VICKY GUTIERREZ


Address: 103 Omni Dr, Suite B, Seneca, SC 29672-9448
Phone: 8648869250

VICKY GUTIERREZ (NPI# 1346614732) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 103 OMNI DR
SUITE B
City SENECA
State SC
Zip Code 29672-9448

Providers in the same location

NPI Name Taxonomy Address Enumeration
1649243254 Daniel James Holden Internal Medicine 103 Omni Dr, Suite A, Seneca, SC 29672-9448 2006-02-13

Providers in the same zip code

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 Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
Find all providers with the same taxonomy

Competitor

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City SENECA
Zip Code 29672

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Dataset Information

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.

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