ROBERT L JETTON (NPI# 1740235563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740235563 |
| Entity Type | Individual |
| Full Name | ROBERT L JETTON |
| Credential | MD |
| Practice Address |
369 Woodruff Rd Greenville SC 29607-3415 |
| Mailing Address |
Po Box 17527 Greenville SC 29606-8527 |
| Practice Telephone | 8642425872 |
| Practice Fax Number | 8642425640 |
| Mailing Telephone | 8642425872 |
| Mailing Fax Number | 8642425640 |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2012-11-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ND0900X |
Dermatology Specialization: Dermatopathology |
6655 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 066555 | 05 |
| Street Address |
369 WOODRUFF RD |
| City | GREENVILLE |
| State | SC |
| Zip Code | 29607-3415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114431822 | Claire Gillespie Duke | Physician Assistant | 369 Woodruff Rd, Greenville, SC 29607-3415 | 2017-11-17 |
| 1447346812 | Sherwood Clifton Stroud Jr. | Physician Assistant | 369 Woodruff Rd, Greenville, SC 29607-3415 | 2006-10-05 |
| 1740218189 | Greenville Dermatology LLC | Dermatology | 369 Woodruff Rd, Greenville, SC 29607-3415 | 2006-06-28 |
| 1679528756 | Matthew Lloyd Miller | Dermatology | 369 Woodruff Rd, Greenville, SC 29607-3415 | 2006-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245846138 | Personalized Home Care Services | Technician | 1200 Woodruff Rd A3 Ste 150, Greenville, SC 29607 | 2020-09-16 |
| 1396361960 | Complete Homecare of America, Inc. | In Home Supportive Care | 128 Millport Circle, Suite 200, Greenville, SC 29607 | 2020-06-19 |
| 1275175093 | Carrie Laxton Ballenger | Nurse Practitioner | 2094 Woodruff Road, Greenville, SC 29607 | 2019-10-14 |
| 1861047037 | Susannah Long | Marriage & Family Therapist | 109 Laurens Road, Building 4 Ste D, Greenville, SC 29607 | 2019-08-05 |
| 1043872369 | Cheryl Craig Rosemond | Case Manager/Care Coordinator | 5 Century Drive, Suite 130, Greenville, SC 29607 | 2019-07-08 |
| 1457916561 | After Hours Chiropractic LLC | Chiropractor | 1200 Woodruff Rd Blg A-3, Simpsonville, SC 29607 | 2019-05-03 |
| 1952865289 | Orthodontic Specialists of Carolina, PC | Dentist | 611 Haywood Road, Greenville, SC 29607 | 2019-01-31 |
| 1124502307 | Martha Irby | Home Health Aide | 2320 E North St Rr 107, Greenville, SC 29607 | 2018-09-24 |
| 1780164541 | Suval Psychiatric Services, Pa | Clinic/Center | 33 Market Point Dr Ste 2023, Greenville, SC 29607 | 2018-08-20 |
| 1083113963 | Caroline Graham | Nurse Practitioner | 850 S Pleasantburg Dr, Greenville, SC 29607 | 2018-02-06 |
| Find all providers in zip 29607 | ||||
| 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 |
|---|---|---|---|---|
| 1962411017 | Hee Kim Park | Dermatology | 420 Spring Forest Rd, Greenville, NC 27834-7244 | 2006-08-07 |
| 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 |
| 1639398480 | Anderson Skin and Cancer Clinic | Dermatology | 2503 N Main St, Anderson, SC 29621-3278 | 2007-04-24 |
| 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 |
| 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 | ||||
| City | GREENVILLE |
| Zip Code | 29607 |
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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.