Organization Active NPI

Florence Dermatology Clinic P.a.

  • Dermatology Physician
  • Florence, SC
National Provider Identifier
1043385545
Registry record updated Oct 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
FLORENCE DERMATOLOGY CLINIC P.A.
Practice address
309 W Pine St
Florence, SC 29501-4726
Phone
(843) 662-4524
Fax
(843) 669-8073
NPI assigned
Nov 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2007

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

Authorized official

Name
Dr. Verne E Cutler, MDNPI 1821163320
Title
Doctor
Phone
(843) 662-4524

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X SC Primary

Addresses

Primary practice location

309 W Pine St
Florence, SC 29501-4726

Mailing address

309 W Pine St
Florence, SC 29501-4726
Phone (843) 662-4524

Other identifiers 1

IdentifierTypeStateIssuer
CG0727OtherSCRAILROAD MEDICARE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193184000000",
    "number": "1043385545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 W PINE ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295014726",
            "telephone_number": "843-662-4524",
            "fax_number": "843-669-8073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 W PINE ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295014726",
            "telephone_number": "843-662-4524",
            "fax_number": "843-669-8073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORENCE DERMATOLOGY CLINIC P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2007-10-24",
        "status": "A",
        "authorized_official_last_name": "CUTLER",
        "authorized_official_first_name": "VERNE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "843-662-4524",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CG0727",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2007; 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.