COURTNEY LEE MCFADDIN (NPI# 1144540428) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144540428 |
| Entity Type | Individual |
| Full Name | COURTNEY LEE MCFADDIN |
| Other Name | COURTNEY MICHELLE LEE |
| 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 | 2010-06-09 |
| Last Update Date | 2020-02-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | 32736 | SC | Allopathic & Osteopathic Physicians |
| Y | 207ND0900X |
Dermatology Specialization: Dermatopathology |
32736 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NPI | 1144540428 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 317 Tanner Rd, Greenville, SC 296075923 | 8646278911 | 8646278294 |
| 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 |
| 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 |
| 1114013570 | Joel C Phillips | Dermatology | 28 Medical Ridge Dr, Greenville, SC 29605-4267 | 2006-10-05 |
| 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 | 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 |
|---|---|---|---|---|
| 1740235563 | Robert L Jetton | Dermatology | 369 Woodruff Rd, Greenville, SC 29607-3415 | 2006-05-23 |
| 1962411017 | Hee Kim Park | Dermatology | 420 Spring Forest Rd, Greenville, NC 27834-7244 | 2006-08-07 |
| 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 |
| 1093875924 | Mclean J. Stith Md Dermatology Dermapathology | Dermatology | 852 Lowcountry Blvd Ste 102, Mt Pleasant, SC 29464-3067 | 2006-12-11 |
| 1952403446 | Marta Toruno Hampton | Dermatology | 635 Saint Andrews Blvd, Charleston, SC 29407-7174 | 2006-09-04 |
| 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 |
| 1003009390 | Dermatopathology Specialists Jim Phillips Md Dermatopathologist LLC | Dermatology | 1280 Johnnie Dodds Blvd, Suite 101, Mt Pleasant, SC 29464-3287 | 2007-08-21 |
| 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.