MID-CAROLINA PODIATRY INC. NPI 1457543589

NPI Information

NPI: 1457543589
Provider Name: MID-CAROLINA PODIATRY, INC.

Doing Business As: LEXINGTON FOOT CLINIC

Classification: Durable Medical Equipment & Medical Supplies - 332BC3200X
Entity Type: Organization

Specialization: Customized Equipment

Address:
1207 N LAKE DR
LEXINGTON, SC
ZIP 29072
Phone: (803) 359-5435
Get Directions

MID-CAROLINA PODIATRY, INC. is a customized equipment durable medical equipment medical supplies in Lexington, SC. MID-CAROLINA PODIATRY, INC. NPI is 1457543589. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Lexington Foot Clinic.

The provider's business location address is:

1207 N LAKE DR
LEXINGTON, SC
ZIP 29072-647
Phone: (803) 359-5435
Fax: (803) 359-4502

The provider's authorized official is Paul R Bearden .
The authorized official title is President and has the following contact phone number (803) 359-5435.

The enumeration date for this NPI number is 8/13/2007 and was last updated on 4/10/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213ES0131X	Podiatrist	Foot Surgery	00130	SOUTH CAROLINA	No
2	335E00000X	Prosthetic/Orthotic Supplier		00130	SOUTH CAROLINA	No
3	332BC3200X	Durable Medical Equipment & Medical Supplies	Customized Equipment	00130	SOUTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	U48678	MEDICARE UPIN	SOUTH CAROLINA
2	1150900001	MEDICARE NSC	SOUTH CAROLINA
3	18003	OTHER	SOUTH CAROLINA	DMERC-PAYOR NUMBER
4	6186	MEDICARE PIN	SOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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