DERMATECH (NPI# 1710458476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710458476 |
| Entity Type | Organization |
| Organization Name | DERMATECH |
| Practice Address |
3300 N Main St Ste D-339 Anderson SC 29621-4128 |
| Practice Telephone | 8649324113 |
| Enumeration Date | 2018-12-06 |
| Last Update Date | 2018-12-06 |
| Authorized Official Name | IBETH BUITRAGO (CEO) |
| Authorized Official Telephone | 8649324113 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | DERMATECH ASSOCIATES, INC. | 175 Orville Drive, Bohemia, New York 11716 |
| New York State Corporations | DERMATECH LABS INC. | 235 Feustal Street, West Babylon, Ny 11704 |
| Street Address |
3300 N MAIN ST STE D-339 |
| City | ANDERSON |
| State | SC |
| Zip Code | 29621-4128 |
| 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 | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770048001 | Mynewcpap, Inc | Durable Medical Equipment & Medical Supplies | 7085 Highway 30, Anderson, TX 77830 | 2019-01-31 |
| 1184192023 | Ciani Medical Solutions, LLC | Durable Medical Equipment & Medical Supplies | 2604 Bellview Rd, Anderson, SC 29621-3902 | 2018-11-08 |
| 1205326360 | Carolina Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 212 E Greenville St, Anderson, SC 29621-5509 | 2018-05-15 |
| 1871080127 | Medical Service Companies | Durable Medical Equipment & Medical Supplies | 141 W 22nd St Ste 213a, Anderson, IN 46016-4389 | 2018-04-21 |
| 1730612110 | Joerns LLC | Durable Medical Equipment & Medical Supplies | 1823 E 53rd St Unit 1-6, Anderson, IN 46013-2829 | 2017-04-04 |
| 1528451556 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 2003 E Greenville St, Anderson, SC 29621-1529 | 2015-03-16 |
| 1851794796 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 224 E Hwy 76, Anderson, MO 64831 | 2014-10-07 |
| 1558790584 | Wickiser Physical Medicine, LLC | Durable Medical Equipment & Medical Supplies | 122 East West Parkway, Anderson, SC 29621-1361 | 2013-11-12 |
| 1215274212 | Upstate Medical Staffing, Inc. | Durable Medical Equipment & Medical Supplies | 1944f Pearman Dairy Rd, Anderson, SC 29625-1315 | 2013-01-10 |
| 1245585652 | Advanced Prosthetics of Seneca, Inc | Durable Medical Equipment & Medical Supplies | 703 N Fant St Ste A, Anderson, SC 29621-5705 | 2012-07-23 |
| Find all providers in ANDERSON | ||||
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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.