Skin Cancer Specialist, Inc.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

ME81031 Issued in FL

Legal business name

SKIN CANCER SPECIALIST, INC.

Practice address

5575 Marquesas Cir
Sarasota, FL 34233-3332

Phone

(941) 924-8080

Fax

(941) 924-8089

NPI assigned

Oct 15, 2007

Last updated

Oct 31, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

April Kelly

Title

Practice Administrator

Phone

(941) 924-8080

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Martin J Dunn, MD

  • Dermatology Physician
  • Sarasota, FL
  • NPI 1689775884
  NPD (past)
• Lisa Norman Klemeyer, D.P.M.

  • Foot Surgery Podiatrist
  • Sarasota, FL
  • NPI 1255439352
  NPD (past)

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

{
    "created_epoch": "1192406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193788800000",
    "number": "1205024304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5575 MARQUESAS CIR",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342333332",
            "telephone_number": "941-924-8080",
            "fax_number": "941-924-8089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5575 MARQUESAS CIR",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342333332",
            "telephone_number": "941-924-8080",
            "fax_number": "941-924-8089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKIN CANCER SPECIALIST, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-15",
        "last_updated": "2007-10-31",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "APRIL",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "941-924-8080"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME81031",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MCR PIN",
            "identifier": "P00289190",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MCR GROUP",
            "identifier": "DE3824",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• SJ Hall Enterprises Inc
• SK Retina LLC (SK Retina)
• Maura Skehan, LCSW
• Ashworth Woody Skibicki, M.D.
• Tyler Luke Skillan, CRNA
• Skin Health Center Dermatology and Mohs Surgery PA
• Skin Trust Mohs and Dermatology, LLC
• Geraldine Ann Skinner
• Kristie G. Skoglund, MS, ED.D
• Fotios A. Skordas, M.S., D.D.S

• Dermatology Physician in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2007; 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.