DR. KIMBERLY MAINO (NPI# 1588664130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588664130 |
| Entity Type | Individual |
| Full Name | DR. KIMBERLY MAINO |
| Credential | MD |
| Practice Address |
2180 Henry Tecklenburg Dr Charleston SC 29414-5798 |
| Practice Telephone | 8435568886 |
| Practice Fax Number | 8435568850 |
| Mailing Telephone | 8435568886 |
| Mailing Fax Number | 8435568850 |
| Enumeration Date | 2005-07-26 |
| Last Update Date | 2020-09-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | 83112 | SC | Allopathic & Osteopathic Physicians |
| Y | 207N00000X | Dermatology | 44686 | CO | Allopathic & Osteopathic Physicians |
| N | 207N00000X | Dermatology | 0101236394 | VA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 13701 E Mississippi Ave Ste 320, Aurora, CO 800126142 | 3033403378 |
| Street Address |
2180 HENRY TECKLENBURG DR |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29414-5798 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144722398 | Ashley Doerler | Physician Assistant | 2180 Henry Tecklenburg Dr, Charleston, SC 29414-5798 | 2018-03-04 |
| 1013445501 | Meredith Barb Bauerband | Physician Assistant | 2180 Henry Tecklenburg Dr, Charleston, SC 29414 | 2017-05-26 |
| 1881058113 | Thomas Patrick Scharnitz | Dermatology | 2180 Henry Tecklenburg Dr, Charleston, SC 29414-5798 | 2016-04-12 |
| 1124198361 | Dermatology and Laser Center of Charleston Pa | Dermatology | 2180 Henry Tecklenburg Dr, Charleston, SC 29414-5798 | 2006-11-08 |
| 1528021896 | John Hampton Hendrick Jr. | Physician Assistant | 2180 Henry Tecklenburg Dr, Charleston, SC 29414 | 2006-04-08 |
| 1538135280 | Todd E Schlesinger | Dermatology | 2180 Henry Tecklenburg Dr, Charleston, SC 29414-5798 | 2006-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902444508 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 3865 West Ashley Circle, Charleston, SC 29414 | 2019-12-13 |
| 1215440169 | Christine Michelle Delcioppo | Nurse Practitioner | 2085 Henry Tecklenburg Dr Fl 2or2, Charleston, SC 29414 | 2017-11-14 |
| 1871013508 | Carolyn Sorenson | Assistant Behavior Analyst | 2218 Hunter Creek Dr, Charleston, SC 29414 | 2017-06-23 |
| 1205387354 | Rachel Klatt | Physical Therapist | 2230 Ashley Crossing Dr., Charleston, SC 29414 | 2016-10-24 |
| 1295286912 | Mary M Butler | Physical Therapy Assistant | 2230 Ashley Crossing Drive, Charleston, SC 29414 | 2016-10-18 |
| 1295104982 | Charlene Barbot | Registered Nurse | 3741 Clover St, Charleston, SC 29414 | 2015-09-23 |
| 1720467525 | Sasha M. Perez | Family Medicine | 3030 Ashley Town Center Dr Ste 102a, Charleston, SC 29414 | 2015-05-26 |
| 1104226240 | Angela Mcinvale | Counselor | 3030 Ashley Town Center Dr., Bldg. B-203, Charleston, SC 29414 | 2014-08-26 |
| 1659790087 | Catherine Jefferson Vanderwerker | Physical Therapist | 3019 Saintsbury Cove Dr, Charleston, SC 29414 | 2014-04-14 |
| 1104266741 | Elizabeth A Burguieres | Psychiatry & Neurology | Scdmh- Charleston Telepsychiatry Office, 706 Orleans Rd, Charleston, SC 29414 | 2013-06-27 |
| Find all providers in zip 29414 | ||||
| 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 |
|---|---|---|---|---|
| 1700272978 | Leah Swanson | Dermatology | 135 Rutledge Ave # Msc578, Charleston, SC 29425-8903 | 2015-04-14 |
| 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 |
| 1528096831 | Brian Curtis Leach | Dermatology | 135 Rutledge Avenue, Dept of Dermatology & Dermatologic Surgery, Charleston, SC 29425 | 2006-06-28 |
| 1588629166 | Stephen Kirby Milroy | Dermatology | 3100 Mccorkle Ave Se, Ste 809, Charleston, WV 25304-1223 | 2006-04-18 |
| 1255393484 | James G Simpson | Dermatology | 48 Folly Road, Charleston, SC 29407 | 2006-04-04 |
| 1396713780 | Jeffrey K Mckenna | Dermatology | 100 Deerpath, Charleston, IL 61920-9427 | 2006-03-10 |
| 1689648123 | Erin Alyson Walker | Dermatology | 1364 Ashley River Rd, Charleston, SC 29407-5347 | 2006-02-13 |
| 1003893868 | Hudson C Rogers | Dermatology | 9295 Medical Plaza Dr, Suite B, Charleston, SC 29406-9137 | 2005-12-22 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 29414 |
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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.