Kimberly Lynn Skaff, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

WV13595 Issued in WV

Practice address

4502 Maccorkle Ave SE
Ste a
Charleston, WV 25304-1835

Phone

(304) 925-5500

Fax

(304) 925-6780

NPI assigned

Jun 22, 2005

Sex

Female

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 1

Medicare fee-for-service enrollment

Enrolled in WV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Monica Lynn Armstrong, NP-C

  • Nurse Practitioner
  • Charleston, WV
  • NPI 1427392406
  Medicare reassignment

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.

• Charleston Dermatology PLLC

  • Dermatology Physician
  • Charleston, WV
  • NPI 1619623972
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202688000000",
    "number": "1023014362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4502 MACCORKLE AVE SE",
            "address_2": "STE A",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253041835",
            "telephone_number": "304-925-5500",
            "fax_number": "304-925-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4502 MACCORKLE AVE SE",
            "address_2": "STE A",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253041835",
            "telephone_number": "304-925-5500",
            "fax_number": "304-925-6780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKAFF",
        "first_name": "KIMBERLY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-22",
        "last_updated": "2008-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WV",
            "license": "WV13595",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0069883000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Sizemore
• Temper Faye Sizemore, LPN
• Alex Warren Skaff, DDS
• Antoine Elias Skaff, DDS
• Don E Skaff, DDS
• Lee Ann Skaff, MD
• Lindsay Skaff, FNP-BC
• Victoria Elaine Skaff, R. PH
• Julia Skaggs
• Sarah Skaggs

• Specialist in Charleston, WV
• Providers in Charleston, WV by specialty
• Specialist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.