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MICHAEL S OTRUBA D.O.
NPI 1649255316
Internal Medicine in Ladson, SC

Active since December 14, 2005
161 TWO POND LOOP, LADSON, SC 29456(843) 475-1020 Get Directions Write a Review

NPPES record last updated: August 1, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Michael S Otruba D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL S OTRUBA D.O. (NPI 1649255316) is an individual internal medicine provider in Ladson, South Carolina, licensed in South Carolina (000312) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1649255316
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMICHAEL S OTRUBACredential: D.O.
Location Address161 TWO POND LOOPLadson, SC 29456-6917
Mailing Address161 Two Pond LoopLadson, SC 29456-6917
Phone(843) 475-1020
Sole ProprietorNo
Enumeration DateDecember 14, 2005
Last NPPES UpdateAugust 1, 2019
✔ NPI 1649255316 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in SC · 000312
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
161 TWO POND LOOP, Ladson, SC 29456
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Other Identifiers 1

Medicaid003123SC

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Otruba's NPI number?

The NPI number for Michael Otruba is 1649255316. It was assigned to this individual provider in the NPPES registry on December 14, 2005.

Where is Michael Otruba located?

Michael Otruba practices at 161 Two Pond Loop, Ladson, SC 29456. The listed phone number is (843) 475-1020.

What is Michael Otruba's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Michael Otruba was last updated on August 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.