |
| Enumeration Date | 2020-10-08 |
| Last Update Date | 2020-10-12 |
| Authorized Official Name | JEFFREY BRILLHART (SENIOR VP/CFO) |
| Authorized Official Telephone | 8037912967 |
| Is Organization Subpart | Y |
| Parent Organization Name | LEXINGTON HEALTH INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Lexington Pediatrics | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3240 Sunset Blvd, West Columbia, SC 291693428 | 8033598855 | 8033591257 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831796150 | Lexington Health Inc | Surgery | 2728 Sunset Blvd Ste 105, West Columbia, SC 29169-4839 | 2020-10-09 |
| 1750988036 | Lexington Health Inc | Obstetrics & Gynecology | 700 Gervais St Ste 300, Columbia, SC 29201-3061 | 2020-10-08 |
| 1154928570 | Lexington Health Inc | Family Medicine | 146 E Hospital Dr Ste 500, West Columbia, SC 29169-4842 | 2020-10-08 |
| 1932706280 | Lexington Health Inc | Internal Medicine | 146 E Hospital Dr Ste 530, West Columbia, SC 29169-4800 | 2020-10-08 |
| 1376144972 | Lexington Health Inc | Internal Medicine | 2720 Sunset Blvd, West Columbia, SC 29169-4810 | 2020-11-02 |
| 1407457013 | Lexington Health Inc | Clinic/Center | 154 Saluda Pointe Ct, Lexington, SC 29072 | 2020-11-02 |
| 1730789579 | Lexington Health Inc | Clinic/Center | 557 Columbia Ave, Chapin, SC 29036-8324 | 2020-10-30 |
| 1003416066 | Lexington Health Inc | Physical Therapist | 2720 Sunset Blvd, West Columbia, SC 29169-4810 | 2020-10-29 |
| 1962002915 | Lexington Health Inc | Emergency Medicine | 2720 Sunset Blvd, West Columbia, SC 29169-4810 | 2020-10-29 |
| 1518565621 | Lexington Health Inc | Surgery | 146 E Hospital Dr Ste 400, West Columbia, SC 29169-4800 | 2020-10-12 |
| Street Address |
811 W MAIN ST STE 204 |
| City | LEXINGTON |
| State | SC |
| Zip Code | 29072-2500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396861308 | Caroline Burnett Webber | Pediatrics | 811 W Main St Ste 204, Lexington, SC 29072-2500 | 2007-03-21 |
| 1205380185 | Beth Ann Alexander Bremer | Nurse Practitioner | 811 W Main St Ste 204, Lexington, SC 29072-2500 | 2016-08-09 |
| 1205249117 | Amanda Ruscin Vartanian | Pediatrics | 811 W Main St Ste 204, Lexington, SC 29072-2500 | 2014-06-09 |
| 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 | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154715159 | Gregory Tracy | Pediatrics | 3050 Harrodsburg Rd Ste 100, Lexington, KY 40503 | 2015-03-27 |
| 1639489651 | Lexmedical, Inc | Pediatrics | 14 Medical Park Dr, Lexington, NC 27292-6768 | 2010-10-08 |
| 1427203454 | Mary Jane Lagrew, M.d., LLC | Pediatrics | 1780 Nicholasville Rd, Suite 203, Lexington, KY 40503-1400 | 2008-11-18 |
| 1952402091 | Pediatric & Adolescent Associates | Pediatrics | 3050 Harrodsburg Rd, Lexington, KY 40503-2747 | 2006-09-25 |
| 1386747251 | Mary Jane Lagrew | Pediatrics | 1780 Nicholasville Rd, Suite203, Lexington, KY 40503-1400 | 2006-09-06 |
| 1861418329 | Lexington County Health Services District, Inc. | Pediatrics | 811 West Main Street, Ste 204, Lexington, SC 29072 | 2006-07-15 |
| 1891712220 | Hatim A Omar | Pediatrics | 740 S Limestone, Lexington, KY 40536-0001 | 2006-07-15 |
| 1992741714 | Sharon Norman Rodrigue | Pediatrics | 496 Southland Dr, Lexington, KY 40503-1827 | 2006-06-21 |
| 1659323525 | Deborah Delona Stanley | Pediatrics | 496 Southland Dr, Lexington, KY 40503-1827 | 2006-05-17 |
| 1609827872 | Priscilla Ann Lynd | Pediatrics | 1640 Bryan Station Rd Ste 1, Lexington, KY 40505-2144 | 2006-05-13 |
| 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.