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 Name | DERMATOPATHOLOGY SPECIALISTS JIM PHILLIPS MD DERMATOPATHOLOGIST LLC |
| Location Address | 1280 JOHNNIE DODDS BLVD SUITE 101 MT PLEASANT, SC 29464 |
| Location Phone | (843) 375-0055 |
| Mailing Address | PO BOX 30309 CHARLESTON, SC 29417 |
| NPI Entity Type | Organization |
| Is Sole Proprietor? | N/A |
| Is Organization Subpart? | No |
| Enumeration Date | 08-21-2007 |
| Last Update Date | 03-23-2009 |
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 Code | 207ND0900X |
| Classification | Dermatology |
| Type | Allopathic & Osteopathic Physicians |
| Specialization | Dermatopathology |
| License No. | 8871 |
| License State | SC |
| Taxonomy Description | A 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
Mailing Address
PO BOX 30309
CHARLESTON, SC
ZIP 29417
Phone: (843) 554-9300
Fax: (843) 566-8780
Location Map
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 Number | 42D1087626 |
| Facility Type | INDEPENDENT |
| Certificate Type | Certificate 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 |
|---|---|---|
| GP4721 | MEDICAID (05) | SC |
| 8849 | MEDICARE PIN (08) | SC |
| DG5570 | MEDICARE 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. | |||||||||
| 1 | 0 | 0 | 3 | 0 | 0 | 9 | 3 | 9 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 0 | 3 | 0 | 0 | 18 | 3 | 18 | |
| 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 | Pharmacist | 1280 JOHNNIE DODDS BLVD SUITE 105 MOUNT PLEASANT, SC 29464 (843) 971-1046 |
| 1972570372 | DR. 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]
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.