LEXINGTON COUNTY HEALTH SERVICES DISTRICT, INC. (NPI# 1124046081) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124046081 |
| Entity Type | Organization |
| Organization Name | LEXINGTON COUNTY HEALTH SERVICES DISTRICT, INC. |
| Other Organization Name | RIVERSIDE SURGICAL |
| Practice Address |
146 East Hospital Dr Suite 430 West Columbia SC 29169 |
| Mailing Address |
Po Box 896239 Charlotte NC 28289-6239 |
| Practice Telephone | 8037912828 |
| Practice Fax Number | 8037912824 |
| Mailing Telephone | 8037912828 |
| Mailing Fax Number | 8037912824 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2018-10-18 |
| Authorized Official Name | MELINDA SARVIS (EXECUTIVE VICE PRESIDENT) |
| Authorized Official Telephone | 8037912000 |
| Is Organization Subpart | Y |
| Parent Organization Name | LEXINGTON COUNTY HEALTH SERVICES DISTRICT, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | RR MEDICARE | DB8351 | 01 |
| SC | GP3786 | 05 |
| Other Name | Type Code |
|---|---|
| Riverside Surgical | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194380600 | Lexington County Health Services District, Inc. | Clinic/Center | 154 Saluda Pointe Ct, Lexington, SC 29072 | 2019-05-09 |
| 1528514130 | Lexington County Health Services District, Inc. | Clinic/Center | 7035 St Andrews Road, Ste 203, Columbia, SC 29212-1177 | 2016-09-01 |
| 1972997583 | Lexington County Health Services District, Inc. | Physical Medicine & Rehabilitation | 222 East Medical Lane, Ste 200, West Columbia, SC 29169-4801 | 2015-03-20 |
| 1144564774 | Lexington County Health Services District, Inc. | Internal Medicine | 540 Physicians Lane, Sumter, SC 29150 | 2012-11-20 |
| 1215282819 | Lexington County Health Services District, Inc. | Orthopaedic Surgery | 810 Mallet Hill Road, Columbia, SC 29223 | 2012-07-19 |
| 1487909081 | Lexington County Health Services District, Inc. | Neurological Surgery | 146 East Hospital Dr, Ste 120a, West Columbia, SC 29169 | 2012-07-19 |
| 1326316803 | Lexington County Health Services District, Inc. | Obstetrics & Gynecology | 90 Summit Centre Dr, Columbia, SC 29229-6926 | 2011-12-12 |
| 1447536750 | Lexington County Health Services District, Inc. | Surgery | 146 East Hospital Dr, Ste 200, West Columbia, SC 29169-4800 | 2011-11-01 |
| 1699062380 | Lexington County Health Services District, Inc. | Obstetrics & Gynecology | 110 E Medical Lane, Ste 220, West Columbia, SC 29169 | 2011-07-01 |
| 1285924316 | Lexington County Health Services District, Inc. | Internal Medicine | 4540 Trenholm Road, Columbia, SC 29206 | 2011-04-11 |
| Street Address |
146 EAST HOSPITAL DR SUITE 430 |
| City | WEST COLUMBIA |
| State | SC |
| Zip Code | 29169 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336617166 | Eric D Jewell | Nurse Practitioner | 146 East Hospital Dr, Suite 200, West Columbia, SC 29169-4839 | 2018-11-09 |
| 1851744130 | Martha Kathleen Russell | Nurse Practitioner | 146 East Hospital Dr, 140, West Columbia, SC 29169-4800 | 2016-07-21 |
| 1457620387 | Lexington County Health Services District, Inc. | Orthopaedic Surgery | 146 East Hospital Dr, Ste 350, West Columbia, SC 29169-4800 | 2011-12-21 |
| 1356521249 | Lexington County Health Services District, Inc. | Obstetrics & Gynecology | 146 East Hospital Dr, Ste 240, West Columbia, SC 29169-4800 | 2007-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457960726 | Jerry Scott Oreilly | Physical Therapy Assistant | 100 Dreher Rd, Suite 100, West Columbia, SC 29169 | 2020-07-23 |
| 1134759921 | A&m Medical, LLC | Durable Medical Equipment & Medical Supplies | 1053 Sunset Boulevard, West Columbia, SC 29169 | 2020-01-21 |
| 1750946067 | First Physical Therapy, LLC | Clinic/Center | 100 Dreher Rd., Suite 100, West Columbia, SC 29169 | 2019-05-02 |
| 1295217545 | Tynaka Kwans Wilson | Nurse Practitioner | Sc House Calls Inc, 1053 Center Street, West Columbia, SC 29169 | 2018-09-04 |
| 1588183826 | Kimberly Jane Jennings | Registered Nurse | 1052 Center Street, Sc House Calls Inc, West Columbia, SC 29169 | 2017-09-19 |
| 1164943213 | Jacob Luke Wayland | Emergency Medicine | Lexington Medical Center-emergency Medicine Dept, 2720 Sunset Blvd, West Columbia, SC 29169 | 2017-06-29 |
| 1740721232 | Heather Detwiler | Physical Therapy Assistant | 2705 Leaphart Rd., Carolina Gardens, West Columbia, SC 29169 | 2017-03-16 |
| 1588110761 | Virginia I Hall | Nurse Practitioner | 2720 Susnet Blvd, West Columbia, SC 29169 | 2016-08-29 |
| 1215395744 | Stacey Khalifa | Social Worker | 160 Medical Cir Fl 1, West Columbia, SC 29169 | 2016-01-28 |
| 1407252331 | Sandy Frye Boone | Counselor | 2318 Sunset Blvd # 2a, West Columbia, SC 29169 | 2014-11-04 |
| Find all providers in zip 29169 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114945078 | Lexington County Health Serv | Surgery | 146 East Hospital Dr Ste 430, West Columbia, SC 29169 | 2006-07-18 |
| 1033184817 | Solon Gray Hughes | Surgery | 146 E Hospital Dr Ste 400, West Columbia, SC 29169-4800 | 2006-02-23 |
| 1528066909 | Lynn Moore Tucker | Surgery | 2728 Sunset Blvd, Suite 104, West Columbia, SC 29169-4840 | 2005-07-11 |
| 1215202148 | Lindsey Eugene Crumlin Jr. | Surgery | 1709 Mobile Ave, Sc Voc Rehab Disability Determination Services, West Columbia, SC 29170-2140 | 2012-03-09 |
| 1962723809 | Jonathan Jay Sexton | Surgery | 2728 Sunset Blvd Ste 400, West Columbia, SC 29169-4839 | 2010-06-15 |
| 1942460746 | Nicholas A. Limperos | Surgery | 146 E Hospital Dr Ste 400, West Columbia, SC 29169-4800 | 2008-06-15 |
| 1407056922 | Katherine Tatijana Ostapoff | Surgery | 146 E Hospital Dr Ste 400, West Columbia, SC 29169-4800 | 2007-07-23 |
| 1841490513 | Richard Clark Webb | Surgery | 146 E Hospital Dr Ste 400, West Columbia, SC 29169-4800 | 2007-07-20 |
| 1427176544 | Roland Rhystmas Craft IIi | Surgery | 146 E Hospital Dr Ste 400, West Columbia, SC 29169-4800 | 2007-03-27 |
| 1992847446 | Raymond S Fryrear II | Surgery | 146 N Hospital Drive, Ste. 310, West Columbia, SC 29169 | 2007-02-13 |
| Find all providers in WEST COLUMBIA | ||||
| City | WEST COLUMBIA |
| Zip Code | 29169 |
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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.