LEXINGTON COUNTY HEALTH SERVICES DISTRICT, INC. (NPI# 1457620387) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457620387 |
| Entity Type | Organization |
| Organization Name | LEXINGTON COUNTY HEALTH SERVICES DISTRICT, INC. |
| Other Organization Name | SOUTHEASTERN ORTHOPAEDICS AND SPORTS MEDICINE |
| Practice Address |
146 East Hospital Dr Ste 350 West Columbia SC 29169-4800 |
| Mailing Address |
470 Hulon Lane Attn: Vp - Revenue Cycle West Columbia SC 29169 |
| Practice Telephone | 8039367966 |
| Practice Fax Number | 8039367938 |
| Mailing Telephone | 8039367966 |
| Mailing Fax Number | 8039367938 |
| Enumeration Date | 2011-12-21 |
| Last Update Date | 2019-10-17 |
| Authorized Official Name | TIFFANY AYERS (CREDENTIALING MANAGER) |
| Authorized Official Telephone | 8039358292 |
| Is Organization Subpart | Y |
| Parent Organization Name | LEXINGTON COUNTY HEALTH SERVICES DISTRICT, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| SE Orthopaedics and Sports Medicine | Doing Business As Name - Organization |
| Southeastern Orthopaedics and Sports Medicine | Doing Business As Name - Organization |
| Southeastern Orthopaedics and Sports Medicine Northeast | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 103 Summit Centre Dr, Columbia, SC 292297613 | 8039367966 | 8039367938 |
| 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 STE 350 |
| City | WEST COLUMBIA |
| State | SC |
| Zip Code | 29169-4800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124046081 | Lexington County Health Services District, Inc. | Surgery | 146 East Hospital Dr, Suite 430, West Columbia, SC 29169 | 2006-07-18 |
| 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 |
| 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 | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619575958 | Lexington Health Inc | Orthopaedic Surgery | 146 E Hospital Dr Ste 350, West Columbia, SC 29169-4800 | 2020-10-09 |
| 1992048219 | David Ashton Hankins | Orthopaedic Surgery | 146 E Hospital Dr Ste 140, West Columbia, SC 29169-4800 | 2013-04-04 |
| 1700045481 | Justin Ryan Knight | Orthopaedic Surgery | 146 E Hospital Dr Ste 350, West Columbia, SC 29169-4800 | 2008-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932369030 | Guillaume David Dumont | Orthopaedic Surgery | 2 Medical Park Road, Suite 104, Columbia, SC 29203-6875 | 2008-06-11 |
| 1922111715 | South Carolina Sports Medicine & Orthopaedic Center | Orthopaedic Surgery | 9100 Medcom Street, N Charleston, SC 29406 | 2006-08-16 |
| 1578570107 | Seth P Kupferman | Orthopaedic Surgery | 9100 Medcom St, N Charleston, SC 29406 | 2006-08-03 |
| 1720096357 | Gary E Windler | Orthopaedic Surgery | 9100 Medicom St, N Charleston, SC 29406 | 2006-08-03 |
| 1013965789 | Southern Orthopaedic Sports Medicne | Orthopaedic Surgery | 1718 Saint Julian Pl, Columbia, SC 29204-2410 | 2006-05-05 |
| 1427011485 | Thomas A. Leong | Orthopaedic Surgery | 2755 S Highway 14 Ste 1200l, Greer, SC 29650-4902 | 2006-04-10 |
| 1770552481 | Bright Mcconnell IIi | Orthopaedic Surgery | 900 Island Park Dr, Suite 105, Daniel Island, SC 29492-7559 | 2006-03-15 |
| 1730162058 | David R Kingery | Orthopaedic Surgery | 811 W Main St Ste 101, Lexington, SC 29072-2500 | 2005-11-21 |
| 1770583817 | Robert Mario Dasilva | Orthopaedic Surgery | 1910 Blanding St, Columbia, SC 29201-3520 | 2005-07-29 |
| 1518570761 | Carolinas Physicians Network Inc | Orthopaedic Surgery | 1690 Highway 160 W, Fort Mill, SC 29708-8024 | 2020-08-27 |
| Find all providers with the same taxonomy | ||||
| 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.