Charleston Dermatology, PC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

CHARLESTON DERMATOLOGY, PC

Practice address

5401 Netherby Lane
Ste 1202
North Charleston, SC 29420

Phone

(843) 872-3015

Fax

(843) 872-3015

NPI assigned

Aug 11, 2016

Organization subpart

No

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

Authorized official

Name

Adam L. Sperduto, MDNPI 1740579036

Title

Physician

Phone

(843) 872-3015

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Adam Laughlin Sperduto, M.D.

  • Procedural Dermatology Physician
  • Vestavia HLS, AL
  • NPI 1740579036

  SC

  Medicare reassignment Care Compare group NPD Authorized official
• Roger Patrick Sullivan, M.D.

  • Family Medicine Physician
  • Charleston, SC
  • NPI 1346534484
  Medicare reassignment Care Compare group NPD
• Lee Cappel Yarbrough, MD

  • Dermatology Physician
  • Mt Pleasant, SC
  • NPI 1851509780
  Medicare reassignment Care Compare group NPD
• Ashley Elizabeth Wilson Allen, MD

  • Internal Medicine Physician
  • New Orleans, LA
  • NPI 1699302828

  SC

  Medicare reassignment Care Compare group NPD
• Christopher Francis Buthorn, RPA-C

  • Surgical Physician Assistant
  • Myrtle Beach, SC
  • NPI 1538460506
  Medicare reassignment Care Compare group
• Megan Elizabeth Hohenberger, MD

  • Dermatology Physician
  • Fort Mill, SC
  • NPI 1013446012
  Medicare reassignment Care Compare group
• Anna Smith Jeffries, PA-C

  • Physician Assistant
  • North Charleston, SC
  • NPI 1639878580
  Medicare reassignment Care Compare group
• Carleigh Newman Myers, PA-C

  • Medical Physician Assistant
  • North Charleston, SC
  • NPI 1992567036
  Medicare reassignment Care Compare group
• Samantha Christine Peters, PA-C

  • Physician Assistant
  • North Charleston, SC
  • NPI 1679350987
  Medicare reassignment Care Compare group
• Julie Shaheen, PA-C

  • Physician Assistant
  • Charleston, SC
  • NPI 1578019717
  Medicare reassignment Care Compare group
• Deborah Hewlett, PA

  • Physician Assistant
  • Baltimore, MD
  • NPI 1619488988

  SC

  Medicare reassignment Care Compare group
• Mackenzie Gwynne, M.D.

  • Dermatology Physician
  • Charleston, SC
  • NPI 1780079665
  Medicare reassignment NPD

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

{
    "created_epoch": "1470873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470873600000",
    "number": "1609320217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5401 NETHERBY LANE",
            "address_2": "STE 1202",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "29420",
            "telephone_number": "843-872-3015",
            "fax_number": "843-872-3015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 NETHERBY LANE",
            "address_2": "STE 1202",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "29420",
            "telephone_number": "843-872-3015",
            "fax_number": "843-872-3015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLESTON DERMATOLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-11",
        "last_updated": "2016-08-11",
        "status": "A",
        "authorized_official_last_name": "SPERDUTO",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "843-872-3015",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charleston Clinical & Health Services, Inc.
• Charleston Counseling LLC
• Charleston County Government
• Charleston County Government
• Charleston Denture Center - Norht Charleston, P.C.
• Charleston ENT Associates, LLC
• Charleston Hyperbaric Medicine Inc.
• Charleston Injury and Rehab LLC
• Charleston Medical Investors, LLC
• Charleston Nephrology Associates, LLC

• Dermatology Physician in North Charleston, SC
• Providers in North Charleston, 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 Aug 11, 2016; 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.