HILTON HEAD DERMATOLOGY AND SKIN CANCER CENTER PA (NPI# 1639254014) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639254014 |
| Entity Type | Organization |
| Organization Name | HILTON HEAD DERMATOLOGY AND SKIN CANCER CENTER PA |
| Practice Address |
15 Hospital Center Blvd Ste 1 Hilton Head SC 29926-2760 |
| Practice Telephone | 8436899200 |
| Practice Fax Number | 8436899201 |
| Mailing Telephone | 8436899200 |
| Mailing Fax Number | 8436899201 |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2015-07-08 |
| Authorized Official Name | DR. ALBERT THOMAS BUNDY (PRESIDENT) |
| Authorized Official Telephone | 8436899200 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
SC14710 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | GP1264 | 05 |
| Street Address |
15 HOSPITAL CENTER BLVD STE 1 |
| City | HILTON HEAD |
| State | SC |
| Zip Code | 29926-2760 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013526037 | Rebecca G Dugal | Nurse Practitioner | 15 Hospital Center Blvd Ste 1, Hilton Head, SC 29926-2760 | 2020-07-27 |
| 1063894103 | Emily Murphy | Nurse Practitioner | 15 Hospital Center Blvd Ste 1, Hilton Head, SC 29926-2760 | 2015-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447728795 | Island Imaging, LLC | Radiology | 40 Palmetto Parkway, Hilton Head Island, SC 29926 | 2018-11-05 |
| 1134608805 | Optim Orthopedics, LLC | Orthopaedic Surgery | 25 Hospital Center Blvd Ste 100, Hilton Head, SC 29926 | 2018-08-13 |
| 1114443728 | Rehabcare Group East, LLC | Clinic/Center | 421 Squire Pope Rd, Hilton Head Island, SC 29926 | 2017-08-15 |
| 1043734429 | Laura Ann Elizabeth Mccall | Nurse Practitioner | Dba Ltc Health Solutions, 110 Gardner Dr, Hilton Head Island, SC 29926 | 2017-07-27 |
| 1508286014 | Johan Schutz | Pharmacist | 20 Hanahan Ln, Hilton Head Island, SC 29926 | 2014-04-23 |
| 1740614460 | Tcg Medical Specialists LLC | Emergency Medicine | 19 Moss Creek Village Ste. B4, St. Joseph's/candler Hyperbarics and Wound Care, Hilton Head Island, SC 29926 | 2013-08-29 |
| 1215288790 | Collin George | Physical Therapist | 250 Ladyslipper Lane, Hilton Head, SC 29926 | 2012-09-25 |
| 1508136698 | Podiatry Associates of Hilton Head Pa | Podiatrist | 88 D Main Street, Hilton Head Island, SC 29926 | 2012-01-05 |
| 1467689646 | Moss Creek Sport & Spine Institute Promp Care, LLC | Clinic/Center | 15 Moss Creek Village, Hilton Head, SC 29926 | 2009-06-16 |
| 1245487545 | Kathleen M Shea | Audiologist | 1401 F Main St, Hilton Head Island, SC 29926 | 2008-08-19 |
| Find all providers in zip 29926 | ||||
| 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 |
|---|---|---|---|---|
| 1174122444 | Coastal Dermatology Institute LLC | Dermatology | 920 Doug White Dr Ste 310, Myrtle Beach, SC 29572-4180 | 2020-10-19 |
| 1992065858 | Brandon James Coakley | Dermatology | 917 Medical Cir, Myrtle Beach, SC 29572-4116 | 2012-05-24 |
| 1396777124 | James R Debloom II | Dermatology | 300 Ashby Park Lane, Greenville, SC 29607-6903 | 2006-07-06 |
| 1801825468 | Dermatology Associates of The Lowcountry | Dermatology | 108 Medical Park Dr, Walterboro, SC 29488-5719 | 2006-07-03 |
| 1215989587 | Robert Marshall Rogers | Dermatology | 213 Mills Ave, Greenville, SC 29605-4019 | 2006-05-16 |
| 1083693857 | Carolina Dermatology Grp | Dermatology | 1706 St Julians Place, Columbia, SC 29204-2410 | 2006-01-11 |
| 1427059997 | Richard John Deangelis | Dermatology | 1409 N Fant St, Anderson, SC 29621-4825 | 2005-08-09 |
| 1851810279 | Skin Surgery Center Pa | Dermatology | 180 Wingo Way Ste 202, Mount Pleasant, SC 29464-1811 | 2017-09-18 |
| 1447575931 | Jane Unaeze | Dermatology | 920 Woodruff Rd, Greenville, SC 29607-4105 | 2010-03-29 |
| 1376757427 | Skin Cancer Centre, P. A. | Dermatology | 1409 N Fant St, Anderson, SC 29621-4825 | 2007-05-09 |
| Find all providers with the same taxonomy | ||||
| City | HILTON HEAD |
| Zip Code | 29926 |
Please comment or provide details below to improve the information on HILTON HEAD DERMATOLOGY AND SKIN CANCER CENTER PA.
| 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.