South Charlotte Dermatology, PC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

2007-00358 Issued in NC

Legal business name

SOUTH CHARLOTTE DERMATOLOGY, PC

Practice address

10370 Park Rd
Suite 201
Charlotte, NC 28210-8508

Phone

(704) 542-3003

Fax

(704) 542-3040

NPI assigned

Sep 24, 2008

Organization subpart

No

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

Authorized official

Name

Dr. David B Schulman, M.D.NPI 1679553754

Title

President/Owner

Phone

(704) 542-3003

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 2

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

• David B Schulman, M.D.

  • Dermatology Physician
  • Charlotte, NC
  • NPI 1679553754
  Medicare reassignment Care Compare group NPD Authorized official
• Laurel Castano, PA-C

  • Dermatology Physician
  • Charlotte, NC
  • NPI 1770004376
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1222214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222387200000",
    "number": "1205086451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10370 PARK RD",
            "address_2": "SUITE 201",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282108508",
            "telephone_number": "704-542-3003",
            "fax_number": "704-542-3040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10370 PARK RD",
            "address_2": "SUITE 201",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282108508",
            "telephone_number": "704-542-3003",
            "fax_number": "704-542-3040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH CHARLOTTE DERMATOLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-24",
        "last_updated": "2008-09-26",
        "status": "A",
        "authorized_official_last_name": "SCHULMAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "704-542-3003",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "NC",
            "license": "2007-00358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Atlantic Hearing LLC
• South Charlotte Behavioral Health
• South Charlotte Cardiology, P.C.
• South Charlotte Chiropractic PLLC
• South Charlotte Counseling and Psychotherapy, PLLC
• South Charlotte General and Vascular Surgery PLLC
• South Charlotte Pain Relief Center, Inc.
• South Charlotte Pediatrics, PLLC
• South Charlotte Physical Therapy LLC
• South Charlotte Primary Care

• Dermatology Physician in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Dermatology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.