SKIN SURGERY CENTER PA (NPI# 1851810279) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851810279 |
| Entity Type | Organization |
| Organization Name | SKIN SURGERY CENTER PA |
| Other Organization Name | THE SKIN SURGERY CENTER OF CHARLESTON |
| Practice Address |
180 Wingo Way Ste 202 Mount Pleasant SC 29464-1811 |
| Mailing Address |
1450 Professional Park Dr Ste 150 Winston Salem NC 27103-1307 |
| Practice Telephone | 8437901777 |
| Practice Fax Number | 8437901790 |
| Mailing Telephone | 3366078061 |
| Mailing Fax Number | 3367246123 |
| Enumeration Date | 2017-09-18 |
| Last Update Date | 2017-09-18 |
| Authorized Official Name | MISS JAMIE L HOPKINS (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 3366078061 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
29232 | SC | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| The Skin Surgery Center of Charleston | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649237082 | Skin Surgery Center Pa | Dermatology | 1450 Professional Park Dr, Suite 150, Winston Salem, NC 27103-1300 | 2006-04-28 |
| Street Address |
180 WINGO WAY STE 202 |
| City | MOUNT PLEASANT |
| State | SC |
| Zip Code | 29464-1811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811548241 | Bradley Paul Anuszkiewicz | Chiropractor | 1501 Johnnie Dodds Blvd, Suite C, Mount Pleasant, SC 29464 | 2019-09-26 |
| 1447808696 | Laura Mariah Crouse | Speech-Language Pathologist | Coastal Therapy Services, 1127 Queensborough Blvd, Mt Pleasant, SC 29464 | 2019-08-30 |
| 1912461807 | Independent Optical | Optometrist | 1710 Shoremead Rd, Suite 420, Mount Pleasant, SC 29464 | 2019-01-25 |
| 1417446204 | Michael Adam Sugarman | Clinical Neuropsychologist | 1459 Stuart Engals Blvd Ste 204a, Mt Pleasant, SC 29464 | 2018-05-07 |
| 1578064192 | Ancillary Specialists LLC | Durable Medical Equipment & Medical Supplies | 636 Long Point Road, Unit G, #19, Mount Pleasant, SC 29464 | 2018-02-28 |
| 1346769015 | Christin Solomon Zerega | Counselor | Lowcountry Psychiatry Group, 913 Bowman Rd, #4, Mount Pleasant, SC 29464 | 2017-09-14 |
| 1336660315 | Charleston Neuropsychology LLC | Psychologist | 1459 Stuart Engals Blvd., Suite 204a, Mount Pleasant, SC 29464 | 2017-06-29 |
| 1790219970 | Adam Hudepohl | Family Medicine | 1400 Ben Sawyer Blvd, Mt Pleasant, SC 29464 | 2017-04-14 |
| 1386181204 | Alicia Taylor | Speech-Language Pathologist | 381 Stonewall Ct Apt 6207, Mount Pleasant, SC 29464 | 2017-01-30 |
| 1285181941 | Tara Lynn Mast | Physical Therapist | 1400 Caliper Oak Circle, Apt 316, Mount Pleasant, SC 29464 | 2016-09-09 |
| Find all providers in zip 29464 | ||||
| Taxonomy Code | 207ND0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | MOHS-Micrographic Surgery |
| The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. |
| Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083981906 | Forefront Dermatology, S.c. | Dermatology | 1300 S Green Bay Rd, Suite 100, Mount Pleasant, WI 53406 | 2011-11-21 |
| 1417089376 | Germain Dermatology, Pa | Dermatology | 612 Seacoast Pkwy, Suite 201, Mount Pleasant, SC 29464-8247 | 2007-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174122444 | Coastal Dermatology Institute LLC | Dermatology | 920 Doug White Dr Ste 310, Myrtle Beach, SC 29572-4180 | 2020-10-19 |
| 1992065858 | Brandon James Coakley | Dermatology | 917 Medical Cir, Myrtle Beach, SC 29572-4116 | 2012-05-24 |
| 1639254014 | Hilton Head Dermatology and Skin Cancer Center Pa | Dermatology | 15 Hospital Center Blvd Ste 1, Hilton Head, SC 29926-2760 | 2006-10-26 |
| 1396777124 | James R Debloom II | Dermatology | 300 Ashby Park Lane, Greenville, SC 29607-6903 | 2006-07-06 |
| 1801825468 | Dermatology Associates of The Lowcountry | Dermatology | 108 Medical Park Dr, Walterboro, SC 29488-5719 | 2006-07-03 |
| 1215989587 | Robert Marshall Rogers | Dermatology | 213 Mills Ave, Greenville, SC 29605-4019 | 2006-05-16 |
| 1083693857 | Carolina Dermatology Grp | Dermatology | 1706 St Julians Place, Columbia, SC 29204-2410 | 2006-01-11 |
| 1427059997 | Richard John Deangelis | Dermatology | 1409 N Fant St, Anderson, SC 29621-4825 | 2005-08-09 |
| 1447575931 | Jane Unaeze | Dermatology | 920 Woodruff Rd, Greenville, SC 29607-4105 | 2010-03-29 |
| 1376757427 | Skin Cancer Centre, P. A. | Dermatology | 1409 N Fant St, Anderson, SC 29621-4825 | 2007-05-09 |
| Find all providers with the same taxonomy | ||||
| City | MOUNT PLEASANT |
| Zip Code | 29464 |
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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.