Organization Active NPI

Marianne W Rosen, M.D.

  • Dermatology Physician
  • Charleston, SC
National Provider Identifier
1225101488
Registry record updated Aug 31, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
MARIANNE W ROSEN, M.D.
Practice address
776 Daniel Ellis Dr
Unit 1 a
Charleston, SC 29412-3094
Phone
(843) 723-6529
Fax
(843) 723-0424
NPI assigned
Nov 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2010

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

Authorized official

Name
Dr. Marianne Way Rosen, M.D.,NPI 1801907936
Title
Physicianowner
Phone
(843) 723-6529

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 Primary

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

National Provider Directory

National Provider Directory

Locations

61 Gadsden St
Charleston, SC 29401
Phone (803) 723-6529

776 Daniel Ellis Dr
Ste 1A
Charleston, SC 29412
Phone (843) 723-6529

Practitioners & affiliated clinicians

Practitioners 2

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": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283212800000",
    "number": "1225101488",
    "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",
            "fax_number": "843-723-0424"
        },
        {
            "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",
            "fax_number": "843-723-0424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIANNE W ROSEN, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2010-08-31",
        "status": "A",
        "authorized_official_last_name": "ROSEN",
        "authorized_official_first_name": "MARIANNE",
        "authorized_official_middle_name": "WAY",
        "authorized_official_title_or_position": "PHYSICIANOWNER",
        "authorized_official_telephone_number": "843-723-6529",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D.,"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 31, 2010; 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.