Dermatology of Lexington, LLC

Primary specialty

Dermatopathology PhysicianTaxonomy code 207ND0900X

Legal business name

DERMATOLOGY OF LEXINGTON, LLC

Practice address

346 W. Butler Street
Lexington, SC 29072-7342

Phone

(803) 951-1717

Fax

(803) 951-1878

NPI assigned

Feb 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Michelle Deann Welch, M.D.

Title

President/Physician

Phone

(803) 951-1717

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dermatology of Lexington, LLC Doing business as

Locations

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

{
    "created_epoch": "1140393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426636800000",
    "number": "1295700722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "346 W. BUTLER STREET",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290727342",
            "telephone_number": "803-951-1717",
            "fax_number": "803-951-1878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "346 W. BUTLER STREET",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290727342",
            "telephone_number": "803-951-1717",
            "fax_number": "803-951-1878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY OF LEXINGTON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-20",
        "last_updated": "2015-03-18",
        "status": "A",
        "authorized_official_last_name": "WELCH",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "DEANN",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICIAN",
        "authorized_official_telephone_number": "803-951-1717",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207ND0900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, Dermatopathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP4349",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dermatology of Lexington, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Melissa Dery
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• James Baker Dewar, M.D.
• Megan Gibson Dewberry, CCC-SLP
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• All providers in Lexington, SC
• Dermatopathology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2015; 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.