EAST COAST DERMATOLOGY (NPI# 1134360357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134360357 |
| Entity Type | Organization |
| Organization Name | EAST COAST DERMATOLOGY |
| Other Organization Name | EAST COAST DERMAESTHETICS |
| Practice Address |
1300 Hospital Dr Suite 310 Mount Pleasant SC 29464-3261 |
| Practice Telephone | 8436142884 |
| Practice Fax Number | 8436142884 |
| Mailing Telephone | 8439717546 |
| Mailing Fax Number | 8439713376 |
| Enumeration Date | 2009-03-18 |
| Last Update Date | 2009-07-10 |
| Authorized Official Name | MR. BRIAN M HOLLADAY (CEO) |
| Authorized Official Telephone | 8436142884 |
| Authorized Official Credential | MHA |
| Is Organization Subpart | Y |
| Parent Organization Name | EAST COAST PRACTICE MANAGEMENT |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| East Coast Dermaesthetics | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | EAST COAST DERMATOLOGY P.C. | 328 Neptune Avenue, Brooklyn, New York 11214 |
| Street Address |
1300 HOSPITAL DR SUITE 310 |
| City | MOUNT PLEASANT |
| State | SC |
| Zip Code | 29464-3261 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437154515 | Richard Mahlon Kline Jr. | Plastic Surgery | 1300 Hospital Dr, Ste 120, Mount Pleasant, SC 29464-3204 | 2005-06-16 |
| 1245777044 | Audrey L Rowen | Physician Assistant | 1300 Hospital Dr, Ste 120, Mount Pleasant, SC 29464-3261 | 2017-01-31 |
| 1245697424 | Elite Healthcare Physical Medicine, LLC | Chiropractor | 1300 Hospital Dr, Suite 220, Mount Pleasant, SC 29464-3261 | 2016-01-19 |
| 1972857860 | Kathleen Alvarez Gibson | Nurse Practitioner | 1300 Hospital Dr, Suite 270, Mount Pleasant, SC 29464-3261 | 2012-10-31 |
| 1588897680 | Todd James Brown | Chiropractor | 1300 Hospital Dr, Suite 220, Mount Pleasant, SC 29464-3261 | 2009-08-24 |
| 1821247693 | William John Bulsiewicz Jr. | Internal Medicine | 1300 Hospital Dr, Suite 300, Mount Pleasant, SC 29464-3261 | 2008-09-16 |
| 1750575304 | The Center for Natural Breast Reconstruction | Plastic Surgery | 1300 Hospital Dr, Ste120, Mount Pleasant, SC 29464-3261 | 2007-08-28 |
| 1396819082 | James Spratt White V | Counselor | 1300 Hospital Dr, Suite 270, Mount Pleasant, SC 29464-3261 | 2006-11-17 |
| 1154437291 | Lowcountry Gastroenterology | Internal Medicine | 1300 Hospital Dr, Suite 300, Mount Pleasant, SC 29464-3217 | 2006-08-22 |
| 1396763264 | Lowcountry Obstetrics and Gynecology | Obstetrics & Gynecology | 1300 Hospital Dr, Suite 270, Mount Pleasant, SC 29464-3261 | 2006-07-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811548241 | Bradley Paul Anuszkiewicz | Chiropractor | 1501 Johnnie Dodds Blvd, Suite C, Mount Pleasant, SC 29464 | 2019-09-26 |
| 1447808696 | Laura Mariah Crouse | Speech-Language Pathologist | Coastal Therapy Services, 1127 Queensborough Blvd, Mt Pleasant, SC 29464 | 2019-08-30 |
| 1912461807 | Independent Optical | Optometrist | 1710 Shoremead Rd, Suite 420, Mount Pleasant, SC 29464 | 2019-01-25 |
| 1417446204 | Michael Adam Sugarman | Clinical Neuropsychologist | 1459 Stuart Engals Blvd Ste 204a, Mt Pleasant, SC 29464 | 2018-05-07 |
| 1578064192 | Ancillary Specialists LLC | Durable Medical Equipment & Medical Supplies | 636 Long Point Road, Unit G, #19, Mount Pleasant, SC 29464 | 2018-02-28 |
| 1346769015 | Christin Solomon Zerega | Counselor | Lowcountry Psychiatry Group, 913 Bowman Rd, #4, Mount Pleasant, SC 29464 | 2017-09-14 |
| 1336660315 | Charleston Neuropsychology LLC | Psychologist | 1459 Stuart Engals Blvd., Suite 204a, Mount Pleasant, SC 29464 | 2017-06-29 |
| 1790219970 | Adam Hudepohl | Family Medicine | 1400 Ben Sawyer Blvd, Mt Pleasant, SC 29464 | 2017-04-14 |
| 1386181204 | Alicia Taylor | Speech-Language Pathologist | 381 Stonewall Ct Apt 6207, Mount Pleasant, SC 29464 | 2017-01-30 |
| 1285181941 | Tara Lynn Mast | Physical Therapist | 1400 Caliper Oak Circle, Apt 316, Mount Pleasant, SC 29464 | 2016-09-09 |
| Find all providers in zip 29464 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285976209 | Michael Brent Dreifke | Dermatology | 1300 S Green Bay Rd Ste 100, Mount Pleasant, WI 53406 | 2013-03-18 |
| 1750308219 | Marguerite A Germain | Dermatology | 612 Seacoast Pkwy, Suite 201, Mount Pleasant, SC 29464-8247 | 2006-07-17 |
| 1427058619 | Anthony V Greco | Dermatology | 108 Pleasant St, Mount Pleasant, TX 75455-5322 | 2005-07-28 |
| 1265798060 | Dana M Griffin | Dermatology | 8400 Washington Ave, Mount Pleasant, WI 53406-3735 | 2012-04-05 |
| 1962730085 | India Ashton Miller Rountree | Dermatology | 612 Seacoast Pkwy, Mount Pleasant, SC 29464 | 2009-12-01 |
| 1164690822 | Coastal Dermatology, LLC | Dermatology | 999 Lake Hunter Cir, Mount Pleasant, SC 29464-5427 | 2008-02-15 |
| 1154504017 | Platina Coy Gershtenson | Dermatology | 1300 S Green Bay Rd, Suite 100, Mount Pleasant, WI 53406-4469 | 2007-12-13 |
| 1851467047 | Great Lakes Dermatology Sc | Dermatology | 6233 Bankers Rd, Suite 3, Mount Pleasant, WI 53403-9700 | 2006-11-28 |
| 1235219692 | Emily Cox Kmetz | Dermatology | 612 Seacoast Pkwy, Mount Pleasant, SC 29464-8247 | 2006-10-17 |
| 1851315733 | Ronald L. Smits | Dermatology | 6233 Bankers Rd, Ste 3, Mount Pleasant, WI 53403-9700 | 2006-07-26 |
| Find all providers in MOUNT PLEASANT | ||||
| City | MOUNT PLEASANT |
| Zip Code | 29464 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.