Dermatopathology Specialists Jim Phillips MD Dermatopathologist LLC

Primary specialty

Dermatopathology PhysicianTaxonomy code 207ND0900X

License

8871 Issued in SC

Legal business name

DERMATOPATHOLOGY SPECIALISTS JIM PHILLIPS MD DERMATOPATHOLOGIST LLC

Practice address

1280 Johnnie Dodds Blvd
Suite 101
Mt Pleasant, SC 29464-3287

Phone

(843) 375-0055

NPI assigned

Aug 21, 2007

Last updated

Mar 23, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. James H. Phillips, MDNPI 1972570372

Title

Owner

Phone

(843) 375-0055

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• James Harrison Phillips, MD

  • Dermatopathology (Pathology) Physician
  • Mount Pleasant, SC
  • NPI 1972570372
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1187654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237766400000",
    "number": "1003009390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30309",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294170309",
            "telephone_number": "843-554-9300",
            "fax_number": "843-566-8780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1280 JOHNNIE DODDS BLVD",
            "address_2": "SUITE 101",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294643287",
            "telephone_number": "843-375-0055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOPATHOLOGY SPECIALISTS JIM PHILLIPS MD DERMATOPATHOLOGIST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-21",
        "last_updated": "2009-03-23",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-375-0055",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ND0900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, Dermatopathology",
            "state": "SC",
            "license": "8871",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP4721",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dental Professional of South Carolina, P.C. (Dental Care at Winnowing Way)
• Dental Professionals of South Carolina, P.C. (Dental Care at Mill Creek)
• Dentistry for Children of South Carolina PC
• Edna Klatt Depaul, D.M.D.
• Dermatopathology Specialists
• Ashley Morgan Desantis, M.A.
• D. Victoria Deshong, LPC, LMFT
• Cary Desmidt, D.C.
• Dawn Michelle Devine, PHARM.D.
• William Hendrik Devries, DPT

• Dermatopathology Physician in Mount Pleasant, SC
• Providers in Mount Pleasant, SC by specialty
• Dermatopathology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.