NPIMap

Organization Active NPI

Skin Specialists P C

  • Dermatology Physician
  • Omaha, NE
National Provider Identifier
1063608404
Registry record updated Apr 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
SKIN SPECIALISTS P C
Practice address
2802 Oak View Drive
Omaha, NE 68144-5604
Phone
(402) 334-7546
Fax
(402) 334-8627
NPI assigned
Sep 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2012

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

Authorized official

Name
Joel Schlessinger, M.D.NPI 1720085582
Title
President
Phone
(402) 334-7546

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

2802 Oak View Drive
Omaha, NE 68144-5604

Mailing address

2802 Oak View Drive
Omaha, NE 68144-5604
Phone (402) 334-7546

Other names 1

  • Joel Schlessinger M.D. Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040211001104 NE Part B Supplier - Clinic/Group Practice 7214836329 Receives reassigned benefits from 5 practitioners
Practice locations: Omaha, NE

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

2802 Oak View Dr
Ste 100
Omaha, NE 68144

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333411200000",
    "number": "1063608404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2802 OAK VIEW DRIVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681445604",
            "telephone_number": "402-334-7546",
            "fax_number": "402-334-8627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2802 OAK VIEW DRIVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681445604",
            "telephone_number": "402-334-7546",
            "fax_number": "402-334-8627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKIN SPECIALISTS P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-19",
        "last_updated": "2012-04-03",
        "status": "A",
        "authorized_official_last_name": "SCHLESSINGER",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-334-7546",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Joel Schlessinger M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.