DR. FREDERICK JUDSON MCELVEEN (NPI# 1417925173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417925173 |
| Entity Type | Individual |
| Full Name | DR. FREDERICK JUDSON MCELVEEN |
| Credential | M.D. |
| Practice Address |
2 Medical Park Rd Suite 506 Columbia SC 29203-6808 |
| Mailing Address |
2 Medical Park Rd Suite 502 Columbia SC 29203-6808 |
| Practice Telephone | 8035401000 |
| Practice Fax Number | 8035401075 |
| Mailing Telephone | 8035401000 |
| Mailing Fax Number | 8035401075 |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2016-03-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 5705 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | PA1426 | 05 | |
| SC | CAROLINA CARE PLAN | 0301242 | 01 |
| SC | 057057 | 05 |
| Street Address |
2 MEDICAL PARK RD SUITE 506 |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29203-6808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952383481 | Andrea Adams Sellers | Genetic Counselor, MS | 2 Medical Park Rd, Columbia, SC 29203-6808 | 2005-11-18 |
| 1174070429 | Chay N Malvasio | Physician Assistant | 2 Medical Park Rd, Suite L9, Columbia, SC 29203 | 2016-09-03 |
| 1427501873 | Jaclyn Gravis | Nurse Practitioner | 2 Medical Park Rd, Suite 501, Columbia, SC 29203-6808 | 2016-08-02 |
| 1952784092 | Chad Schmidt | Specialist | 2 Medical Park Rd, Columbia, SC 29203-6808 | 2015-07-07 |
| 1083013593 | Katie Coulter | Specialist/Technologist | 2 Medical Park Rd, Suite 104, Columbia, SC 29203-6808 | 2014-08-20 |
| 1053729905 | Whitney Dobek | Genetic Counselor, MS | 2 Medical Park Rd, Suite 103, Columbia, SC 29203-6808 | 2014-07-23 |
| 1861809162 | Emily Olivia Rosebrough Jordon | Genetic Counselor, MS | 2 Medical Park Rd, Suite 103, Columbia, SC 29203-6808 | 2014-07-18 |
| 1992042360 | Jessica Alexis Koller | Physical Medicine & Rehabilitation | 2 Medical Park Rd, Columbia, SC 29203-6808 | 2013-01-05 |
| 1497013643 | Katherine Meriwether Hartley | Social Worker | 2 Medical Park Rd, Suite 506, Columbia, SC 29203-6808 | 2012-04-25 |
| 1245471895 | Karen L Edwards | Specialist/Technologist | 2 Medical Park Rd, Lower Level, Columbia, SC 29203-6808 | 2009-03-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475284 | Matthew Leon Brigmon | Surgery | 2 Richland Medical Park, Suite 300, Columbia, SC 29203 | 2020-10-23 |
| 1730706839 | John James Gannon | Family Medicine | Prisma Health Medical Group Family Medicine, 3209 Colonial Drive, Columbia, SC 29203 | 2020-07-06 |
| 1790302362 | Klariz Teves Tucker | Internal Medicine | Internal Medcine Center, 1801 Sunset Drive, Columbia, SC 29203 | 2020-06-30 |
| 1811514482 | Esther Ruth Swan | Psychiatry & Neurology | Prisma Health General Psychiatry Center, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-30 |
| 1447877014 | Jordan Kaitlyn Merrels | Psychiatry & Neurology | Prisma Health Medical Group General Psychiatry, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-30 |
| 1306463187 | Jessica Leigh Watson | Psychiatry & Neurology | Prisma Health General Psychiatry, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-29 |
| 1053938852 | Garrison Glenn Rice | Family Medicine | Prisma Health Medical Group Family Medical Center, 3209 Colonial Drive, Columbia, SC 29203 | 2020-06-29 |
| 1053938977 | Rachel Ellen Harper | Obstetrics & Gynecology | The Womens Center, 1801 Sunset Drive, Columbia, SC 29203 | 2020-06-26 |
| 1609493592 | Elizabeth Marie Kern | Orthopaedic Surgery | Prisma Health Medical Group Orthopedic Center, 2 Medical Park, Ste 105, Columbia, SC 29203 | 2020-06-26 |
| 1891312799 | Kathryn Victoria Steverson | Psychiatry & Neurology | Prisma Health Medical Group Psychiatry Center, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-26 |
| Find all providers in zip 29203 | ||||
| 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 |
|---|---|---|---|---|
| 1528537057 | Cayce Medical Spa, Inc | Dermatology | 2001 Corona Rd Ste 201, Columbia, MO 65203-5924 | 2018-11-14 |
| 1366946832 | Novahealth Medical Group, LLC | Dermatology | 3208 Lemone Industrial Blvd Ste A, Columbia, MO 65201-8244 | 2018-03-20 |
| 1508248576 | Kaitlin Ann Schiavo | Dermatology | 204 N Keene St Ste 100, Columbia, MO 65201-8136 | 2015-06-25 |
| 1588041289 | Megan Casady | Dermatology | 10710 Charter Dr Ste 420, Columbia, MD 21044-3276 | 2015-05-01 |
| 1104239037 | Ashley Miles Jenkins | Dermatology | 1000 W Nifong Blvd Ste 150, Columbia, MO 65203-5615 | 2014-06-09 |
| 1497000723 | Leslie Brooke Mills | Dermatology | 2011 Corona Rd Ste 207, Columbia, MO 65203-2548 | 2012-07-24 |
| 1225397458 | Wynn Kao Dermatology, LLC | Dermatology | 10705 Charter Dr Ste 330, Columbia, MD 21044-2885 | 2012-05-08 |
| 1073811253 | Edward Shmunes | Dermatology | 3701 Northshore Rd, Columbia, SC 29206-3365 | 2011-03-11 |
| 1316178346 | M.r. Taylor Rayburn, Jr. M.d. P.C. | Dermatology | 1411 Hatcher Ln, Columbia, TN 38401-3535 | 2009-08-08 |
| 1518193630 | Chesahna Kindred | Dermatology | 8900 Columbia 100 Pkwy Ste F, Columbia, MD 21045-2336 | 2009-06-03 |
| Find all providers in COLUMBIA | ||||
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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.