Organization Active NPI

McLean J. Stith MD Dermatology Dermapathology

  • Dermatopathology Physician
  • Mount Pleasant, SC
National Provider Identifier
1093875924
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology PhysicianTaxonomy code 207ND0900X
License
18640 Issued in SC
Legal business name
MCLEAN J. STITH MD DERMATOLOGY DERMAPATHOLOGY
Practice address
852 Lowcountry Blvd Ste 102
Mt Pleasant, SC 29464-3067
Phone
(843) 216-3376
NPI assigned
Dec 11, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. McLean J Stith, MD
Title
President
Phone
(843) 216-3376

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatopathology Physician 207ND0900X 18640 SC Primary

Addresses

Primary practice location

852 Lowcountry Blvd Ste 102
Mt Pleasant, SC 29464-3067

Mailing address

852 Lowcountry Blvd Ste 102
Mt Pleasant, SC 29464-3067
Phone (843) 216-3376

Other identifiers 1

IdentifierTypeStateIssuer
186408MedicaidSC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093875924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "852 LOWCOUNTRY BLVD STE 102",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294643067",
            "telephone_number": "843-216-3376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "852 LOWCOUNTRY BLVD STE 102",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294643067",
            "telephone_number": "843-216-3376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCLEAN J. STITH MD DERMATOLOGY DERMAPATHOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STITH",
        "authorized_official_first_name": "MCLEAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-216-3376",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "SC",
            "license": "18640",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "186408",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.