Devore Dermatology PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

15854 Issued in SC

Legal business name

DEVORE DERMATOLOGY PA

Practice address

490 Floyd Rd
Spartanburg, SC 29307-1518

Phone

(864) 596-7546

Fax

(864) 596-7549

NPI assigned

Mar 15, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Karen A Devore, MDNPI 1821098823

Title

Owner

Phone

(864) 596-7546

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 2

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

• Karen A Devore, MD

  • Dermatology Physician
  • Spartanburg, SC
  • NPI 1821098823
  Medicare reassignment NPD Authorized official
• Ansley Devore Sullivan, MD

  • Dermatology Physician
  • Charleston, SC
  • NPI 1326724014
  NPD (past)

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418860800000",
    "number": "1689708257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 FLOYD RD",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293071518",
            "telephone_number": "864-596-7546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 FLOYD RD",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293071518",
            "telephone_number": "864-596-7546",
            "fax_number": "864-596-7549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVORE DERMATOLOGY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2014-12-18",
        "status": "A",
        "authorized_official_last_name": "DEVORE",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-596-7546",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "SC",
            "license": "15854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roger Depra, M.D.
• Mit Desai, M.D.
• Rowena Emilia Desailly-Chanson, MD
• Samantha Jo Destazio
• Mitchell L Devlin, DO
• Karen A Devore, MD
• Velda L Deyoung, CAC II
• Lauren Dhans
• Amandeep K Dhillon, MD
• Sunita Dia, MD

• Specialist in Spartanburg, SC
• Providers in Spartanburg, SC by specialty
• Specialist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2014; 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.