Dermatopathology Specialists

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

Legal business name

DERMATOPATHOLOGY SPECIALISTS

Practice address

1280 Johnnie Dodds Blvd Unit 104
Mt Pleasant, SC 29464-3285

Phone

(843) 284-4799

Fax

(843) 284-4798

NPI assigned

Oct 7, 2008

Last updated

Jan 11, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Catharine Marie Holland

Title

Office Manager

Phone

(843) 284-4798

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Jim Phillips, MD Dermatopathologist LLC Former legal business name

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

{
    "created_epoch": "1223337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484092800000",
    "number": "1255582383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 LONG POINT RD SUITE 230",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "29464",
            "telephone_number": "843-284-4799",
            "fax_number": "843-284-4796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1280 JOHNNIE DODDS BLVD UNIT 104",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294643285",
            "telephone_number": "843-284-4799",
            "fax_number": "843-284-4798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOPATHOLOGY SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-07",
        "last_updated": "2017-01-11",
        "status": "A",
        "authorized_official_last_name": "HOLLAND",
        "authorized_official_first_name": "CATHARINE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "843-284-4798"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "SC",
            "license": null,
            "primary": false
        },
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "SC",
            "license": "8871",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PA2283",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "L00252",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jim Phillips, MD Dermatopathologist LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Rebecca Denslow
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• Dentistry for Children of South Carolina PC
• Edna Klatt Depaul, D.M.D.
• Dermatopathology Specialists Jim Phillips MD Dermatopathologist LLC
• Ashley Morgan Desantis, M.A.
• D. Victoria Deshong, LPC, LMFT
• Cary Desmidt, D.C.
• Dawn Michelle Devine, PHARM.D.

• Anatomic Pathology & Clinical Pathology Physician in Mount Pleasant, SC
• Providers in Mount Pleasant, SC by specialty
• Anatomic Pathology & Clinical Pathology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2017; 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.