DR. CHARLES M PHILLIPS (NPI# 1902891872) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902891872 |
| Entity Type | Individual |
| Full Name | DR. CHARLES M PHILLIPS |
| Credential | MD |
| Practice Address |
517 Moye Blvd Fl 3 Ecu Physicians Dermatology Greenville NC 27834-2849 |
| Mailing Address |
Po Box 751069 Charlotte NC 28275-1069 |
| Practice Telephone | 2527443109 |
| Practice Fax Number | 2527442096 |
| Mailing Telephone | 2527443253 |
| Mailing Fax Number | 2527443194 |
| Enumeration Date | 2005-09-15 |
| Last Update Date | 2011-12-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 30079 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BCBS NC | 67705 | 01 |
| NC | RAILROAD MEDICARE | 70010076 | 01 |
| NC | 8967705 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841703147 | Charles Vance Phillips Iv | Massage Therapist | 25 Cherokee Blvd Ste C, Chattanooga, TN 37405-3838 | 2017-11-08 |
| 1598064636 | Charles Phillips | Family Medicine | 6045 Carlisle Ln, 6045 Carlisle Ln, Alpharetta, GA 30022-6281 | 2011-03-15 |
| 1093735011 | Charles W Phillips | Optometrist | 4311 W Wadley Ave, Midland, TX 79707-5457 | 2006-07-20 |
| 1023017548 | Charles Bailey Phillips Jr. | Chiropractor | 4045 Vineville Ave, Macon, GA 31210-5039 | 2005-07-18 |
| 1891791299 | Charles Vincent Phillips | Surgery | 3838 San Dimas St, Ste B-231, Bakersfield, CA 93301-2284 | 2005-06-22 |
| 1538164298 | Charles T Phillips | Physician Assistant | 250 Nash Medical Arts Mall, Suite D, Rocky Mount, NC 27804-1470 | 2005-06-17 |
| 1760872808 | Charles Henry Phillips IIi | Physician Assistant | 915 N Greensboro St, Lexington, NC 27292-2699 | 2015-01-28 |
| 1811312986 | Charles Andrew Phillips | Internal Medicine | 509 Biltmore Ave, Asheville, NC 28801-4601 | 2014-02-26 |
| 1265722953 | Charles Allen Phillips | Pediatrics | 3401 Civic Center Blvd, Divisions of Hematology and Oncology, Philadelphia, PA 19104-4319 | 2011-04-14 |
| 1598945685 | Charles Samuel Phillips | Pediatrics | 705 Riley Hospital Dr, Indianapolis, IN 46202-5109 | 2007-11-06 |
| Street Address |
517 MOYE BLVD FL 3 ECU PHYSICIANS DERMATOLOGY |
| City | GREENVILLE |
| State | NC |
| Zip Code | 27834-2849 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508988742 | Jennifer Marie Defazio | Dermatology | 517 Moye Blvd Fl 3, Ecu Physicians Dermatology, Moye Medical #2, Greenville, NC 27834-2849 | 2007-04-06 |
| 1225094659 | Karen M Buckley | Surgery | 517 Moye Blvd Fl 3, Ecu Physicians Plastic Surgery Moye Medical Center #2, Greenville, NC 27834-2849 | 2006-04-25 |
| 1487637534 | Richard S Zeri | Surgery | 517 Moye Blvd Fl 3, Ecu Physicians Plastic Surgery, Greenville, NC 27834-2849 | 2005-11-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841801255 | Nicholas Mcarthur Bennett | Day Training, Developmentally Disabled Services | 302 C, Greenville, NC 27834 | 2020-08-11 |
| 1275150245 | Shelby Renee Jones | Student in an Organized Health Care Education/Training Program | East Carolina University College of Nursing, 600 Moye Blvd, Greenville, NC 27834 | 2020-06-25 |
| 1194347138 | Soban Ahmad | Student in an Organized Health Care Education/Training Program | 600 Moye Blvd., Vmc Ma Room 350. Internal Medicine Resi, Mailstop #734, Greenville, NC 27834 | 2020-05-13 |
| 1427687789 | Brandon Allen Yates | Student in an Organized Health Care Education/Training Program | 435 Clinic Drive, Greenville, NC 27834 | 2020-04-07 |
| 1144854407 | Kristen Springer Dreyfus | Marriage & Family Therapist | 2609 West Arlington Blvd Suite 106, Greenville, NC 27834 | 2020-02-26 |
| 1861038606 | Southern Surgical Outpatient Surgery Center, Pa | Clinic/Center | 2457 Emerald Place, Greenville, NC 27834 | 2019-11-26 |
| 1003460569 | Shaun Fitzpatrick | Nurse Practitioner | Physicians East, Pa 1850 W. Arlington Blvd., Greenville, NC 27834 | 2019-08-01 |
| 1649831496 | Katherine Salome Ross | Genetic Counselor, MS | 524 Moye Blvd, Greenville, NC 27834 | 2019-06-24 |
| 1477011880 | Lauren Bethune Scroggs | Counselor | 2150 West 5th Street, Health Sciences Building Mailstop 688, Greenville, NC 27834 | 2019-03-05 |
| 1669998001 | Idella's Care Home | Community/Behavioral Health | 2912 Lee Ct # 9a, Greenville, NC 27834 | 2017-08-17 |
| Find all providers in zip 27834 | ||||
| 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 |
|---|---|---|---|---|
| 1982138715 | Skin Solution To Massage | Dermatology | 1 Chick Springs Rd Ste 207a, Greenville, SC 29609-4976 | 2017-04-19 |
| 1134393952 | Dr Joseph R Terracina, Md, Pa | Dermatology | 2525 Highway 1 S Ste A, Greenville, MS 38701-8354 | 2008-04-14 |
| 1427232131 | Eric J. Baker, M.d., P.a. | Dermatology | 26 Roper Corners Cir, Greenville, SC 29615-4833 | 2007-12-18 |
| 1760576383 | Eric J. Baker | Dermatology | 26 Roper Corners Circle, Greenville, SC 29615-4833 | 2006-10-03 |
| 1255388310 | Leslie Howard Poinsette | Dermatology | 28 Medical Ridge Dr, Greenville, SC 29605-4267 | 2006-05-27 |
| 1659323111 | Wayne Glenn Rogers | Dermatology | 3b Cleveland Ct, Greenville, SC 29607-2414 | 2006-05-16 |
| 1134171473 | Frances B Pardue | Dermatology | 7a Cleveland Ct, Greenville, SC 29607-2414 | 2006-05-16 |
| 1205814613 | John Thomas Kuhl | Dermatology | 920 Woodruff Rd, Greenville, SC 29607-4105 | 2006-01-05 |
| 1356330963 | Natures Partners | Dermatology | 8506 Wesley St, Greenville, TX 75402-3812 | 2005-10-17 |
| 1609873835 | William A Burke | Dermatology | 817 Moye Blvd Fl. 3, Ecu Physicians Dermetology Moye Medical Center #2, Greenville, NC 27834-2849 | 2005-07-01 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 27834 |
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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.