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Contact Information

IRA D URETZKY, MD
145 PARK CENTRAL DR STE 100
COLUMBIA, SC29203-6469
 Phone: 803-408-3277
 Fax: 803-408-3299
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for IRA D URETZKY · (Male)

NPI # 1013916428
Status Active
Credentials MD
Entity Individual
Enumeration date 07/18/2005
Last updated 04/21/2026 - About 1 months ago
Sole proprietor 1 No
Identifiers
  • FL License # ME151217
  • NC License # 99-00706
  • SC License # 61327
  • FL Medicaid 124674600
  • NC Medicaid 89134E1
  • FL Other T0345 MEDICARE HFMG
  • NC Other 7226261 AETNA
  • NC Other 134E1 BCBS-NC
  • NC Other 4249389 CIGNA
  • NC Other 1893999 FIRST HEALTH/CCN
  • NC Other D4928 MEDCOST
  • NC Other 2262148 UNITED HEALTHCARE
Hospital affiliation(s)
  • PROCTOR HOSPITAL - (Acute Care)
    5409 N KNOXVILLE AVE
    PEORIA, IL 61614
  • SAINT FRANCIS MEDICAL CENTER - (Acute Care)
    530 NE GLEN OAK AVE
    PEORIA, IL 61637
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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