POLARIS SKIN DIAGNOSTICS, LLC


Address: 8170 Rourk Street, Suite 100, Myrtle Beach, SC 29572
Phone: 9177560188

POLARIS SKIN DIAGNOSTICS, LLC (NPI# 1215575238) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1215575238
Entity Type Organization
Organization Name POLARIS SKIN DIAGNOSTICS, LLC
Practice Address 8170 Rourk Street
Suite 100
Myrtle Beach
SC 29572
Mailing Address 2 Greenleaf Road
Bluffton
SC 29910
Practice Telephone 9177560188
Mailing Telephone 8433646695
Enumeration Date 2019-12-20
Last Update Date 2020-08-04
Authorized Official Name STEPHEN B HAMMOND (OWNER)
Authorized Official Telephone 9177560188
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207ND0900X Dermatology
Specialization: Dermatopathology
Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
SC GP9511 05

Office Location

Street Address 8170 ROURK STREET
SUITE 100
City MYRTLE BEACH
State SC
Zip Code 29572

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1629684576 Matthew David Zeuschner Nurse Practitioner 107 Woodwind Court, Myrtle Beach, SC 29572 2020-09-16
1578191789 Julia Ruth Nelson Student in an Organized Health Care Education/Training Program Grand Strand Medical Center- Gme Office, 809 82nd Parkway, Myrtle Beach, SC 29572 2020-04-01
1407484835 Justin Schevers Student in an Organized Health Care Education/Training Program 802 82nd Parkway, Myrtle Beach, SC 29572 2020-03-31
1922636919 Darian Michael Quigg Student in an Organized Health Care Education/Training Program 809 82nd Street Parkway, Myrtle Beach, SC 29572 2020-03-27
1881221141 Jonathan Alden Bryan Student in an Organized Health Care Education/Training Program Grand Strand Medical Center, 809 82nd Parkway, Myrtle Beach, SC 29572 2020-03-26
1700348711 Five Star Rehabilitation and Wellness Services, LLC. Clinic/Center 9547 N Kings Hwy, Myrtle Beach, SC 29572 2019-04-01
1154882975 Michael Kouandjio Student in an Organized Health Care Education/Training Program Grand Strand Medical Center-gme Office, 809 82nd Parkway, Myrtle Beach, SC 29572 2019-03-26
1154880102 Dylan Chase Morgan Internal Medicine Grand Strand Medical Center - Gme Office, 809 82nd Pkwy, Myrtle Beach, SC 29572 2019-03-19
1710446828 David Redding Kingery Jr. Student in an Organized Health Care Education/Training Program Gme Office 809 82nd Parkway, Myrtle Beach, SC 29572 2019-03-18
1104310671 Nachiket Nitin Datar Student in an Organized Health Care Education/Training Program 809 82nd Parkway Grand Strand Medical Center/, Gme Office, Myrtle Beach, SC 29572 2018-06-19
Find all providers in zip 29572

Taxonomy Information

Taxonomy Code 207ND0900X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology
Specialization Dermatopathology

Taxonomy Definition

A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/; American Osteopathic Board of Dermatology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Dermatology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Dermatology.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1801326814 Mcleod Physician Associates II Dermatology 401 E Cheves St Ste 302, Florence, SC 29506-2615 2017-06-13
1639398480 Anderson Skin and Cancer Clinic Dermatology 2503 N Main St, Anderson, SC 29621-3278 2007-04-24
1093875924 Mclean J. Stith Md Dermatology Dermapathology Dermatology 852 Lowcountry Blvd Ste 102, Mt Pleasant, SC 29464-3067 2006-12-11
1952403446 Marta Toruno Hampton Dermatology 635 Saint Andrews Blvd, Charleston, SC 29407-7174 2006-09-04
1740235563 Robert L Jetton Dermatology 369 Woodruff Rd, Greenville, SC 29607-3415 2006-05-23
1295700722 Dermatology of Lexington, LLC Dermatology 346 W. Butler Street, Lexington, SC 29072-7342 2006-02-20
1982683611 John C Maize Sr. Dermatology 135 Rutledge Ave Fl 11, Msc 578, Charleston, SC 29425-8903 2006-01-11
1245675636 Sungate Dermatology Dermatology 10 William Pope Dr, Sungate Medical Center, Suite #4, Bluffton, SC 29909-7549 2013-04-30
1063729309 Marianne W Rosen,m.d & Associatesllc Dermatology 776 Daniel Ellis Dr, Unit 1 A, Charleston, SC 29412-3094 2010-09-08
1003009390 Dermatopathology Specialists Jim Phillips Md Dermatopathologist LLC Dermatology 1280 Johnnie Dodds Blvd, Suite 101, Mt Pleasant, SC 29464-3287 2007-08-21
Find all providers with the same taxonomy

Competitor

Search similar providers

City MYRTLE BEACH
Zip Code 29572

Improve Information

Please comment or provide details below to improve the information on POLARIS SKIN DIAGNOSTICS, LLC.

Dataset Information

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.

Trending Searches