DR. GRACIELA B. DE JESUS


Address: 109 Bee Street, Medical Service (111) Ralph H. Johnsonva Medical Center, Charleston, SC 29401
Phone: 8435775011

DR. GRACIELA B. DE JESUS (NPI# 1659577518) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1659577518
Entity Type Individual
Full Name DR. GRACIELA B. DE JESUS
Credential MD
Practice Address 109 Bee Street
Medical Service (111) Ralph H. Johnsonva Medical Center
Charleston
SC 29401
Mailing Address 495 Rice Hope Dr
Mount Pleasant
SC 29464-9275
Practice Telephone 8435775011
Mailing Telephone 7875659265
Enumeration Date 2007-06-26
Last Update Date 2018-03-26
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207N00000X Dermatology 33701 SC Allopathic & Osteopathic Physicians
N 207ND0900X Dermatology
Specialization: Dermatopathology
33701 SC Allopathic & Osteopathic Physicians

Office Location

Street Address 109 BEE STREET
MEDICAL SERVICE (111) RALPH H. JOHNSONVA MEDICAL CENTER
City CHARLESTON
State SC
Zip Code 29401

Providers in the same location

NPI Name Taxonomy Address Enumeration
1871545517 Gordon Thompson Family Medicine 109 Bee Street, Charleston, SC 29401 2006-05-17
1891213955 Carla Boyette Recreation Therapist 109 Bee Street, Charleston, SC 29401 2017-09-08
1730638412 Mary Valvano Registered Nurse 109 Bee Street, Ralph H. Johnson Va Medical Center, Charleston, SC 29401-5703 2016-09-23
1184085185 Elizabeth Finlayson Radiologic Technologist 109 Bee Street, Charleston, SC 29401-5799 2016-03-18
1912396003 Iayne Brown Physical Therapy Assistant 109 Bee Street, Charleston, SC 29401-5703 2015-01-13
1932454238 Beth Anne Barker Nurse Practitioner 109 Bee Street, Charleston, SC 29401 2012-07-23
1295034171 Stephanie A. Peluso-abbott Social Worker 109 Bee Street, (mental Health - 116), Charleston, SC 29401 2011-03-18
1003011412 Anna Birks Psychologist 109 Bee Street, Charleston, SC 29401 2007-06-15
1538235601 Douglas B Southworth Psychiatry & Neurology 109 Bee Street, Charleston Vamc, Charleston, SC 29401-0000 2006-11-28
1376623033 Kristine Low Hoover Pharmacist 109 Bee Street, Ralph H Johnson Vamc, Charleston, SC 29401-5799 2006-10-17
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1386162873 Jonathan Hayes Registered Nurse 109 Bee St. Ralph H. Johnson Vamc, Charleston, SC 29401 2017-09-05
1659724904 M & M Lineberger Dds Ms Pa Dentist 347 N. Caswell, Charlotte, NC 29401 2016-07-21
1619375185 Zach Adams Specialist/Technologist 301 Meeting Street, Charleston, SC 29401 2014-12-15
1528469723 Linda Graber Occupational Therapist 75 Calhoun Street, Charleston County Schools, Charleston, SC 29401 2014-09-08
1427497858 Erika Lynn Wilson Mechanotherapist 310 King Street, Charleston, SC 29401 2013-06-19
1730525460 Mary Beth Hill Psychologist 75 Cahoun Street, Charleston, SC 29401 2013-05-21
1699019810 Chs Psychiatric Associates LLC Psychiatric Hospital 255 King Street #8, Charleston, SC 29401 2012-11-15
1255681581 Parul Olivia Earley Pharmacist 59 George St., Charleston, SC 29401 2012-09-13
1669760815 Dana Leigh Chiulli Pharmacist 109 Bee Street (119), Charleston, SC 29401 2011-07-20
1295028959 Kathleen Anne Waters Nurse Practitioner Charleston Center, 5 Charleston Center Drive, Charleston, SC 29401 2011-05-26
Find all providers in zip 29401

Taxonomy Information

Taxonomy Code 207N00000X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

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City CHARLESTON
Zip Code 29401

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Dataset Information

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.

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