ANDERSON DERMATOLOGY AND SKIN SURGERY CENTER (NPI# 1467527150) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467527150 |
| Entity Type | Organization |
| Organization Name | ANDERSON DERMATOLOGY AND SKIN SURGERY CENTER |
| Practice Address |
1501 N Main St Anderson SC 29621-4734 |
| Practice Telephone | 8647160063 |
| Practice Fax Number | 8647160073 |
| Mailing Telephone | 8647160063 |
| Mailing Fax Number | 8647160073 |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | THERESA G KNOEPP (OWNER) |
| Authorized Official Telephone | 8647160063 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790340750 | Anderson Dermatology and Skin Surgery Center | Dermatology | 112 John St Ste 105, Easley, SC 29640-1405 | 2019-05-06 |
| Street Address |
1501 N MAIN ST |
| City | ANDERSON |
| State | SC |
| Zip Code | 29621-4734 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770903098 | Nancy Richmond | Nurse Practitioner | 1501 N Main St, Anderson, SC 29621-4734 | 2014-04-25 |
| 1033402151 | Stephanie Kirby Davis | Physician Assistant | 1501 N Main St, Anderson, SC 29621 | 2011-05-23 |
| 1902029382 | Katherine R Shew | Dermatology | 1501 N Main St, Anderson, SC 29621-4734 | 2007-04-11 |
| 1518917384 | Arthur J Dean Jr. | Dermatology | 1501 N Main St, Anderson, SC 29621-4734 | 2006-05-11 |
| 1073562690 | Theresa Greene Knoepp | Dermatology | 1501 N Main St, Anderson, SC 29621-4734 | 2006-05-09 |
| 1407815384 | Caroline Pruitt Brown | Physician Assistant | 1501 N Main St, Anderson, SC 29621 | 2006-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114574241 | Kathryn L Harwick | Social Worker | 3030 Sc-81, Anderson, SC 29621 | 2019-08-22 |
| 1326517194 | Ashlea Bronwen Bates | Nurse Practitioner | 3424 Clemson Blvd., Anderson, SC 29621 | 2018-11-21 |
| 1770051708 | Bailee Vernon Mccarley | Nurse Practitioner | 800 Fant St, Anderson, SC 29621 | 2018-11-07 |
| 1790278893 | Morgan Cutts | Speech-Language Pathologist | 126 Broadbent Way, Suite A, Anderson, SC 29621 | 2018-06-13 |
| 1427546233 | Amanda Coker Burnette | Family Medicine | 3000 East Greenville Street, Suite 3700, Anderson, SC 29621 | 2018-04-26 |
| 1205342169 | Robert Allen Dameron Jr. | Orthopaedic Surgery | 130 Longview Drive, Anderson, SC 29621 | 2017-12-14 |
| 1578085411 | Michael Jason Bell | Contractor | 520 Hwy 29 Bypass N, Anderson, SC 29621 | 2017-07-12 |
| 1639629983 | Todd E. Hamilton | Dentist | 1112 Cornelia Road, Anderson, SC 29621 | 2016-10-11 |
| 1760939110 | Crystal Vaughn | Nurse Practitioner | Sac Anmed Health 2000 East Greenville Street, Anderson, SC 29621 | 2016-09-01 |
| 1992151328 | Veronica Williams | Non-emergency Medical Transport (VAN) | 2314 Old Williamston Road, Anderson, SC 29621 | 2016-05-04 |
| Find all providers in zip 29621 | ||||
| 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 |
|---|---|---|---|---|
| 1154500494 | David L. Martin, M.d., Inc | Dermatology | 2101 Jackson St Ste 201, Anderson, IN 46016-4387 | 2007-11-02 |
| 1326250499 | Mina Swofford, M.d. P.c | Dermatology | 2101 Jackson Str, Suite 118, Anderson, IN 46016-4386 | 2007-05-03 |
| 1275685000 | Mark Johnson Quarterman | Dermatology | 2022 Cardinal Cir, Anderson, SC 29621-1504 | 2007-01-18 |
| 1952309510 | David L Martin | Dermatology | 2101 Jackson St, Ste 201, Anderson, IN 46016-4388 | 2005-07-08 |
| 1992140420 | Luke Hollis O'steen | Dermatology | 2022 Cardinal Cir, Anderson, SC 29621-1504 | 2013-05-10 |
| 1770799751 | Richard Paul Sturtz | Dermatology | 1114 Cornelia Rd, Anderson, SC 29621-3317 | 2007-05-15 |
| 1902029382 | Katherine R Shew | Dermatology | 1501 N Main St, Anderson, SC 29621-4734 | 2007-04-11 |
| 1518917384 | Arthur J Dean Jr. | Dermatology | 1501 N Main St, Anderson, SC 29621-4734 | 2006-05-11 |
| 1073562690 | Theresa Greene Knoepp | Dermatology | 1501 N Main St, Anderson, SC 29621-4734 | 2006-05-09 |
| 1346237476 | Minati D Swofford | Dermatology | 2101 Jackson St, Ste 118, Anderson, IN 46016-4386 | 2005-10-04 |
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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.