DR. MARC RONALD CARRUTH (NPI# 1528035722) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528035722 |
| Entity Type | Individual |
| Full Name | DR. MARC RONALD CARRUTH |
| Credential | M.D. |
| Practice Address |
2615 E 7th St Charlotte NC 28204-4376 |
| Practice Telephone | 7042950000 |
| Practice Fax Number | 7042950005 |
| Mailing Telephone | 7042950000 |
| Mailing Fax Number | 7042950005 |
| Enumeration Date | 2006-03-07 |
| Last Update Date | 2018-09-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
9700501 | NC | Allopathic & Osteopathic Physicians |
| Street Address |
2615 E 7TH ST |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28204-4376 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033186176 | Carolina Skin Surgery Center Pa | Specialist | 2615 E 7th St, Charlotte, NC 28204-4376 | 2006-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285263582 | Precise Home Care Service LLC | In Home Supportive Care | 1935 Baxter Street, Unit 101, Charlotte, NC 28204 | 2020-04-07 |
| 1285276253 | Shannon Miller | Counselor | 1432 E Seventh Street, Charlotte, NC 28204 | 2019-10-11 |
| 1194282202 | Madison Joann Mcgarrigle | Behavior Technician | 1401 East 7th Street, Charlotte, NC 28204 | 2019-02-25 |
| 1255802674 | Stacey D. Alston, Dds, Pa | Dentist | 1020 E. 10th St., Suite 1, Charlotte, NC 28204 | 2018-12-11 |
| 1972082097 | Kim Webb Talbert | Nurse Practitioner | Novant Health Presbyterian Medical Center Charlotte, 200 Hawthorne Lane, Charlotte, NC 28204 | 2018-08-09 |
| 1164910535 | Jesse Elijah Roberts | Counselor | 1801 E 5th Street, #208, Charlotte, NC 28204 | 2018-05-01 |
| 1336696848 | Eight Healthcare | Exclusive Provider Organization | 2455 Weddington Ave, 2110, Charlotte, NC 28204 | 2016-09-01 |
| 1225480551 | Kathleen Quintana Bradley | Physician Assistant | 1523 Elizabeth Ave., Suite 200, Charlotte, NC 28204 | 2016-07-11 |
| 1184049777 | Della Franklin | Speech-Language Pathologist | 1021 Morehead Medical Dr Ste 3300, Charlotte, NC 28204 | 2014-02-19 |
| 1225459845 | Healing Arts Medical, Pa | Family Medicine | 335 N. Caswell Rd., Charlotte, NC 28204 | 2013-12-27 |
| Find all providers in zip 28204 | ||||
| Taxonomy Code | 207ND0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | MOHS-Micrographic Surgery |
| The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. |
| Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619400033 | Metrolina Dermatology and Skin Surgery Specialists, Pllc | Dermatology | 10502 Park Rd, Charlotte, NC 28210-8479 | 2017-04-04 |
| 1861719494 | Sasha Jenkins Haberle | Dermatology | 10502 Park Rd, Ste 100, Charlotte, NC 28210-8479 | 2010-04-21 |
| 1174783385 | Jonathan M Olson | Dermatology | 15830 Ballantyne Medical Pl, Suite 225, Charlotte, NC 28277-4653 | 2008-06-11 |
| 1790961670 | Dermatologic Surgery of The Carolinas LLC | Dermatology | 15830 Ballantyne Medical Place, Suite 225, Charlotte, NC 28277 | 2008-01-10 |
| 1083700207 | Dermatology Laser and Vein Specialists of The Carolina's, Pllc | Dermatology | 1918 Randolph Rd, Suite 550, Charlotte, NC 28207-1100 | 2006-10-05 |
| 1992734669 | The Goslen Center for Skin Wellness, P.a. | Dermatology | 1918 Randolph Rd, Suite550, Charlotte, NC 28207-1100 | 2006-07-03 |
| 1265406482 | Junius Blake Goslen IIi | Dermatology | 1918 Randolph Rd, Suite 550, Charlotte, NC 28207-1100 | 2006-02-14 |
| 1215910336 | Girish Somashekhar Munavalli | Dermatology | 1918 Randolph Rd, Suite 550, Charlotte, NC 28207-1100 | 2005-11-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942713052 | Vieta Dermatology, Pllc | Dermatology | 289 Olmsted Blvd Ste 5, Pinehurst, NC 28374-8730 | 2017-11-10 |
| 1245751403 | Bluewater Dermatology and Skin Cancer Center Pa | Dermatology | 814 Spivey Rd, Whiteville, NC 28472-8736 | 2017-06-28 |
| 1831330893 | Landon Everett Stigall | Dermatology | 6752 Rock Spring Rd Ste 201, Wilmington, NC 28405 | 2009-03-20 |
| 1780772541 | Jenny L. Stone | Dermatology | 203 Mocksville Ave Ste B, Salisbury, NC 28144-3360 | 2006-10-10 |
| 1215902663 | Frederick Walter Gourdin | Dermatology | 78 Long Shoals Rd, Arden, NC 28704-7782 | 2006-02-21 |
| 1508846403 | Rajat Varma | Dermatology | 410 Market St Ste 400, Unc Dept of Dermatology, Chapel Hill, NC 27516-4061 | 2006-01-18 |
| 1437130523 | Greg Edwin Viehman | Dermatology | 710 Military Cutoff Rd, Suite 200, Wilmington, NC 28405-2375 | 2005-11-07 |
| 1598759482 | Eastern Dermatology, P.a. | Dermatology | 420 Spring Forest Rd, Greenville, NC 27834-7244 | 2005-09-07 |
| 1285636076 | Charles S Johnson | Dermatology | 315 19th St Se, Hickory, NC 28602-4230 | 2005-08-11 |
| 1134123847 | Audrey F Echt | Dermatology | 10931 Raven Ridge Rd, Ste 101, Raleigh, NC 27614-6499 | 2005-06-09 |
| Find all providers with the same taxonomy | ||||
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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.