Active NPI
William McCutchen III, D.O.
- Anesthesiology Physician
- Aiken, SC
National Provider Identifier
1477507739
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(4) exclusion effective May 20, 2018.
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 974
- Practice address
- 410 University Pkwy
Suite 2360
Aiken, SC 29801-6810 - Phone
- (803) 642-6500
- Fax
- (803) 649-7551
- NPI assigned
- May 20, 2006
- Last updated
- Nov 24, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 2005-01619 | NC | |
| Anesthesiology Physician | 207L00000X | 5101014673 | MI | |
| Anesthesiology Physician | 207L00000X | 974 | SC | Primary |
Addresses
Primary practice location
410 University Pkwy
Suite 2360
Aiken, SC 29801-6810
Mailing address
PO Box 100523
Florence, SC 29502-0523
Phone (843) 669-5162
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| N0161A | Medicaid | SC | |
| 5902273 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101014673 | MI | MD | Anesthesiology Physician |
| 974 | SC | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oban Anesthesia Consultants, PLLC | Anesthesiology | Past | Accepting new patients |
| Collins Anesthesia Associates | Anesthesiology | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Little River, SC
- NPI 1952414161
-
- Anesthesiology Physician
- Laurinburg, NC
- NPI 1821035775
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416787200000",
"number": "1477507739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 100523",
"city": "FLORENCE",
"state": "SC",
"postal_code": "295020523",
"telephone_number": "843-669-5162",
"fax_number": "843-667-4573"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 UNIVERSITY PKWY",
"address_2": "SUITE 2360",
"city": "AIKEN",
"state": "SC",
"postal_code": "298016810",
"telephone_number": "803-642-6500",
"fax_number": "803-649-7551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCUTCHEN",
"first_name": "WILLIAM",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-20",
"last_updated": "2014-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NC",
"license": "2005-01619",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MI",
"license": "5101014673",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "SC",
"license": "974",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "N0161A",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5902273",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Aiken, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.