ANDERSON SKIN AND CANCER CLINIC (NPI# 1639398480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639398480 |
| Entity Type | Organization |
| Organization Name | ANDERSON SKIN AND CANCER CLINIC |
| Other Organization Name | DERMATOPATHOLOGY CONSULTATION SERVICE |
| Practice Address |
2503 N Main St Anderson SC 29621-3278 |
| Practice Telephone | 8642247577 |
| Practice Fax Number | 8642255165 |
| Mailing Telephone | 8642247577 |
| Mailing Fax Number | 8642255165 |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2011-01-20 |
| Authorized Official Name | DR. MARK JOHNSON QUARTERMAN (PRESIDENT) |
| Authorized Official Telephone | 8642247577 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ND0900X |
Dermatology Specialization: Dermatopathology |
16908 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 101133 | 05 | |
| SC | TL7847 | 05 |
| Other Name | Type Code |
|---|---|
| Dermatopathology Consultation Service | Doing Business As Name - Organization |
| Street Address |
2503 N MAIN ST |
| City | ANDERSON |
| State | SC |
| Zip Code | 29621-3278 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104131556 | Lori Williams Sloan | Nurse Practitioner | 2503 N Main St, Anderson, SC 29621-3278 | 2010-08-10 |
| 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 | 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 |
| 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 |
| 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 | ||||
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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.