Kevin Skinner, M.D., D.P.M.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

17122 Issued in AZ

Practice address

2963 E Robin LN
Gilbert, AZ 85296-9426

Phone

(480) 399-4577

NPI assigned

Jan 18, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Emcare Physician Providers, Inc

  • Emergency Medicine Physician
  • Parker, AZ
  • NPI 1821048927
  NPD (past)
• Kayenta Alternative Rural Hospital

  dba Inscription House Health Center

  • General Acute Care Hospital
  • Tonalea, AZ
  • NPI 1740359108
  NPD (past)
• Page Hospital

  • Critical Access Hospital
  • Page, AZ
  • NPI 1578515789
  NPD (past)
• Stronghold Emergency Physicians

  • Emergency Medicine Physician
  • Willcox, AZ
  • NPI 1306895909
  NPD (past)
• Sunset Emergency Physicians LLC

  • Emergency Medicine Physician
  • Parker, AZ
  • NPI 1871504860
  NPD (past)
• DHHS IHS Phoenix Area

  dba Chemehuevi Health Clinic

  • Federal Public Health Clinic/Center
  • Havasu Lake, CA
  • NPI 1396022026
  NPD (past)
• Emcare Physician Providers Inc

  • Emergency Medicine Physician
  • Mesquite, NV
  • NPI 1558310797
  NPD (past)
• Twin Valley Emergency Physicians LLC

  • Emergency Medicine Physician
  • Mesquite, NV
  • NPI 1467401604
  NPD (past)

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324252800000",
    "number": "1013997881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2963 E ROBIN LN",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852969426",
            "telephone_number": "480-399-4577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2963 E ROBIN LN",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852969426",
            "telephone_number": "480-399-4577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKINNER",
        "first_name": "KEVIN",
        "credential": "M.D., D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-18",
        "last_updated": "2011-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AZ",
            "license": "17122",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "286824",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013997881",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dustin Skarupa, PHARMD
• Brett D. Skidmore, M.D.
• Skin Deep Aesthetics, LLC (Skin Deep Dermatology & Aesthetics)
• Erin Elizabeth Skinner
• Kaylee Skinner, SLPA
• Lisa Jane Skinner, MS, CCC-SLP
• Tracy Skipper
• Michael J Skowronek, PT
• Skybox Therapy PLLC
• Skye Therapy Solutions PLLC

• Emergency Medicine Physician in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Emergency Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2011; 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.