Organization Active NPI

Spartanburg Dermatology & Skin Surgery Clinic, PC

  • Dermatology Physician
  • Spartanburg, SC
National Provider Identifier
1497709067
Registry record updated Mar 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
SPARTANBURG DERMATOLOGY & SKIN SURGERY CLINIC, PC
Practice address
2020 N Church Street PL
Spartanburg, SC 29303-2706
Phone
(864) 582-3447
Fax
(864) 582-3449
NPI assigned
May 19, 2006
Last updated
Mar 23, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2010

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

Authorized official

Name
Dr. Aaron S Katz, MDNPI 1487654380
Title
Vice-President
Phone
(864) 582-3447

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 Physician 207N00000X Primary

Addresses

Primary practice location

2020 N Church Street PL
Spartanburg, SC 29303-2706

Mailing address

2020 N Church Street PL
Spartanburg, SC 29303-2706
Phone (864) 582-3447

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040513000322 SC Part B Supplier - Clinic/Group Practice 7810987856 Receives reassigned benefits from 5 practitioners
Practice locations: Spartanburg, SC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
42D0250081Spartanburg Dermatology & Skin Surgery2020 North Church Place, Spartanburg, SC 29303ComplianceJul 31, 2026

National Provider Directory

National Provider Directory

Locations

2020 N Church Street Pl
Spartanburg, SC 29303
Phone (864) 582-3447

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269302400000",
    "number": "1497709067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 N CHURCH STREET PL",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293032706",
            "telephone_number": "864-582-3447",
            "fax_number": "864-582-3449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 N CHURCH STREET PL",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293032706",
            "telephone_number": "864-582-3447",
            "fax_number": "864-582-3449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARTANBURG DERMATOLOGY & SKIN SURGERY CLINIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2010-03-23",
        "status": "A",
        "authorized_official_last_name": "KATZ",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "864-582-3447",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spartanburg, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.