Carolina Dermatology Clinic, PA
NPI 1639202294ActiveOrganization· Dermatology· Charleston, SC
Dermatology in Charleston, South Carolina, registered in NPPES in March 2007. The authorized official on file is Edward A. Kotz, MD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1639202294 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 13, 2007 |
| Last updated in NPPES | Jan 18, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | 24039 | SC |
| Specialist | 174400000X | 24039 | 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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