Joshua S Black (NPI# 1366685885, PAC ID# 8224262738) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1366685885 |
| PAC ID by PECOS | 8224262738 |
| Professional Enrollment ID | I20180626000745 |
| Full Name | Joshua S Black |
| Organization Legal Name | PALMETTO DERMATOLOGY |
| Address |
3574 Sunset Blvd West Columbia SC 29169-3044 |
| Phone Number | 8037962500 |
| Gender | M |
| Medical School | UNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE |
| Graduation Year | 2009 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 4486758380 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420073 | LEXINGTON MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3574 Sunset Blvd, West Columbia, SC 29169-3044 | 8037962500 | PALMETTO DERMATOLOGY |
| Organization Legal Name | PALMETTO DERMATOLOGY |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katherine C Thompson | Dermatology | Palmetto Dermatology | 3574 Sunset Blvd, West Columbia, SC 29169-3044 |
| Jeffrey Smith | Dermatology | Palmetto Dermatology | 3574 Sunset Blvd, West Columbia, SC 29169-3044 |
| Benjamin Addy | Physician Assistant | Palmetto Dermatology | 3574 Sunset Blvd, West Columbia, SC 29169-3044 |
| Vicki S Roberts | Physician Assistant | Palmetto Dermatology | 3574 Sunset Blvd, West Columbia, SC 29169-3044 |
| Michelle L Evans | Physician Assistant | Palmetto Dermatology | 3574 Sunset Blvd, West Columbia, SC 29169-3044 |
| Street Address |
3574 SUNSET BLVD |
| City | WEST COLUMBIA |
| State | SC |
| Zip | 29169-3044 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katherine C Thompson | Dermatology | Palmetto Dermatology | 3574 Sunset Blvd, West Columbia, SC 29169-3044 |
| Jeffrey Smith | Dermatology | Palmetto Dermatology | 3574 Sunset Blvd, West Columbia, SC 29169-3044 |
| Benjamin Addy | Physician Assistant | Palmetto Dermatology | 3574 Sunset Blvd, West Columbia, SC 29169-3044 |
| Vicki S Roberts | Physician Assistant | Palmetto Dermatology | 3574 Sunset Blvd, West Columbia, SC 29169-3044 |
| Michelle L Evans | Physician Assistant | Palmetto Dermatology | 3574 Sunset Blvd, West Columbia, SC 29169-3044 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen Matthew Hypes | Ophthalmology | Palmetto Retina Center LLC | 124 Sunset Ct, West Columbia, SC 29169-2429 |
| Elizabeth M Mcmicken | Nurse Practitioner | Lexington County Health Services District Inc | 131 Sunset Ct, West Columbia, SC 29169-2429 |
| Pattie M Farlow | Nurse Practitioner | Lexington County Health Services District Inc | 132 Sunset Ct, West Columbia, SC 29169-2429 |
| Gwendolyn C Galphin | Internal Medicine | Lexington County Health Services District Inc | 131 Sunset Ct, West Columbia, SC 29169-2429 |
| William Andrew Little | Nurse Practitioner | Lexington County Health Services District Inc | 131 Sunset Ct, West Columbia, SC 29169-2429 |
| Swathi Beeravolu | Endocrinology | Lexington County Health Services District Inc | 132 Sunset Ct, West Columbia, SC 29169-2429 |
| Gayatri Kuraganti | Endocrinology | Lexington County Health Services District Inc | 132 Sunset Ct, West Columbia, SC 29169-2429 |
| John M Lazaro | Internal Medicine | Lexington County Health Services District Inc | 131 Sunset Ct, West Columbia, SC 29169-2429 |
| Vijay A Koli | Internal Medicine | Lexington County Health Services District Inc | 131 Sunset Ct, West Columbia, SC 29169-2429 |
| Brent Michael Powers | Internal Medicine | Lexington County Health Services District Inc | 131 Sunset Ct, West Columbia, SC 29169-2429 |
| Find all physicians in zip 29169 | |||
| City | WEST COLUMBIA |
| Zip Code | 29169 |
| Specialty | DERMATOLOGY |
| City + Specialty | WEST COLUMBIA + DERMATOLOGY |
Please comment or provide details below to improve the information on Joshua S Black.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.