DERMATOPATHOLOGY SPECIALISTS JIM PHILLIPS MD DERMATOPATHOLOGIST LLC (NPI# 1003009390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003009390 |
| Entity Type | Organization |
| Organization Name | DERMATOPATHOLOGY SPECIALISTS JIM PHILLIPS MD DERMATOPATHOLOGIST LLC |
| Practice Address |
1280 Johnnie Dodds Blvd Suite 101 Mt Pleasant SC 29464-3287 |
| Mailing Address |
Po Box 30309 Charleston SC 29417-0309 |
| Practice Telephone | 8433750055 |
| Mailing Telephone | 8435549300 |
| Mailing Fax Number | 8435668780 |
| Enumeration Date | 2007-08-21 |
| Last Update Date | 2009-03-23 |
| Authorized Official Name | DR. JAMES H. PHILLIPS (OWNER) |
| Authorized Official Telephone | 8433750055 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ND0900X |
Dermatology Specialization: Dermatopathology |
8871 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | GP4721 | 05 |
| Street Address |
1280 JOHNNIE DODDS BLVD SUITE 101 |
| City | MT PLEASANT |
| State | SC |
| Zip Code | 29464-3287 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972570372 | James Harrison Phillips | Pathology | 1280 Johnnie Dodds Blvd, Suite 104, Mt Pleasant, SC 29464-3287 | 2006-03-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811548241 | Bradley Paul Anuszkiewicz | Chiropractor | 1501 Johnnie Dodds Blvd, Suite C, Mount Pleasant, SC 29464 | 2019-09-26 |
| 1447808696 | Laura Mariah Crouse | Speech-Language Pathologist | Coastal Therapy Services, 1127 Queensborough Blvd, Mt Pleasant, SC 29464 | 2019-08-30 |
| 1912461807 | Independent Optical | Optometrist | 1710 Shoremead Rd, Suite 420, Mount Pleasant, SC 29464 | 2019-01-25 |
| 1417446204 | Michael Adam Sugarman | Clinical Neuropsychologist | 1459 Stuart Engals Blvd Ste 204a, Mt Pleasant, SC 29464 | 2018-05-07 |
| 1578064192 | Ancillary Specialists LLC | Durable Medical Equipment & Medical Supplies | 636 Long Point Road, Unit G, #19, Mount Pleasant, SC 29464 | 2018-02-28 |
| 1346769015 | Christin Solomon Zerega | Counselor | Lowcountry Psychiatry Group, 913 Bowman Rd, #4, Mount Pleasant, SC 29464 | 2017-09-14 |
| 1336660315 | Charleston Neuropsychology LLC | Psychologist | 1459 Stuart Engals Blvd., Suite 204a, Mount Pleasant, SC 29464 | 2017-06-29 |
| 1790219970 | Adam Hudepohl | Family Medicine | 1400 Ben Sawyer Blvd, Mt Pleasant, SC 29464 | 2017-04-14 |
| 1386181204 | Alicia Taylor | Speech-Language Pathologist | 381 Stonewall Ct Apt 6207, Mount Pleasant, SC 29464 | 2017-01-30 |
| 1285181941 | Tara Lynn Mast | Physical Therapist | 1400 Caliper Oak Circle, Apt 316, Mount Pleasant, SC 29464 | 2016-09-09 |
| Find all providers in zip 29464 | ||||
| Taxonomy Code | 207ND0900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | Dermatopathology |
| A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/; American Osteopathic Board of Dermatology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Dermatology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093875924 | Mclean J. Stith Md Dermatology Dermapathology | Dermatology | 852 Lowcountry Blvd Ste 102, Mt Pleasant, SC 29464-3067 | 2006-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215575238 | Polaris Skin Diagnostics, LLC | Dermatology | 8170 Rourk Street, Suite 100, Myrtle Beach, SC 29572 | 2019-12-20 |
| 1801326814 | Mcleod Physician Associates II | Dermatology | 401 E Cheves St Ste 302, Florence, SC 29506-2615 | 2017-06-13 |
| 1639398480 | Anderson Skin and Cancer Clinic | Dermatology | 2503 N Main St, Anderson, SC 29621-3278 | 2007-04-24 |
| 1952403446 | Marta Toruno Hampton | Dermatology | 635 Saint Andrews Blvd, Charleston, SC 29407-7174 | 2006-09-04 |
| 1740235563 | Robert L Jetton | Dermatology | 369 Woodruff Rd, Greenville, SC 29607-3415 | 2006-05-23 |
| 1295700722 | Dermatology of Lexington, LLC | Dermatology | 346 W. Butler Street, Lexington, SC 29072-7342 | 2006-02-20 |
| 1982683611 | John C Maize Sr. | Dermatology | 135 Rutledge Ave Fl 11, Msc 578, Charleston, SC 29425-8903 | 2006-01-11 |
| 1245675636 | Sungate Dermatology | Dermatology | 10 William Pope Dr, Sungate Medical Center, Suite #4, Bluffton, SC 29909-7549 | 2013-04-30 |
| 1063729309 | Marianne W Rosen,m.d & Associatesllc | Dermatology | 776 Daniel Ellis Dr, Unit 1 A, Charleston, SC 29412-3094 | 2010-09-08 |
| 1386849214 | Peter A. Zvejnieks | Dermatology | 302 University Pkwy, Aiken, SC 29801-6302 | 2007-06-20 |
| Find all providers with the same taxonomy | ||||
| City | MT PLEASANT |
| Zip Code | 29464 |
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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.