DR. MARK RAYMOND KUTYLA (NPI# 1326007022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326007022 |
| Entity Type | Individual |
| Full Name | DR. MARK RAYMOND KUTYLA |
| Other Name | MARK R KUTYLA |
| Credential | DPM |
| Practice Address |
121 Park Place Ct Lexington SC 29072-6690 |
| Mailing Address |
Po Box 6069 West Columbia SC 29171-6069 |
| Practice Telephone | 8033564712 |
| Practice Fax Number | 8033560832 |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2020-11-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
516 | SC | Podiatric Medicine & Surgery Service Providers |
| N | 213ER0200X |
Podiatrist Specialization: Radiology |
516 | SC | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0000X |
Podiatrist Specialization: Sports Medicine |
516 | SC | Podiatric Medicine & Surgery Service Providers |
| Y | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
516 | SC | Podiatric Medicine & Surgery Service Providers |
| N | 2471M1202X |
Radiologic Technologist Specialization: Magnetic Resonance Imaging |
516 | SC | Technologists, Technicians & Other Technical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | CLIA CERTIFICATE OF WAIVER FOR NEWBERRY FOOT CLINIC LOCATION | 42D2921723 | 01 |
| SC | ACM - NEWBERRY FOOT CLINIC | 1015587 | 01 |
| SC | NPI # MARK R KUTYLA DPM | 1326007022 | 01 |
| SC | AETNA PROVIDER | 7238051 | 01 |
| SC | NPI # FOR NEWBERRY FOOT CLINIC - ADDITIONAL PRACTICE LOCATION | 1851338461 | 01 |
| SC | MEDICARE RAILROAD PROVIDER | 480032059 | 01 |
| SC | INTEGRATED HEALTH PLAN PROVIDER | K066682 | 01 |
| SC | NPI # FOR MIDLANDS FOOT CLINIC - PRIMARY PRACTICE LOCATION | 1720032816 | 01 |
| SC | CLIA CERTIFICATE OF WAIVER FOR MIDLANDS FOOT CLINIC LOCATION | 42D2021725 | 01 |
| SC | ACM - MIDLANDS FOOT CLINIC | 1020003 | 01 |
| SC | CIGNA PROVIDER | 0433675 | 01 |
| Street Address |
121 PARK PLACE CT |
| City | LEXINGTON |
| State | SC |
| Zip Code | 29072-6690 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871191080 | Lexington Health Inc | Podiatrist | 121 Park Place Ct, Lexington, SC 29072-6690 | 2020-10-12 |
| 1568854602 | Lexington County Health Services District, Inc. | Podiatrist | 121 Park Place Ct, Lexington, SC 29072-6690 | 2015-02-26 |
| 1720032816 | Mark R Kutyla Dpm Pa | Podiatrist | 121 Park Place Ct, Lexington, SC 29072-6690 | 2006-05-22 |
| 1578525820 | Paul Richard Bearden | Podiatrist | 121 Park Place Ct, Lexington, SC 29072-6690 | 2006-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700484821 | Grace Physicians Services | Clinic/Center | 1483 Old Cherokee Road, Lexington, SC 29072 | 2020-10-12 |
| 1750995007 | Trinity Health and Wellness | Clinic/Center | 1483 Old Cherokee Rd, Lexington, SC 29072 | 2020-09-03 |
| 1730727629 | Erika Watts | Occupational Therapist | 100 Tarrar Springs Road, Sped, Lexington, SC 29072 | 2019-12-11 |
| 1194380600 | Lexington County Health Services District, Inc. | Clinic/Center | 154 Saluda Pointe Ct, Lexington, SC 29072 | 2019-05-09 |
| 1962973768 | William R. Key | Counselor | Lexington Community Mental Health Center, 301 Palmetto Park Boulevard, Lexington, SC 29072 | 2018-12-06 |
| 1639651961 | Lindsey Terry | Social Worker | 108 Palmetto Pk. Boulveard, Suite D, Lexington, SC 29072 | 2018-09-04 |
| 1922594126 | Dental Professional of South Carolina, P.C. | Dentist | 2448 Augusta Hwy, Lexington, SC 29072 | 2018-07-11 |
| 1598251605 | Lynn Marceline Beckett-lowe | Nurse Practitioner | 124 Pink Camellia Lane, Lexington, SC 29072 | 2018-07-02 |
| 1083120620 | Diana Reiss | Counselor | 714 S Lake Drive, 120, Lexington, SC 29072 | 2017-12-19 |
| 1649781857 | Constance Jean Lynch | Occupational Therapist | 800 North Lake Boulevard, Lexington, SC 29072 | 2017-10-14 |
| Find all providers in zip 29072 | ||||
| Taxonomy Code | 213ES0131X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457543589 | Mid-carolina Podiatry, Inc. | Podiatrist | 1207 N Lake Dr, Lexington, SC 29072-7647 | 2007-08-13 |
| 1215014303 | Bryant Podiatry Pllc | Podiatrist | 2130 Nicholasville Rd, Suite 1, Lexington, KY 40503-2520 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508226580 | Foot and Heel Pain Clinic, LLC | Podiatrist | 551 Old Charleston Hwy, Hardeeville, SC 29927-3716 | 2016-03-03 |
| 1952630972 | Roper Saint Francis Physicians Network | Podiatrist | 2270 Ashley Crossing Dr Ste 110, Charleston, SC 29414 | 2009-12-22 |
| 1487889200 | Carolina Foot Specialists, LLC | Podiatrist | 501 Bramson Ct Unit 301, Mt Pleasant, SC 29464-7953 | 2009-05-22 |
| 1720228661 | Nicholas A Straney Dpm | Podiatrist | 701 Saint Andrews Blvd, Charleston, SC 29407-7140 | 2009-03-05 |
| 1467571919 | Cheraw Foot Center PC | Podiatrist | 110 S Doctors Dr, Suite B1, Cheraw, SC 29520-7112 | 2007-03-28 |
| 1326117433 | Richard Hampton Moore | Podiatrist | 4000 Highway 9 E # 235, Little River, SC 29566-7833 | 2006-11-06 |
| 1093804817 | George Sich IIi | Podiatrist | 901 Magnolia Dr, Aiken, SC 29803 | 2006-10-12 |
| 1891891644 | James Leon Rose | Podiatrist | 2126b N Highway 81, Anderson, SC 29621-1532 | 2006-09-16 |
| 1043316987 | Palmetto Podiatry Group of Anderson, Pa | Podiatrist | 2126 - B Hwy 81 North, Anderson, SC 29621-4819 | 2006-09-16 |
| 1801822283 | Benjamin A Lanza | Podiatrist | 1900 Hampton St, Columbia, SC 29201-3536 | 2006-06-25 |
| Find all providers with the same taxonomy | ||||
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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.