Active NPI
Marianne W Rosen,M.D & Associatesllc
- MOHS-Micrographic Surgery Physician
- Charleston, SC
National Provider Identifier
1063729309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- MOHS-Micrographic Surgery Physician
- Legal business name
- MARIANNE W ROSEN,M.D & ASSOCIATESLLC
- Practice address
- 776 Daniel Ellis Dr
Unit 1 a
Charleston, SC 29412-3094 - Phone
- (843) 723-6529
- NPI assigned
- Sep 8, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Marianne W Rosen, M.D.
- Title
- Owner
- Phone
- (843) 723-6529
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| MOHS-Micrographic Surgery Physician | 207ND0101X | Primary | ||
| Dermatopathology Physician | 207ND0900X |
Addresses
Primary practice location
776 Daniel Ellis Dr
Unit 1 a
Charleston, SC 29412-3094
Mailing address
776 Daniel Ellis Dr
Unit 1 a
Charleston, SC 29412-3094
Phone (843) 723-6529
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DR6551 | Other | SC | RAIL ROAD MEDICARE |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283904000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1327881600000",
"number": "1063729309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "776 DANIEL ELLIS DR",
"address_2": "UNIT 1 A",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294123094",
"telephone_number": "843-723-6529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "776 DANIEL ELLIS DR",
"address_2": "UNIT 1 A",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294123094",
"telephone_number": "843-723-6529"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARIANNE W ROSEN,M.D & ASSOCIATESLLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-09-08",
"last_updated": "2012-01-30",
"status": "A",
"authorized_official_last_name": "ROSEN",
"authorized_official_first_name": "MARIANNE",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "843-723-6529",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207ND0101X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": null,
"license": null,
"primary": true
},
{
"code": "207ND0900X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dermatology, Dermatopathology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "DR6551",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.