Mark R Kutyla (NPI# 1326007022, PAC ID# 1759378821) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1326007022 |
| PAC ID by PECOS | 1759378821 |
| Professional Enrollment ID | I20040429000765 |
| Full Name | Mark R Kutyla |
| Organization Legal Name | LEXINGTON COUNTY HEALTH SERVICES DISTRICT INC |
| Address |
121 Park Place Ct Lexington SC 29072-6690 |
| Phone Number | 8033564712 |
| Gender | M |
| Credential | DPM |
| Medical School | OHIO COLLEGE OF PODIATRIC MEDICINE |
| Graduation Year | 1996 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 7618871799 |
| Number of Group Practice Members | 595 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420073 | LEXINGTON MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 121 Park Place Ct, Lexington, SC 29072-6690 | 8033564712 | LEXINGTON COUNTY HEALTH SERVICES DISTRICT INC |
| 110 E Medical Ln, Suite 220, West Columbia, SC 29169-4817 | 8039367230 | LEXINGTON COUNTY HEALTH SERVICES DISTRICT INC |
| Organization Legal Name | LEXINGTON COUNTY HEALTH SERVICES DISTRICT INC |
| Physicians | 552 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shelley Sigmon Crawford | Physician Assistant | Lexington County Health Services District Inc | 120 E Medical Ln, West Columbia, SC 29169-4814 |
| Anna Lim-kates | Family Medicine | Lexington County Health Services District Inc | 229 Longtown Rd, Columbia, SC 29229-8550 |
| Trista Loren Hewett | Nurse Practitioner | Lexington County Health Services District Inc | 7037 Saint Andrews Rd, Columbia, SC 29212-1177 |
| Kristin Mckenzie Hartman | Nurse Practitioner | Lexington County Health Services District Inc | 222 E Medical Ln, Suite 101, West Columbia, SC 29169-4850 |
| Benjamin Joel Amberg | Nurse Practitioner | Lexington County Health Services District Inc | 5535 Platt Springs Rd, Lexington, SC 29073-7519 |
| Amanda Johnson | Nurse Practitioner | Lexington County Health Services District Inc | 935 W 2nd St, Swansea, SC 29160-9102 |
| Sarah R Stephens | Nurse Practitioner | Lexington County Health Services District Inc | 109 Barton Creek Ct, Columbia, SC 29229-8027 |
| Jordan M Piper | Occupational Therapy | Lexington County Health Services District Inc | 3799 12th St Ext, Suite 100, Cayce, SC 29033-3750 |
| William D Strickland | Family Medicine | Lexington County Health Services District Inc | 3799 12th St Extension, Suite 105, Cayce, SC 29033-3750 |
| Elizabeth M Mcmicken | Nurse Practitioner | Lexington County Health Services District Inc | 131 Sunset Ct, West Columbia, SC 29169-2429 |
| Street Address |
121 PARK PLACE CT |
| City | LEXINGTON |
| State | SC |
| Zip | 29072-6690 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul Richard Bearden | Podiatry | Lexington County Health Services District Inc | 121 Park Place Ct, Lexington, SC 29072-6690 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Isaac E Davis Iii | Maxillofacial Surgery | Associates In Oral and Maxillofacial Surgery, Pa | 109 Reed Ave, Lexington, SC 29072-2016 |
| Edward Mccray Wise Jr. | Maxillofacial Surgery | Associates In Oral and Maxillofacial Surgery, Pa | 109 Reed Ave, Lexington, SC 29072-2016 |
| Charles M Miyaji | Oral Surgery | Associates In Oral and Maxillofacial Surgery, Pa | 109 Reed Ave, Lexington, SC 29072-2016 |
| Vanessa Epps Byrd | Physical Therapy | The Weston Group of South Carolina Inc | 218 Old Chapin Rd, Lexington, SC 29072-2030 |
| Kristen M Carlson | Physical Therapy | The Weston Group of South Carolina Inc | 218 Old Chapin Rd, Lexington, SC 29072-2030 |
| John S Rodell | Physical Therapy | Paxxon Healthcare Services LLC | 218 Old Chapin Rd, Lexington, SC 29072-2030 |
| Derranita Essonya Finklin | Occupational Therapy | The Weston Group of South Carolina Inc | 218 Old Chapin Rd, Lexington, SC 29072-2030 |
| Chelsea Hamric | Physical Therapy | Paxxon Healthcare Services LLC | 218 Old Chapin Rd, Lexington, SC 29072-2030 |
| Catherine Jane Rathbun | Occupational Therapy | The Weston Group of South Carolina Inc | 218 Old Chapin Rd, Lexington, SC 29072-2030 |
| Ellen Little | Physical Therapy | The Weston Group of South Carolina Inc | 218 Old Chapin Rd, Lexington, SC 29072-2030 |
| Find all physicians in zip 29072 | |||
| City | LEXINGTON |
| Zip Code | 29072 |
| Specialty | PODIATRY |
| City + Specialty | LEXINGTON + PODIATRY |
Please comment or provide details below to improve the information on Mark R Kutyla.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.