Palmetto Dermatology

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

PALMETTO DERMATOLOGY

Practice address

3574 Sunset Blvd
West Columbia, SC 29169-3044

Phone

(803) 796-2500

Fax

(803) 796-4378

NPI assigned

Oct 20, 2006

Last updated

Jan 17, 2012By 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

Mrs. Teresa M Fleming

Title

Billing Coordinator

Phone

(803) 796-2500

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

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.

• Megan Elizabeth Hohenberger, MD

  • Dermatology Physician
  • Fort Mill, SC
  • NPI 1013446012
  NPD
• Frederick Judson McElveen, M.D.

  • Dermatology Physician
  • Columbia, SC
  • NPI 1417925173
  NPD
• Thomas David Shelburne III, PA-C

  • Physician Assistant
  • Columbia, SC
  • NPI 1811764467
  NPD (past)

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326758400000",
    "number": "1457433278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3574 SUNSET BLVD",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291693044",
            "telephone_number": "803-796-2500",
            "fax_number": "803-796-4378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3574 SUNSET BLVD",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291693044",
            "telephone_number": "803-796-2500",
            "fax_number": "803-796-4378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO DERMATOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2012-01-17",
        "status": "A",
        "authorized_official_last_name": "FLEMING",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "BILLING COORDINATOR",
        "authorized_official_telephone_number": "803-796-2500",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PA1426",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pain Medicine Specialists, PA (Dr Gisele J Girault, MD - Pain Medicine Specialists)
• Robert M. Pallay, MD
• Matthew L Palmer, PT, DPT, GCS
• Palmetto Behavioral Services LLC
• Palmetto Center for Change, LLC
• Palmetto Diagnostics, LLC
• Palmetto Geriatrics, LLC
• Palmetto Health (Markowitz and Associates)
• Palmetto Health - University of South Carolina Medical Group
• Palmetto Health - University of South Carolina Medical Group

• Dermatology Physician in West Columbia, SC
• Providers in West Columbia, SC by specialty
• Dermatology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2012; 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.