STEPHEN UTENICK


Address: 105 Beason Farm Ln, Simpsonville, SC 29681-6509
Phone: 8644141164

STEPHEN UTENICK (NPI# 1093960957) 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) 1093960957
Entity Type Individual
Full Name STEPHEN UTENICK
Credential SA-C
Practice Address 105 Beason Farm Ln
Simpsonville
SC 29681-6509
Practice Telephone 8644141164
Enumeration Date 2008-11-19
Last Update Date 2008-11-19
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
95-108 CO Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 105 BEASON FARM LN
City SIMPSONVILLE
State SC
Zip Code 29681-6509

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1851858013 The Tot Spot of South Carolina Dentist 1334 S. Hwy 14, Simpsonville, SC 29681 2019-02-25
1194206540 Lynnette Kathleen Beyerle Nurse Practitioner 227 N Main Street, Simpsonville, SC 29681 2018-08-23
1477030070 Mena M Melek Pharmacist 115 Sc-14, Simpsonville, SC 29681 2018-07-26
1437673423 Abby Elizabeth Meagher Nurse Practitioner 1338 South Carolina Highway 14, Simpsonville, SC 29681 2017-08-01
1326586447 Brooke Huffman Speech-Language Pathologist 5 Moorgate Dr, Simpsonville, SC 29681 2017-02-09
1053869818 A Ray of Sunshine Home Health 216 Chickamauga Ln, Simpsonville, SC 29681 2016-09-21
1679924195 Guardian Angels of The Upstate Licensed Practical Nurse 117 Fairview Pointe Dr, Simpsonville, SC 29681 2016-06-27
1033560552 Jimetta Littlejohn Licensed Practical Nurse 117 Fairview Pointe Drive, Simpsonville, SC 29681 2016-06-27
1932597473 Peace and Comfort Care LLC, Home Health Home Health 3106 Bethel Rd Unit 55, Simpsonvill, SC 29681 2015-01-07
1093136830 Kidbuilders LLC Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 203 N. Maple St, Suite 8, Simpsonville, SC 29681 2013-12-20
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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
1891164224 John-thomas Carson Physician Assistant 727 Se Main St, Suite 220, Simpsonville, SC 29681-3247 2015-09-16
1326423831 Cristin Michelle Henry Physician Assistant 727 Se Main St Ste 220, Simpsonville, SC 29681 2015-07-25

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
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
1760584981 Coleman S Fravel Physician Assistant 3 Richland Medical Park Dr Ste 310, Columbia, SC 29203 2006-09-01
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Competitor

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City SIMPSONVILLE
Zip Code 29681

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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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