DERMATOLOGY AND SKIN SURGERY INC (NPI# 1366075343) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366075343 |
| Entity Type | Organization |
| Organization Name | DERMATOLOGY AND SKIN SURGERY INC |
| Practice Address |
325 Broad St Ste 200 Sumter SC 29150-4167 |
| Practice Telephone | 8037754469 |
| Practice Fax Number | 8037754981 |
| Mailing Telephone | 8037754469 |
| Mailing Fax Number | 8037754981 |
| Enumeration Date | 2020-02-18 |
| Last Update Date | 2020-02-18 |
| Authorized Official Name | MR. PHILLIP L LATHAM JR. (SHAREHOLDER /CO-OWNER) |
| Authorized Official Telephone | 8037754469 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians |
| Street Address |
325 BROAD ST STE 200 |
| City | SUMTER |
| State | SC |
| Zip Code | 29150-4167 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174152557 | Stacey Delene Mcconico | Adult Companion | 201 East Liberty Street, Sumter, SC 29150 | 2020-04-07 |
| 1780227942 | Add Light Home Care LLC | In Home Supportive Care | 698-s Bultman Dr, Suite C-8, Sumter, SC 29150 | 2019-10-21 |
| 1770044075 | Kimberly A Weeks | Technician, Other | 5 E Liberty Street, Sumter, SC 29150 | 2019-03-28 |
| 1689155103 | Chrishena E Craig | Social Worker | 801 N. Pike West, Sumter, SC 29150 | 2018-08-23 |
| 1093200735 | Michael B Coseo | Dietitian, Registered | 1278 N. Lafayette Drive, Sumter, SC 29150 | 2018-06-26 |
| 1790287258 | Keever Murdaugh | Physical Therapy Assistant | 1018 North Guignard Drive, Sumter, SC 29150 | 2018-03-01 |
| 1679094643 | James D Pearson | Emergency Medical Technician, Basic | 9b Willow Drive, Sumter, SC 29150 | 2017-06-29 |
| 1245771781 | Shanekia Littles | In Home Supportive Care | 251 Rast St Unit D-1, Sumter, SC 29150 | 2017-03-16 |
| 1326590415 | Believe In Faith Home Care | In Home Supportive Care | 410 W Liberty St Suite 102, Sumter, SC 29150 | 2016-10-25 |
| 1912368457 | Urology Clinic, Inc. | Urology | 1285 Wilson Hall Rd, Sumter, SC 29150 | 2016-03-11 |
| Find all providers in zip 29150 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285641993 | Linwood G Bradford | Dermatology | 738 B West Liberty St, Sumter, SC 29150 | 2006-08-02 |
| 1013942549 | Edward Roger Reynolds Jr. | Dermatology | 325 Broad Street, Suite 200, Sumter, SC 29150 | 2006-07-12 |
| 1245221712 | Sylvia Lucia Parra | Dermatology | 325 Broad St, Suite 200, Sumter, SC 29150-4167 | 2005-11-02 |
| 1437178548 | Phillip Lane Latham Jr. | Dermatology | 325 Broad Street, Suite 200, Sumter, SC 29150 | 2006-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942844667 | Oakview Dermatology | Dermatology | 937 Riverwalk Pkwy Ste 202, Rock Hill, SC 29730-0178 | 2019-11-06 |
| 1427614577 | Georgia Dermatology & Skin Cancer Center, LLC | Dermatology | 2110 Woodside Executive Court, Aiken, SC 29803-3809 | 2019-05-14 |
| 1578038535 | Integrated Dermatology of Hilton Head, LLC | Dermatology | 3901 Main St Ste D, Hilton Head, SC 29926-4613 | 2018-10-05 |
| 1982138715 | Skin Solution To Massage | Dermatology | 1 Chick Springs Rd Ste 207a, Greenville, SC 29609-4976 | 2017-04-19 |
| 1700272978 | Leah Swanson | Dermatology | 135 Rutledge Ave # Msc578, Charleston, SC 29425-8903 | 2015-04-14 |
| 1730596685 | Atlantic Dermatology | Dermatology | 3600 Sea Mountain Hwy Ste A, Little River, SC 29566-8161 | 2014-07-11 |
| 1598179947 | Georgetown Physician Associates, LLC | Dermatology | 4033 Highway 17, Suite 105, Murrells Inlet, SC 29576-5032 | 2014-06-13 |
| 1770996621 | David Mark Perry | Dermatology | 48 Folly Road Blvd, Charleston, SC 29407-7507 | 2014-06-09 |
| 1891106811 | Sarah M. Derrington | Dermatology | 9217 University Blvd., Ste C1b, Charleston, SC 29406 | 2014-05-13 |
| 1649619404 | Richard Pierce | Dermatology | 776 Daniel Ellis Dr Ste 1a, Charleston, SC 29412-3095 | 2013-06-14 |
| Find all providers with the same taxonomy | ||||
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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.