Active NPI
Joshua Gregory Euten, ATC
- Athletic Trainer
- Hartsville, SC
National Provider Identifier
1811923964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 791
- Practice address
- 1304 W. Bobo Newsome Hwy
Carolina Pines Regional Medical Center
Hartsville, SC 29550 - Phone
- (843) 861-9529
- NPI assigned
- Jun 23, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 791 | NC | Primary |
Addresses
Primary practice location
1304 W. Bobo Newsome Hwy
Carolina Pines Regional Medical Center
Hartsville, SC 29550
Mailing address
70 Ski Cove LN
Hartsville, SC 29550-0512
Phone (843) 861-9529
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 791 | NC | MD | Health Service Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285718400000",
"number": "1811923964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "70 SKI COVE LN",
"city": "HARTSVILLE",
"state": "SC",
"postal_code": "295500512",
"telephone_number": "843-861-9529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1304 W. BOBO NEWSOME HWY",
"address_2": "CAROLINA PINES REGIONAL MEDICAL CENTER",
"city": "HARTSVILLE",
"state": "SC",
"postal_code": "29550",
"telephone_number": "843-861-9529"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EUTEN",
"first_name": "JOSHUA",
"middle_name": "GREGORY",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-23",
"last_updated": "2010-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NC",
"license": "791",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hartsville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.