VICKY GUTIERREZ (NPI# 1346614732) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1346614732 |
Entity Type | Individual |
Full Name | VICKY GUTIERREZ |
Credential | PA-C |
Practice Address |
103 Omni Dr Suite B Seneca SC 29672-9448 |
Mailing Address |
1 Independence Pt Ste 212 Greenville SC 29615-4536 |
Practice Telephone | 8648869250 |
Practice Fax Number | 8648869251 |
Mailing Telephone | 8647976303 |
Enumeration Date | 2015-11-23 |
Last Update Date | 2018-02-20 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
2483 | SC | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
103 OMNI DR SUITE B |
City | SENECA |
State | SC |
Zip Code | 29672-9448 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649243254 | Daniel James Holden | Internal Medicine | 103 Omni Dr, Suite A, Seneca, SC 29672-9448 | 2006-02-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790308955 | Pooja Kamboj | Student in an Organized Health Care Education/Training Program | 139 Lila Doyle Dr., Seneca, SC 29672 | 2020-05-22 |
1578126785 | Johanna Marie Scarino Lemons | Lactation Consultant, Non-RN | 504 Willow Branch Ln, Seneca, SC 29672 | 2019-04-15 |
1982067971 | Marthe Melanie Bryant Connah | Family Medicine | 139 Lila Doyle Drive, Family Medicine Residency - Oconee, Seneca, SC 29672 | 2016-03-29 |
1558733220 | Alyssa K. Locke | Occupational Therapist | 101 S-37-349, Seneca, SC 29672 | 2015-10-21 |
1497857742 | Pulmonary Critical Care & Sleep Associates Pa | Clinic/Center | 107 Omni Drive, Suite A, Seneca, SC 29672 | 2006-09-05 |
1659381440 | Timothy Aaron Zeller | Family Medicine | 139 Lila Doyle Dr, Seneca, SC 29672 | 2006-08-08 |
1871546978 | Samuel Thomas Drake | Specialist | 103 Omni Dr Ste A, Seneca, SC 29672 | 2006-05-18 |
1235123878 | Nancy Matz Thiel | Chiropractor | 355 Katelynn Lane, Seneca, SC 29672 | 2005-09-09 |
1265439954 | David E Heape | Emergency Medicine | 298 Memoral Drive, Oconee Memorial Hospital, Seneca, SC 29672 | 2005-07-07 |
1407345846 | Prisma Health-upstate | Clinic/Center | 139 Lila Doyle Drive, Seneca, SC 29672 | 2018-05-01 |
Find all providers in zip 29672 |
Taxonomy Code | 363AS0400X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Surgical Technologist |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649230715 | Charles Steven Jackson | Physician Assistant | 10630 Clemson Blvd, Ste 100, Seneca, SC 29678-4546 | 2006-03-24 |
1811957988 | George Emmitt Carter IIi | Physician Assistant | 10630 Clemson Blvd, Ste 100, Seneca, SC 29678-4546 | 2006-03-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689140451 | Nichole Lemay | Physician Assistant | 9 Richland Medical Park Dr Ste 640, Columbia, SC 29203 | 2018-10-19 |
1588183909 | John Edward Carpenter | Physician Assistant | 50 E Hospital St Ste 6, Manning, SC 29102-3149 | 2017-09-18 |
1689116006 | Healing Hands Surgical Assisting | Physician Assistant | 456 Bates Crossing Rd, Travelers Rest, SC 29690-9277 | 2016-11-16 |
1003207101 | Kimberly Anne Caldwell | Physician Assistant | 306 Roosevelt Ave, Travelers Rest, SC 29690-1750 | 2015-02-10 |
1144653742 | Carrie Marie Thompson | Physician Assistant | 96 Jonathan Lucus Street, Csb He320e, Charleston, SC 29425 | 2013-08-19 |
1437400363 | William Travis Jeffcoat | Physician Assistant | 109 Health Way, Anderson, SC 29621-3333 | 2012-10-02 |
1609184316 | Kym L Kittle | Physician Assistant | 161 Ashley Ave, Charleston, SC 29425-8905 | 2010-09-15 |
1093960957 | Stephen Utenick | Physician Assistant | 105 Beason Farm Ln, Simpsonville, SC 29681-6509 | 2008-11-19 |
1689849457 | First Surgical Associates, LLC | Physician Assistant | 1004 Wells St, Bennettsville, SC 29512-2718 | 2008-04-23 |
1922270594 | Kati George Carter | Physician Assistant | 890 W Faris Rd Ste 550, Greenville, SC 29605-4286 | 2008-03-24 |
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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.