DERMATOPATHOLOGY SPECIALISTS JIM PHILLIPS MD DERMATOPATHOLOGIST LLC NPI 1003009390
Dermatology - Dermatopathology in Mt Pleasant, SC

About DERMATOPATHOLOGY SPECIALISTS JIM PHILLIPS MD DERMATOPATHOLOGIST LLC

Dermatopathology Specialists Jim Phillips Md Dermatopathologist Llc is a provider established in Mt Pleasant, South Carolina operating as a Dermatology with a focus in dermatopathology . The NPI number of this provider is 1003009390 and was assigned on August 2007. The practitioner's primary taxonomy code is 207ND0900X with license number 8871 (SC). The provider is registered as an organization and their NPI record was last updated 14 years ago. Dermatopathology Specialists Jim Phillips Md Dermatopathologist Llc operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. James H. Phillips Md (Owner)

NPI
1003009390
Provider NameDERMATOPATHOLOGY SPECIALISTS JIM PHILLIPS MD DERMATOPATHOLOGIST LLC
Location Address1280 JOHNNIE DODDS BLVD SUITE 101 MT PLEASANT, SC 29464
Location Phone(843) 375-0055
Mailing AddressPO BOX 30309 CHARLESTON, SC 29417
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date08-21-2007
Last Update Date03-23-2009



The CLIA number of Dermatopathology Specialists Jim Phillips Md Dermatopathologist Llc is 42D1087626 registered as a "independent" facility with a CLIA Certificate of Compliance. This CLIA certificate is issued to Dermatopathology Specialists Jim Phillips Md Dermatopathologist Llc after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.



Primary Taxonomy

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Taxonomy Code207ND0900X
ClassificationDermatology
TypeAllopathic & Osteopathic Physicians
SpecializationDermatopathology
License No.8871
License StateSC
Taxonomy DescriptionA dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes.

Accepted Insurance

The NPI profile data indicates this provider might be enrolled and accepting health plans from the following insurance companies or healthcare programs:

  • Medicaid
  • Medicare

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Business Address

1280 JOHNNIE DODDS BLVD
SUITE 101
MT PLEASANT, SC
ZIP 29464
Phone: (843) 375-0055

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Mailing Address

PO BOX 30309
CHARLESTON, SC
ZIP 29417
Phone: (843) 554-9300
Fax: (843) 566-8780


Location Map

Authorized Official

The name of the person authorized to submit the NPI application or to officially change data for a health care provider.

Authorized Official NameDR. JAMES H. PHILLIPS MD
Authorized Official TitleOWNER
Authorized Official Phone(843) 375-0055

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for the NPI number 1003009390 is:

CLIA Number42D1087626
Facility TypeINDEPENDENT
Certificate TypeCertificate of Compliance

Group Taxonomy


193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
GP4721MEDICAID (05)SC
8849MEDICARE PIN (08)SC
DG5570MEDICARE PIN (08)SC

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1003009390
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20030018318
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 0 + 1 + 8 + 3 + 1 + 8 + 24 = 50
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1003009390 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1659345643 JENNIFER NELSON MAZUR PHARMD
Individual
Pharmacist1280 JOHNNIE DODDS BLVD SUITE 105
MOUNT PLEASANT, SC 29464
(843) 971-1046
1972570372DR. JAMES HARRISON PHILLIPS MD
Individual
Pathology (Dermatopathology)1280 JOHNNIE DODDS BLVD SUITE 104
MT PLEASANT, SC 29464
(843) 284-4799

Frequently Asked Questions

What is DERMATOPATHOLOGY SPECIALISTS JIM PHILLIPS MD DERMATOPATHOLOGIST LLC NPI number?

The NPI number assigned to this healthcare provider is 1003009390, registered as an "organization" on August 21, 2007

Where is DERMATOPATHOLOGY SPECIALISTS JIM PHILLIPS MD DERMATOPATHOLOGIST LLC located?

The provider is located at 1280 Johnnie Dodds Blvd Suite 101 Mt Pleasant, Sc 29464 and the phone number is (843) 375-0055

What kind of medical provider is DERMATOPATHOLOGY SPECIALISTS JIM PHILLIPS MD DERMATOPATHOLOGIST LLC?

This medical organization specializes in Dermatology with a focus in Dermatopathology

What insurance does DERMATOPATHOLOGY SPECIALISTS JIM PHILLIPS MD DERMATOPATHOLOGIST LLC accept?

The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

What is DERMATOPATHOLOGY SPECIALISTS JIM PHILLIPS MD DERMATOPATHOLOGIST LLC CLIA number?

The provider's CLIA number is 42D1087626 for a "independent" facility with a CLIA Certificate of Compliance. This CLIA certificate is issued after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing..

How do I update my NPI information?

The NPI record of DERMATOPATHOLOGY SPECIALISTS JIM PHILLIPS MD DERMATOPATHOLOGIST LLC was last updated on August 21, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
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