SUNGATE DERMATOLOGY (NPI# 1245675636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245675636 |
| Entity Type | Organization |
| Organization Name | SUNGATE DERMATOLOGY |
| Practice Address |
10 William Pope Dr Sungate Medical Center, Suite #4 Bluffton SC 29909-7549 |
| Practice Telephone | 8437051513 |
| Practice Fax Number | 8437051514 |
| Mailing Telephone | 8437051513 |
| Mailing Fax Number | 8437051514 |
| Enumeration Date | 2013-04-30 |
| Last Update Date | 2013-04-30 |
| Authorized Official Name | DR. KENNETH DANIEL FARR (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 8438422020 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | PALMETTO EYE SPECIALISTS PA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ND0900X |
Dermatology Specialization: Dermatopathology |
MD31744 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | GP2666 | 05 | |
| SC | MEDICARE GROUP PTAN | P00764908 | 01 |
| SC | RAILROAD MEDICARE | CH3121 | 01 |
| SC | MEDICARE | 6830 | 01 |
| Street Address |
10 WILLIAM POPE DR SUNGATE MEDICAL CENTER, SUITE #4 |
| City | BLUFFTON |
| State | SC |
| Zip Code | 29909-7549 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346216546 | Clint D Paxson | Optometrist | 10 William Pope Dr, Sungate Medical Center, Bluffton, SC 29909-7549 | 2006-02-27 |
| 1093183428 | Jessica Danielle Mcgarvey | Physical Therapist | 10 William Pope Dr, Suite 3, Bluffton, SC 29909-7549 | 2015-09-02 |
| 1114322336 | Sungate Medical Group LLC | Optometrist | 10 William Pope Dr, Bluffton, SC 29909-7549 | 2014-10-30 |
| 1396158259 | Rachel E Engelbarts | Optometrist | 10 William Pope Dr, Bluffton, SC 29909-7549 | 2014-06-09 |
| 1770923468 | Brendon Patrick Ryan | Physical Therapist | 10 William Pope Dr, Suite 3, Bluffton, SC 29909-7549 | 2013-06-27 |
| 1225390222 | Brittany Lauren Thomas | Physical Therapist | 10 William Pope Dr, Suite 3, Bluffton, SC 29909-7549 | 2012-06-14 |
| 1659657310 | Meghan Klunk | Physical Therapist | 10 William Pope Dr, Suite 3, Bluffton, SC 29909-7549 | 2011-10-26 |
| 1124311311 | David Andrew Hunter | Ophthalmology | 10 William Pope Dr, Bluffton, SC 29909-7549 | 2011-05-20 |
| 1285883744 | Lisa Anne Crouch | Audiologist | 10 William Pope Dr, Sungate Medical Center, Bluffton, SC 29909-7549 | 2008-09-09 |
| 1932121019 | Aaryn N Mariacher | Physical Therapist | 10 William Pope Dr, Suite 3, Bluffton, SC 29909-7549 | 2006-07-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952915027 | Vdp Okatie LLC | Dentist | 10 William Pope Drive, Suite #2, Okatie, SC 29909 | 2020-09-04 |
| 1598379729 | Wellness Institute | Nurse Practitioner | 100 Okatie Center Boulevard North, Okatie, SC 29909 | 2020-09-04 |
| 1649764119 | Sprenger Healthcare of Bluffton, Inc | Skilled Nursing Facility | 60 Okatie Village Drive, Okatie, SC 29909 | 2018-06-19 |
| 1396144291 | Joel Bond | Physical Therapist | 100 Okatie Center Blvd. North, Bluffton, SC 29909 | 2014-08-15 |
| 1528484615 | Barnwell Counseling, LLC | Counselor | 1321 Calhoun Promenade Street, Bluffton, SC 29909 | 2014-03-13 |
| 1508299561 | Katherine Elizabeth Abell | Dentist | 40 Okatie Center Blvd S Ste 302, Okatie, SC 29909 | 2013-08-14 |
| 1578816716 | Costrini Sleep Services, Inc. | Internal Medicine | 8 Okatie Center Blvd., South, Suite 101, Bluffton, SC 29909 | 2012-10-25 |
| 1477845659 | Heart Associate of Hilton Head PC | Internal Medicine | 40 Okatie Boulevard, Suite 100-1, Okatie, SC 29909 | 2011-05-06 |
| 1366740326 | Edward Leonard Meyerink IIi | Pharmacist | 138 Okatie Center Blvd South, (walgreens), Okatie, SC 29909 | 2011-03-01 |
| 1407162944 | Stacey Mae Michaels | Behavioral Analyst | 418 Pinckney Colony Rd, Okate, SC 29909 | 2010-08-22 |
| Find all providers in zip 29909 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 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 |
| 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 |
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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.