Palmetto Allergy & Asthma PA

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

PALMETTO ALLERGY & ASTHMA PA

Practice address

Ste 430
9 Richland Medical PK
Columbia, SC 29203-6870

Phone

(803) 765-9435

Fax

(803) 765-2446

NPI assigned

Mar 21, 2006

Organization subpart

No

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

Authorized official

Name

Lisa S Hutto, M. D.NPI 1528012960

Title

Physician

Phone

(803) 765-9435

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lisa S Hutto, MD

  • Allergy & Immunology Physician
  • Columbia, SC
  • NPI 1528012960
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1496793600000",
    "number": "1891754651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "STE 430",
            "address_2": "9 RICHLAND MEDICAL PK",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292036870",
            "telephone_number": "803-765-9435",
            "fax_number": "803-765-2446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "STE 430",
            "address_2": "9 RICHLAND MEDICAL PK",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292036870",
            "telephone_number": "803-765-9435",
            "fax_number": "803-765-2446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO ALLERGY & ASTHMA PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-21",
        "last_updated": "2017-06-07",
        "status": "A",
        "authorized_official_last_name": "HUTTO",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "803-765-9435",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SC STATE MED LIC #",
            "identifier": "12987",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP1022",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1528012960",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Willetta R.J. Palmer, ARNP
• Palmetto Acupuncture Clinic
• Palmetto Advanced Mobile Wound Care PC
• Palmetto Advocates
• Palmetto AIDS Life Support Services
• Palmetto Anesthesiology Consultants, LLC
• Palmetto Anesthesiology Medicine
• Palmetto Autism Interventions, LLC
• Palmetto Biotech Prosthetics & Orthotics LLC
• Palmetto Birth

• Clinic/Center in Columbia, SC
• Providers in Columbia, SC by specialty
• Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.