DERMATOLOGY CLINIC, PA (NPI# 1518929694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518929694 |
| Entity Type | Organization |
| Organization Name | DERMATOLOGY CLINIC, PA |
| Practice Address |
1114 Cornelia Rd Anderson SC 29621-3317 |
| Practice Telephone | 8642251656 |
| Practice Fax Number | 8642251658 |
| Mailing Telephone | 8642251656 |
| Mailing Fax Number | 8642251658 |
| Enumeration Date | 2006-04-04 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. RICHARD PAUL STURTZ (PHYSICIAN) |
| Authorized Official Telephone | 8642251656 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 11493 | SC | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 114931 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508046541 | Dermatology Clinic, Pa | Specialist | 2510 Stillhouse Rd, Paris, TX 75462-2024 | 2007-11-07 |
| 1295890853 | Dermatology Clinic, Pa | Specialist | 880 Nw 13th St, Suite 3b, Boca Raton, FL 33486-2342 | 2006-12-26 |
| Street Address |
1114 CORNELIA RD |
| City | ANDERSON |
| State | SC |
| Zip Code | 29621-3317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770799751 | Richard Paul Sturtz | Dermatology | 1114 Cornelia Rd, Anderson, SC 29621-3317 | 2007-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114574241 | Kathryn L Harwick | Social Worker | 3030 Sc-81, Anderson, SC 29621 | 2019-08-22 |
| 1326517194 | Ashlea Bronwen Bates | Nurse Practitioner | 3424 Clemson Blvd., Anderson, SC 29621 | 2018-11-21 |
| 1770051708 | Bailee Vernon Mccarley | Nurse Practitioner | 800 Fant St, Anderson, SC 29621 | 2018-11-07 |
| 1790278893 | Morgan Cutts | Speech-Language Pathologist | 126 Broadbent Way, Suite A, Anderson, SC 29621 | 2018-06-13 |
| 1427546233 | Amanda Coker Burnette | Family Medicine | 3000 East Greenville Street, Suite 3700, Anderson, SC 29621 | 2018-04-26 |
| 1205342169 | Robert Allen Dameron Jr. | Orthopaedic Surgery | 130 Longview Drive, Anderson, SC 29621 | 2017-12-14 |
| 1578085411 | Michael Jason Bell | Contractor | 520 Hwy 29 Bypass N, Anderson, SC 29621 | 2017-07-12 |
| 1639629983 | Todd E. Hamilton | Dentist | 1112 Cornelia Road, Anderson, SC 29621 | 2016-10-11 |
| 1760939110 | Crystal Vaughn | Nurse Practitioner | Sac Anmed Health 2000 East Greenville Street, Anderson, SC 29621 | 2016-09-01 |
| 1992151328 | Veronica Williams | Non-emergency Medical Transport (VAN) | 2314 Old Williamston Road, Anderson, SC 29621 | 2016-05-04 |
| Find all providers in zip 29621 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245540970 | Janyelle S Huff | Specialist | 2701 Enterprise Dr Ste 207, Anderson, IN 46013-6102 | 2010-10-15 |
| 1225263742 | Kathie Gay Hamilton | Specialist | 405 N Fant St, Anderson, SC 29621-5715 | 2009-05-28 |
| 1891933164 | Terry Bonner Orr | Specialist | 236 Dandelion Trl, Anderson, SC 29621-4478 | 2009-01-25 |
| 1457522146 | Shuey Physical Therapy | Specialist | 1650 E Greenville St, Suite F, Anderson, SC 29621-2086 | 2008-03-20 |
| 1720159817 | Deborah J Phillips | Specialist | 1409 Ella St, Anderson, SC 29621-4815 | 2006-11-13 |
| 1740298454 | Jessie Ruth Wilson | Specialist | 112 Montgomery Dr, Anderson, SC 29621-3334 | 2006-08-04 |
| 1710905666 | Subrie Ahmed Abedallhadi | Specialist | 1210 Medical Arts Blvd # A, Suite 105, Anderson, IN 46011-3461 | 2006-07-18 |
| 1578596763 | Cornelius Michael Reing Jr. | Specialist | 112 Monthomery Drive, Anderson, SC 29621 | 2006-07-09 |
| 1841236395 | Pramod Reddy Ganta | Specialist | 2508 N Main St Ste G, Anderson, SC 29621 | 2006-06-22 |
| 1942277603 | Kimberly Joanne Shore | Specialist | 110 Buttercup Trl, Anderson, SC 29621-4474 | 2006-03-01 |
| Find all providers in ANDERSON | ||||
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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.