Active NPI
Eugene M Lepine, MD
- Dermatology Physician
- Rock Hill, SC
National Provider Identifier
1508864927
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 06954
- Practice address
- 1533 Ebenezer Rd
Rock Hill, SC 29732-1806 - Phone
- (803) 328-1831
- Fax
- (803) 328-0283
- NPI assigned
- Jul 10, 2005
- Reactivated
- Oct 17, 2007
- Last updated
- Nov 14, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 06954 | SC | |
| Dermatology Physician | 207N00000X | 06954 | SC | Primary |
Addresses
Primary practice location
1533 Ebenezer Rd
Rock Hill, SC 29732-1806
Mailing address
1533 Ebenezer Rd
Rock Hill, SC 29732-1806
Phone (803) 328-1831
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 069543 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 06954 | SC | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rock Hill Dermatology Center | Specialist | Current | Accepting new patients |
Locations
1533 Ebenezer Rd
Rock Hill, SC 29732
Phone (803) 328-1831
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668384000000",
"number": "1508864927",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1533 EBENEZER RD",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "297321806",
"telephone_number": "803-328-1831",
"fax_number": "803-324-5131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1533 EBENEZER RD",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "297321806",
"telephone_number": "803-328-1831",
"fax_number": "803-328-0283"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEPINE",
"first_name": "EUGENE",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-10",
"last_updated": "2022-11-14",
"certification_date": "2022-11-14",
"deactivation_date": "2006-03-22",
"reactivation_date": "2007-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "SC",
"license": "06954",
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "SC",
"license": "06954",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "069543",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rock Hill, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.