MIDLANDS FOOT CLINIC - NPI 1720032816 - Podiatrist in Lexington, SC

Q: What is Mark R Kutyla Dpm PA's NPI number?

The NPI number for Mark R Kutyla Dpm PA is 1720032816. It was assigned to this organization in the NPPES registry on May 22, 2006. The provider is doing business as Midlands Foot Clinic.

Q: What is Mark R Kutyla Dpm PA's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Primary Podiatric Medicine, with taxonomy code 213EP1101X.

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About Midlands Foot Clinic NPPES

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

MIDLANDS FOOT CLINIC (NPI 1720032816) is a healthcare organization registered as a primary podiatric medicine in Lexington, South Carolina and active in the NPI registry since May 2006. The organization lists Mark R Kutyla, President, as its authorized official.

NPPES Registry Identity

NPI1720032816

Entity TypeOrganization

Primary Taxonomy213EP1101X

Legal Business NameMARK R KUTYLA DPM PA

Location Address121 PARK PLACE CTLexington, SC 29072-6690

Mailing Address121 Park Place CtLexington, SC 29072-6690 · (803) 356-4712 · Fax (803) 356-0832

Phone(803) 356-4712

Fax(803) 356-0832

Organization SubpartYes

Authorized OfficialMark R KutylaPresident · (803) 356-4712

Enumeration DateMay 22, 2006

Last NPPES UpdateNovember 6, 2011

✔ NPI 1720032816 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

★ Primary SpecialtyPodiatrist · Primary Podiatric MedicinePodiatric Medicine & Surgery Service Providers

Taxonomy Code213EP1101X

License✔ Licensed in SC · 516

Also ListedPodiatrist · RadiologyTaxonomy 213ER0200X · License 516 (SC)

Also ListedPodiatrist · Sports MedicineTaxonomy 213ES0000X · License 516 (SC)

Also ListedPodiatrist · Foot SurgeryTaxonomy 213ES0131X · License 516 (SC)

Also ListedRadiologic Technologist · Magnetic Resonance ImagingTaxonomy 2471M1202X · License 516 (SC)

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X · License 516 (SC)

Also ListedDurable Medical Equipment & Medical Supplies · Customized EquipmentTaxonomy 332BC3200X · License 516 (SC)

Also ListedProsthetic/Orthotic SupplierTaxonomy 335E00000X · License 516 (SC)

121 PARK PLACE CT, Lexington, SC 29072

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Other Names 1

Doing Business AsMidlands Foot Clinic

Other Identifiers 6

Medicare UPINU-74396SC

Medicare NSC4207850002

Medicare PINU743960281SC

Other42D2021725SC · Clia Certificate Of Waiver

Other7238051SC · Aetna Provider No.

Other1020003SC · Acm # Midlands Foot Cl.

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MARK RAYMOND KUTYLA DPM

Podiatrist (Foot Surgery)