Scotland Dermatology, PA

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

36212 Issued in NC

Legal business name

SCOTLAND DERMATOLOGY, PA

Practice address

1709 Berwick Dr
Suite a
Laurinburg, NC 28352-5523

Phone

(910) 276-8611

Fax

(910) 276-9757

NPI assigned

Feb 25, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Esther Joo Lee, M.D.NPI 1588634141

Title

President

Phone

(910) 276-8611

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 1

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

• Esther Joo Lee, MD

  • Dermatology Physician
  • Laurinburg, NC
  • NPI 1588634141
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1203897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203897600000",
    "number": "1639348592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1709 BERWICK DR",
            "address_2": "SUITE A",
            "city": "LAURINBURG",
            "state": "NC",
            "postal_code": "283525523",
            "telephone_number": "910-276-8611",
            "fax_number": "910-276-9757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1709 BERWICK DR",
            "address_2": "SUITE A",
            "city": "LAURINBURG",
            "state": "NC",
            "postal_code": "283525523",
            "telephone_number": "910-276-8611",
            "fax_number": "910-276-9757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTLAND DERMATOLOGY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-25",
        "last_updated": "2008-02-25",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "ESTHER",
        "authorized_official_middle_name": "JOO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-276-8611",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NC",
            "license": "36212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8951546",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51546",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Scotland County Area Transit System
• Scotland County Dept of Social Services
• Scotland County EMS
• Scotland County Radiation Oncology PA
• Scotland County Schools
• Scotland Family Counseling Center, Inc.
• Scotland Imaging Center
• Scotland Imaging LLC
• Scotland Medical Center P.a.
• Scotland Memorial Hospital

• Clinic/Center in Laurinburg, NC
• Providers in Laurinburg, NC by specialty
• Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.