Trident Dermatology, PA
NPI 1366404659ActiveOrganization· Dermatology· Charleston, SC
Dermatology in Charleston, South Carolina, registered in NPPES in April 2006. The authorized official on file is Blake Aaron Guinn, Practice Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1366404659 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 4, 2006 |
| Last updated in NPPES | Aug 14, 2023 |
| Certified by provider | Aug 14, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | 10773 | SC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (SC) |
|---|
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