NPIMap

Organization Active NPI

Cullman Dermatology Clinic, P.C.

  • Dermatology Physician
  • Cullman, AL
National Provider Identifier
1003869751
Registry record updated May 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
18046 Issued in AL
Legal business name
CULLMAN DERMATOLOGY CLINIC, P.C.
Practice address
1205 County Road 1466
Cullman, AL 35058-0795
Phone
(256) 739-9711
Fax
(256) 739-9737
NPI assigned
May 17, 2006
Last updated
May 13, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2008

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

Authorized official

Name
Steven M Skinner, M.D.NPI 1295727048
Title
President
Phone
(256) 739-9711

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X 18046 AL Primary

Addresses

Primary practice location

1205 County Road 1466
Cullman, AL 35058-0795

Mailing address

1205 County Road 1466
Cullman, AL 35058-0795
Phone (256) 739-9711

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210636800000",
    "number": "1003869751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 COUNTY ROAD 1466",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350580795",
            "telephone_number": "256-739-9711",
            "fax_number": "256-739-9737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 COUNTY ROAD 1466",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350580795",
            "telephone_number": "256-739-9711",
            "fax_number": "256-739-9737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CULLMAN DERMATOLOGY CLINIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2008-05-13",
        "status": "A",
        "authorized_official_last_name": "SKINNER",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-739-9711",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "AL",
            "license": "18046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cullman, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.