Gaffney Urology PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

09480 Issued in SC

Legal business name

GAFFNEY UROLOGY PA

Practice address

140 4TH Ave
Gaffney, SC 29340-4726

Phone

(864) 487-5124

Fax

(864) 487-5125

NPI assigned

Jan 30, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Venkataiah Gutta, MD

Title

Physician

Phone

(864) 487-5124

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192060800000",
    "number": "1225174667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4",
            "city": "GAFFNEY",
            "state": "SC",
            "postal_code": "293420004",
            "telephone_number": "864-487-5124",
            "fax_number": "864-487-5125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 4TH AVE",
            "city": "GAFFNEY",
            "state": "SC",
            "postal_code": "293404726",
            "telephone_number": "864-487-5124",
            "fax_number": "864-487-5125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAFFNEY UROLOGY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2007-10-11",
        "status": "A",
        "authorized_official_last_name": "GUTTA",
        "authorized_official_first_name": "VENKATAIAH",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "864-487-5124",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "SC",
            "license": "09480",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP3698",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gaffney Hma Physician Management, LLC
• Gaffney Physician Services PC
• Gaffney PPM, LLC
• Gaffney Spine & Health Inc
• Gaffney Urgent Care
• Kristina Gallaway, RN, BSN
• Valencia Garcia, COTA/L
• Kim Brown Gardner, RN, BSN
• Kira Gee
• Joshua Bartlett Gelardi, DC

• Specialist in Gaffney, SC
• Providers in Gaffney, SC by specialty
• Specialist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.