ROGERS DERMATOLOGY, PA (NPI# 1912950775) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912950775 |
| Entity Type | Organization |
| Organization Name | ROGERS DERMATOLOGY, PA |
| Practice Address |
3b Cleveland Ct Greenville SC 29607-2414 |
| Practice Telephone | 8643510332 |
| Practice Fax Number | 8643510373 |
| Mailing Telephone | 8643510332 |
| Mailing Fax Number | 8643510373 |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2011-08-04 |
| Authorized Official Name | NINA C GODFREY (OFFICE MANAGER) |
| Authorized Official Telephone | 8643510332 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
6924 | SC | Allopathic & Osteopathic Physicians |
| Street Address |
3B CLEVELAND CT |
| City | GREENVILLE |
| State | SC |
| Zip Code | 29607-2414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659323111 | Wayne Glenn Rogers | Dermatology | 3b Cleveland Ct, Greenville, SC 29607-2414 | 2006-05-16 |
| 1891763579 | C. Keith Fox | Physician Assistant | 3b Cleveland Ct, Greenville, SC 29607-2414 | 2006-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245846138 | Personalized Home Care Services | Technician | 1200 Woodruff Rd A3 Ste 150, Greenville, SC 29607 | 2020-09-16 |
| 1396361960 | Complete Homecare of America, Inc. | In Home Supportive Care | 128 Millport Circle, Suite 200, Greenville, SC 29607 | 2020-06-19 |
| 1275175093 | Carrie Laxton Ballenger | Nurse Practitioner | 2094 Woodruff Road, Greenville, SC 29607 | 2019-10-14 |
| 1861047037 | Susannah Long | Marriage & Family Therapist | 109 Laurens Road, Building 4 Ste D, Greenville, SC 29607 | 2019-08-05 |
| 1043872369 | Cheryl Craig Rosemond | Case Manager/Care Coordinator | 5 Century Drive, Suite 130, Greenville, SC 29607 | 2019-07-08 |
| 1457916561 | After Hours Chiropractic LLC | Chiropractor | 1200 Woodruff Rd Blg A-3, Simpsonville, SC 29607 | 2019-05-03 |
| 1952865289 | Orthodontic Specialists of Carolina, PC | Dentist | 611 Haywood Road, Greenville, SC 29607 | 2019-01-31 |
| 1124502307 | Martha Irby | Home Health Aide | 2320 E North St Rr 107, Greenville, SC 29607 | 2018-09-24 |
| 1780164541 | Suval Psychiatric Services, Pa | Clinic/Center | 33 Market Point Dr Ste 2023, Greenville, SC 29607 | 2018-08-20 |
| 1083113963 | Caroline Graham | Nurse Practitioner | 850 S Pleasantburg Dr, Greenville, SC 29607 | 2018-02-06 |
| Find all providers in zip 29607 | ||||
| Taxonomy Code | 207NS0135X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | Procedural Dermatology |
| Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). |
| Notes: Source: American Board of Dermatology, 2007, www.abderm.org [1/1/2008: definition added, source added, title changed] Additional Resources: Some ABMS board certified dermatologists have completed a one-year ACGME approved fellowship in Procedural Dermatology, which has been offered since 2003. At this time the ABD does not offer subspecialty certification in Procedural Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639164528 | John Michael Humeniuk | Dermatology | 21 Memorial Medical Dr, Greenville, SC 29605-4407 | 2005-09-16 |
| 1568749299 | Dallas Dermatology | Dermatology | 4724 Wellington St, Greenville, TX 75401-4944 | 2011-11-09 |
| 1508988742 | Jennifer Marie Defazio | Dermatology | 517 Moye Blvd Fl 3, Ecu Physicians Dermatology, Moye Medical #2, Greenville, NC 27834-2849 | 2007-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467016600 | Marcus Hutchison | Dermatology | 688 Albright Rd Ste 101, Rock Hill, SC 29730-6290 | 2019-04-23 |
| 1841511623 | Susan Fellows Vanepps | Dermatology | 8590 San Marcello Dr, #101, Myrtle Beach, SC 29579-5281 | 2010-06-16 |
| 1992726269 | The Palmetto Skin and Laser Center LLC | Dermatology | 1563 Health Care Dr, Rock Hill, SC 29732-3858 | 2006-07-22 |
| 1114902269 | Timothy Gerrard Woodall | Dermatology | 1563 Healthcare Dr, Rock Hill, SC 29732 | 2005-12-13 |
| 1346330271 | Paul L Ross | Dermatology | 109 Bee St, Charleston, SC 29401-5703 | 2006-10-13 |
| 1528048139 | Edward George Butler II | Dermatology | 109 Bee St, Charleston, SC 29401-5703 | 2006-01-19 |
| 1730165465 | Richard Eric White | Dermatology | 1563 Healthcare Dr, Rock Hill, SC 29732-3858 | 2005-12-15 |
| City | GREENVILLE |
| Zip Code | 29607 |
Please comment or provide details below to improve the information on ROGERS DERMATOLOGY, 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.