Active NPI
Cheryl Ann Skinner, M.D.
- Hematology & Oncology Physician
- Lebanon, OH
National Provider Identifier
1154318210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 35048340
- Practice address
- 100 Arrow Springs Blvd
Lebanon, OH 45036-7002 - Phone
- (513) 451-4033
- Fax
- (513) 451-1356
- NPI assigned
- Oct 4, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 35048340 | OH | |
| Hematology & Oncology Physician | 207RH0003X | 35048340 | OH | Primary |
Addresses
Primary practice location
100 Arrow Springs Blvd
Lebanon, OH 45036-7002
Mailing address
842 Carson Dr
Lebanon, OH 45036-1316
Phone (513) 325-4392
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0636217 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240722003196 | OH | Order and Referring Only - Hospice/Palliative Care | 0143253617 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565568000000",
"number": "1154318210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "842 CARSON DR",
"city": "LEBANON",
"state": "OH",
"postal_code": "450361316",
"telephone_number": "513-325-4392"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 ARROW SPRINGS BLVD",
"city": "LEBANON",
"state": "OH",
"postal_code": "450367002",
"telephone_number": "513-451-4033",
"fax_number": "513-451-1356"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SKINNER",
"first_name": "CHERYL",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-10-04",
"last_updated": "2019-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "OH",
"license": "35048340",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "OH",
"license": "35048340",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0636217",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lebanon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2019; 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.