JOEL C PHILLIPS (NPI# 1114013570) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114013570 |
| Entity Type | Individual |
| Full Name | JOEL C PHILLIPS |
| Credential | M.D. |
| Practice Address |
28 Medical Ridge Dr Greenville SC 29605-4267 |
| Practice Telephone | 8642717440 |
| Practice Fax Number | 8642716001 |
| Mailing Telephone | 8642717440 |
| Mailing Fax Number | 8642716001 |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2014-01-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | 19877 | SC | Allopathic & Osteopathic Physicians |
| Y | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
19877 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 198770 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083724207 | Joel Wayne Phillips | Specialist | 708 Druid Rd E, Clearwater, FL 33756-3914 | 2006-08-30 |
| 1023052412 | Joel M Phillips | Occupational Therapist | 2297 S 9th St, Kalamazoo, MI 49009-9462 | 2006-06-15 |
| 1598267585 | Joel Phillips | Orthopaedic Surgery | 36622 Five Mile Rd, Livonia, MI 48154-1900 | 2018-03-06 |
| 1306212659 | Joel Delaney Phillips Jr. | Pharmacist | 10675 Highway 5, Brent, AL 35034-3908 | 2015-08-20 |
| 1518367473 | Joel Kent Phillips | Physician Assistant | 3505 Duluth Park Ln, Suite 400, Duluth, GA 30096-3201 | 2014-08-28 |
| 1639462039 | Joel Nathan Phillips | Psychiatry & Neurology | 200 Jefferson Ave Se, Grand Rapids, MI 49503-4502 | 2011-05-18 |
| 1225286990 | Joel David Phillips | Physician Assistant | 200 Ne Mother Joseph Pl, Suite 200, Vancouver, WA 98664-3299 | 2008-09-05 |
| Street Address |
28 MEDICAL RIDGE DR |
| City | GREENVILLE |
| State | SC |
| Zip Code | 29605-4267 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255388310 | Leslie Howard Poinsette | Dermatology | 28 Medical Ridge Dr, Greenville, SC 29605-4267 | 2006-05-27 |
| 1215228739 | Ashley Cerone Parks | Dermatology | 28 Medical Ridge Dr, Greenville, SC 29605-4267 | 2011-05-02 |
| 1144540428 | Courtney Lee Mcfaddin | Dermatology | 28 Medical Ridge Dr, Greenville, SC 29605-4267 | 2010-06-09 |
| 1780818930 | William Justin Mccrary | Dermatology | 28 Medical Ridge Dr, Greenville, SC 29605-4267 | 2009-05-03 |
| 1477611945 | Jessica Ann Mills | Physician Assistant | 28 Medical Ridge Dr, Greenville, SC 29605-4267 | 2006-12-05 |
| 1861565996 | Dermatology Associates Pa | Specialist | 28 Medical Ridge Dr, Greenville, SC 29605-4267 | 2006-11-16 |
| 1700824075 | Falls Lewis Harris | Dermatology | 28 Medical Ridge Dr, Greenville, SC 29605-4267 | 2006-06-02 |
| 1619915980 | Charles Shirley West Jr. | Specialist | 28 Medical Ridge Dr, Greenville, SC 29605-4267 | 2006-06-02 |
| 1437197712 | Joseph Marshall Catanzaro | Specialist | 28 Medical Ridge Dr, Greenville, SC 29605-4267 | 2006-06-02 |
| 1255379533 | Matthew Everett Bryan | Dermatology | 28 Medical Ridge Dr, Greenville, SC 29605-4267 | 2006-06-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205306099 | Prisma Health University Medical Group | Family Medicine | 110 Osage Drive, Greenville, SC 29605 | 2018-12-05 |
| 1306325626 | Lauren Foster Fiscus | Occupational Therapist | 1900 Augusta Street, Suite 2500, Greenville, SC 29605 | 2018-08-08 |
| 1063914372 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 1720 Augusta St, Greenville, SC 29605 | 2018-03-02 |
| 1144748385 | Johanna Ruth Henry | Speech-Language Pathologist | 1900 Augusta St., Suite 2500, Greenville, SC 29605 | 2017-09-08 |
| 1477083483 | Alexis Dean Pedigo | Speech-Language Pathologist | 1900 Augusta St, Suite 2500, Greenville, SC 29605 | 2017-06-13 |
| 1134658420 | Trace Christopher Deighan | Obstetrics & Gynecology | 890 West Faris Road, Suite 470, Greenville, SC 29605 | 2017-06-08 |
| 1023569837 | Blessed With Goodness, LLC | In Home Supportive Care | 716 E. Fairfield Road, Unit 120 (mailbox # 14), Greenville, SC 29605 | 2016-10-17 |
| 1972050953 | Suha Umina | Pharmacist | 975 W. Faris Road, Greenville, SC 29605 | 2016-09-07 |
| 1124470976 | Meredith Laine Cavagrotti | Specialist/Technologist | 700 Grove Rd, Greenville, SC 29605 | 2016-07-05 |
| 1205286895 | Med-trans Corporation | Ambulance | 552 Perimeter Rd, Greenville, SC 29605 | 2016-06-15 |
| Find all providers in zip 29605 | ||||
| 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 |
|---|---|---|---|---|
| 1396777124 | James R Debloom II | Dermatology | 300 Ashby Park Lane, Greenville, SC 29607-6903 | 2006-07-06 |
| 1215989587 | Robert Marshall Rogers | Dermatology | 213 Mills Ave, Greenville, SC 29605-4019 | 2006-05-16 |
| 1598759482 | Eastern Dermatology, P.a. | Dermatology | 420 Spring Forest Rd, Greenville, NC 27834-7244 | 2005-09-07 |
| 1457722043 | Easterm Dermatology, Pa | Dermatology | 420 Spring Forest Rd, Greenville, NC 27834-7244 | 2015-10-08 |
| 1366880304 | Randall Lee Proctor | Dermatology | 420 Spring Forest Rd, Greenville, NC 27834 | 2013-06-12 |
| 1447575931 | Jane Unaeze | Dermatology | 920 Woodruff Rd, Greenville, SC 29607-4105 | 2010-03-29 |
| 1154344547 | South Carolina Skin Cancer Center | Dermatology | 300 Ashby Park Lane, Greenville, SC 29607-6903 | 2006-07-26 |
| 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 |
| 1639254014 | Hilton Head Dermatology and Skin Cancer Center Pa | Dermatology | 15 Hospital Center Blvd Ste 1, Hilton Head, SC 29926-2760 | 2006-10-26 |
| 1801825468 | Dermatology Associates of The Lowcountry | Dermatology | 108 Medical Park Dr, Walterboro, SC 29488-5719 | 2006-07-03 |
| 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 |
| 1376757427 | Skin Cancer Centre, P. A. | Dermatology | 1409 N Fant St, Anderson, SC 29621-4825 | 2007-05-09 |
| 1417089376 | Germain Dermatology, Pa | Dermatology | 612 Seacoast Pkwy, Suite 201, Mount Pleasant, SC 29464-8247 | 2007-03-09 |
| 1427087089 | Dermatology Associates of The Lowcountry | Dermatology | 40 Okatie Center Blvd S, Suite 210, Bluffton, SC 29909-7507 | 2006-07-03 |
| Find all providers with the same taxonomy | ||||
| City | GREENVILLE |
| Zip Code | 29605 |
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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.