LAURE A.N. UTECHT (NPI# 1457396053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1457396053 |
Entity Type | Individual |
Full Name | LAURE A.N. UTECHT |
Credential | M.D. |
Practice Address |
200 Patewood Dr Suite A200 Greenville SC 29615-3593 |
Mailing Address |
1 Independence Pt Suite 212 Greenville SC 29615-4545 |
Practice Telephone | 8644545130 |
Practice Fax Number | 8644545126 |
Mailing Telephone | 8647976044 |
Enumeration Date | 2006-06-18 |
Last Update Date | 2013-09-04 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2080P0208X |
Pediatrics Specialization: Pediatric Infectious Diseases |
20991 | SC | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SC | BCBS OF SC ID | 576007863095 | 01 |
SC | RR MEDICARE | 370017228 | 01 |
SC | BLUE CHOICE OF SC | 576007863096 | 01 |
SC | AETNA ID | 7928169 | 01 |
SC | 209919 | 05 |
Street Address |
200 PATEWOOD DR SUITE A200 |
City | GREENVILLE |
State | SC |
Zip Code | 29615-3593 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508861345 | John Kim Johnson | Neurological Surgery | 200 Patewood Dr, Suite B260, Greenville, SC 29615-3593 | 2005-06-17 |
1255941241 | Sharmaine Barnes | Specialist/Technologist | 200 Patewood Dr, Greenville, SC 29615-3593 | 2020-08-04 |
1598320897 | Yana Ginzburg | Physical Therapist | 200 Patewood Dr, Greenville, SC 29615-3593 | 2019-05-02 |
1457891228 | Sierra R Williams | Nurse Practitioner | 200 Patewood Dr, Suite B260, Greenville, SC 29615-3593 | 2017-02-27 |
1063951333 | Megan Lee Hiott | Nurse Practitioner | 200 Patewood Dr, A330, Greenville, SC 29615-3593 | 2017-02-19 |
1316485394 | Anita Suzette Combs | Nurse Practitioner | 200 Patewood Dr, Suite B350, Greenville, SC 29615-3593 | 2017-02-09 |
1730626813 | Lauren Lee Hays | Nurse Practitioner | 200 Patewood Dr, Suite B350, Greenville, SC 29615-3593 | 2017-01-26 |
1497200083 | Abigail Pellett | Physical Therapist | 200 Patewood Dr, Ste C150, Greenville, SC 29615-3593 | 2016-08-24 |
1033664909 | Prisma Health-upstate | General Acute Care Hospital | 200 Patewood Dr, Suite C300, Greenville, SC 29615-3593 | 2016-08-22 |
1144775032 | Prisma Health-upstate | General Acute Care Hospital | 200 Patewood Dr, Building A, Greenville, SC 29615-3593 | 2016-08-20 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194358051 | Adenike Orogade | Behavior Technician | 17 Caldedon Ct, Suite B, Greenville, SC 29615 | 2020-02-19 |
1629608369 | Jennifer Jacobsen | Behavior Technician | 17 Caldedon Court, Suite B, Greenville, SC 29615 | 2020-01-22 |
1932668217 | Carolina Orthopaedic and Neurosurgical Associates | Orthopaedic Surgery | Carolina Orthopaedic and Neurosurgical Associates, 220 Roper Mountain Road Extension, Greenville, SC 29615 | 2019-03-18 |
1255816070 | Trevis L Cureton | Pharmacist | 2401 East North St, Greenville, SC 29615 | 2018-09-27 |
1497232565 | Jacob J Fountain | Nurse Practitioner | 225 Enterprise Blvd, Suite 101, Greenville, SC 29615 | 2018-07-23 |
1346726924 | St. Francis Physician Services, Inc | Internal Medicine | 5 Hoke Smith Blvd, Greenville, SC 29615 | 2018-07-17 |
1558853101 | Alexandra Michelle Taylor | Audiologist | 200 Patewood Dr Ste 400, Greenville, SC 29615 | 2018-05-30 |
1316466543 | Mariah Hope Mosher | Behavioral Analyst | 7 Mckenna Commons Court, Greenvilee, SC 29615 | 2017-09-19 |
1326400896 | Karen L Heaps | Counselor | 3150 S. Hwy 14, The Pelham Center, Greenville, SC 29615 | 2016-03-24 |
1134589013 | Sharon Erk | Technician, Other | 2950 E.norths St, Greenville, OH 29615 | 2016-03-04 |
Find all providers in zip 29615 |
Taxonomy Code | 2080P0208X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Pediatric Infectious Diseases |
A pediatrician trained to care for children in the diagnosis, treatment and prevention of infectious diseases. This specialist can apply specific knowledge to affect a better outcome for pediatric infections with complicated courses, underlying diseases that predispose to unusual or severe infections, unclear diagnoses, uncommon diseases and complex or investigational treatments. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700887791 | William A Dalzell | Pediatrics | 2 Doctors Park, Ecu Physicians Pediatric Specialty Care Clinic, Greenville, NC 27834-2801 | 2005-08-02 |
1013244714 | Ghs Partners In Health, Inc. | Pediatrics | 200 Patewood Dr, Suite A200, Greenville, SC 29615-3593 | 2009-11-17 |
1295943181 | Joshua Walter Brownlee | Pediatrics | 200 Patewood Dr, Ste A200, Greenville, SC 29615-3593 | 2007-05-21 |
1427092352 | Salma Syed | Pediatrics | 2150 Herbert Ct, Ecu Physicians Pediatric Infectious Disease, Greenville, NC 27834-3736 | 2006-06-14 |
1306829015 | Debra A Tristram | Pediatrics | 2150 Herbert Ct, Ecu Physicians Pediatric Specialty Care Clinic, Greenville, NC 27834-3736 | 2005-11-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497163547 | Marie Jose Moubarak | Pediatrics | 407 N Brown St, West Columbia, SC 29169 | 2014-07-31 |
1285678078 | Prisma Health Medical Group-midlands | Pediatrics | 9 Richland Medical Park Dr Ste 410, Columbia, SC 29203-6859 | 2006-06-15 |
1932698511 | Palmetto Health - University of South Carolina Medical Group | Pediatrics | 9 Richland Medical Park Dr Ste 210, Columbia, SC 29203-6859 | 2018-05-09 |
1134372089 | University Medical Associates | Pediatrics | 171 Ashley Ave, Charleston, SC 29425-8908 | 2008-10-23 |
1427223429 | Terry Carlyle Dixon | Pediatrics | 96 Jonathan Lucas St, Division of Pediatric Infectious Diseases Musc, Charleston, SC 29425-8900 | 2008-04-29 |
1679681621 | Sandra L Fowler | Pediatrics | 171 Ashley Ave, Charleston, SC 29425-0001 | 2006-08-29 |
1194761577 | George Stephen Kotchmar Jr. | Pediatrics | 9 Medical Park Rd, Suite 210, Columbia, SC 29203-6873 | 2006-06-22 |
City | GREENVILLE |
Zip Code | 29615 |
Please comment or provide details below to improve the information on LAURE A.N. UTECHT.
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.