Active NPI
Angela Carol Stryon Hutcheson, MD
- Dermatology Physician
- Greenville, SC
National Provider Identifier
1780720458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 23319
- Practice address
- 920 Woodruff Rd
Greenville, SC 29607-4105 - Phone
- (864) 233-6338
- NPI assigned
- Jan 30, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| MOHS-Micrographic Surgery Physician | 207ND0101X | 057824 | GA | |
| Dermatology Physician | 207N00000X | 23319 | SC | Primary |
Addresses
Primary practice location
920 Woodruff Rd
Greenville, SC 29607-4105
Mailing address
920 Woodruff Rd
Greenville, SC 29607-4105
Phone (864) 233-6338
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 233198 | Medicaid | SC | |
| P00927768 | Other | SC | RAILROAD MEDICARE |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 057824 | GA | MD | MOHS-Micrographic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404172800000",
"number": "1780720458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "920 WOODRUFF RD",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296074105",
"telephone_number": "864-233-6338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "920 WOODRUFF RD",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296074105",
"telephone_number": "864-233-6338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUTCHESON",
"first_name": "ANGELA",
"middle_name": "CAROL STRYON",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-30",
"last_updated": "2014-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "207ND0101X",
"taxonomy_group": "",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": "GA",
"license": "057824",
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "SC",
"license": "23319",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "233198",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00927768",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.