Skinmed Institute PLLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

SKINMED INSTITUTE PLLC

Practice address

10103 Ridgegate Pkwy Ste 223
Lone Tree, CO 80124-5525

Phone

(720) 381-2600

Fax

(720) 381-2601

NPI assigned

Jul 28, 2020

Organization subpart

No

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

Authorized official

Name

Mona Sadeghpour, MD

Title

Owner

Phone

(720) 381-2600

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1595894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595894400000",
    "number": "1154930964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10103 RIDGEGATE PKWY STE 223",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801245525",
            "telephone_number": "720-381-2600",
            "fax_number": "720-381-2601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10103 RIDGEGATE PKWY STE 223",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801245525",
            "telephone_number": "720-381-2600",
            "fax_number": "720-381-2601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKINMED INSTITUTE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-28",
        "last_updated": "2020-07-28",
        "certification_date": "2020-07-28",
        "status": "A",
        "authorized_official_last_name": "SADEGHPOUR",
        "authorized_official_first_name": "MONA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-381-2600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Noah Chaim Simon, MD
• James Alan Simonson, O.D.
• Jasleen Kaur Singh, M.D.
• Emily Sisa
• Jamie Dawn Sitarz, RN, BSN, OCN
• Brandon A Sklar
• Sky Ridge Medical Center
• Sky Ridge Surgery Center LP
• Skyridge Ekg Interpretation Professional LLP
• Wendy A Slattery, PT

• Dermatology Physician in Lone Tree, CO
• Providers in Lone Tree, CO by specialty
• Dermatology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2020; 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.