PALMETTO DERMATOLOGY (NPI# 1457433278) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457433278 |
| Entity Type | Organization |
| Organization Name | PALMETTO DERMATOLOGY |
| Practice Address |
3574 Sunset Blvd West Columbia SC 29169-3044 |
| Practice Telephone | 8037962500 |
| Practice Fax Number | 8037964378 |
| Mailing Telephone | 8037962500 |
| Mailing Fax Number | 8037964378 |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2012-01-17 |
| Authorized Official Name | MRS. TERESA M FLEMING (BILLING COORDINATOR) |
| Authorized Official Telephone | 8037962500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | PA1426 | 05 |
| Street Address |
3574 SUNSET BLVD |
| City | WEST COLUMBIA |
| State | SC |
| Zip Code | 29169-3044 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477521136 | Katherine C Thompson | Dermatology | 3574 Sunset Blvd, West Columbia, SC 29169-3044 | 2006-03-09 |
| 1831520782 | Benjamin Addy | Physician Assistant | 3574 Sunset Blvd, West Columbia, SC 29169-3044 | 2013-12-03 |
| 1285979435 | Kennah Johnson Brearley | Physician Assistant | 3574 Sunset Blvd, West Columbia, SC 29169-3044 | 2012-11-29 |
| 1366685885 | Joshua S. Black | Dermatology | 3574 Sunset Blvd, West Columbia, SC 29169-3044 | 2009-04-14 |
| 1821119660 | Jeffrey K Smith | Dermatology | 3574 Sunset Blvd, West Columbia, SC 29169-3044 | 2007-04-02 |
| 1952379471 | Vicki S Roberts | Physician Assistant | 3574 Sunset Blvd, West Columbia, SC 29169-3044 | 2006-03-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457960726 | Jerry Scott Oreilly | Physical Therapy Assistant | 100 Dreher Rd, Suite 100, West Columbia, SC 29169 | 2020-07-23 |
| 1134759921 | A&m Medical, LLC | Durable Medical Equipment & Medical Supplies | 1053 Sunset Boulevard, West Columbia, SC 29169 | 2020-01-21 |
| 1750946067 | First Physical Therapy, LLC | Clinic/Center | 100 Dreher Rd., Suite 100, West Columbia, SC 29169 | 2019-05-02 |
| 1295217545 | Tynaka Kwans Wilson | Nurse Practitioner | Sc House Calls Inc, 1053 Center Street, West Columbia, SC 29169 | 2018-09-04 |
| 1588183826 | Kimberly Jane Jennings | Registered Nurse | 1052 Center Street, Sc House Calls Inc, West Columbia, SC 29169 | 2017-09-19 |
| 1164943213 | Jacob Luke Wayland | Emergency Medicine | Lexington Medical Center-emergency Medicine Dept, 2720 Sunset Blvd, West Columbia, SC 29169 | 2017-06-29 |
| 1740721232 | Heather Detwiler | Physical Therapy Assistant | 2705 Leaphart Rd., Carolina Gardens, West Columbia, SC 29169 | 2017-03-16 |
| 1588110761 | Virginia I Hall | Nurse Practitioner | 2720 Susnet Blvd, West Columbia, SC 29169 | 2016-08-29 |
| 1215395744 | Stacey Khalifa | Social Worker | 160 Medical Cir Fl 1, West Columbia, SC 29169 | 2016-01-28 |
| 1407252331 | Sandy Frye Boone | Counselor | 2318 Sunset Blvd # 2a, West Columbia, SC 29169 | 2014-11-04 |
| Find all providers in zip 29169 | ||||
| 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 |
|---|---|---|---|---|
| 1477521136 | Katherine C Thompson | Dermatology | 3574 Sunset Blvd, West Columbia, SC 29169-3044 | 2006-03-09 |
| 1366685885 | Joshua S. Black | Dermatology | 3574 Sunset Blvd, West Columbia, SC 29169-3044 | 2009-04-14 |
| 1821119660 | Jeffrey K Smith | Dermatology | 3574 Sunset Blvd, West Columbia, SC 29169-3044 | 2007-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366075343 | Dermatology and Skin Surgery Inc | Dermatology | 325 Broad St Ste 200, Sumter, SC 29150-4167 | 2020-02-18 |
| 1942844667 | Oakview Dermatology | Dermatology | 937 Riverwalk Pkwy Ste 202, Rock Hill, SC 29730-0178 | 2019-11-06 |
| 1427614577 | Georgia Dermatology & Skin Cancer Center, LLC | Dermatology | 2110 Woodside Executive Court, Aiken, SC 29803-3809 | 2019-05-14 |
| 1578038535 | Integrated Dermatology of Hilton Head, LLC | Dermatology | 3901 Main St Ste D, Hilton Head, SC 29926-4613 | 2018-10-05 |
| 1982138715 | Skin Solution To Massage | Dermatology | 1 Chick Springs Rd Ste 207a, Greenville, SC 29609-4976 | 2017-04-19 |
| 1700272978 | Leah Swanson | Dermatology | 135 Rutledge Ave # Msc578, Charleston, SC 29425-8903 | 2015-04-14 |
| 1730596685 | Atlantic Dermatology | Dermatology | 3600 Sea Mountain Hwy Ste A, Little River, SC 29566-8161 | 2014-07-11 |
| 1598179947 | Georgetown Physician Associates, LLC | Dermatology | 4033 Highway 17, Suite 105, Murrells Inlet, SC 29576-5032 | 2014-06-13 |
| 1770996621 | David Mark Perry | Dermatology | 48 Folly Road Blvd, Charleston, SC 29407-7507 | 2014-06-09 |
| 1891106811 | Sarah M. Derrington | Dermatology | 9217 University Blvd., Ste C1b, Charleston, SC 29406 | 2014-05-13 |
| Find all providers with the same taxonomy | ||||
| City | WEST COLUMBIA |
| Zip Code | 29169 |
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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.