NPIMap

Organization Active NPI

Tasker Healthcare Group PC

Doing business as Skinsmart Dermatology

  • Specialist
  • Wyndmoor, PA
National Provider Identifier
1265584577
Registry record updated Oct 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
TASKER HEALTHCARE GROUP PC
Doing business as
Skinsmart Dermatology
Practice address
910 E. Willow Grove Avenue
Wyndmoor, PA 19038
Phone
(215) 836-7212
Fax
(215) 836-7715
NPI assigned
Jan 17, 2007
Last updated
Oct 3, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2013

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

Authorized official

Name
Toby Shawe, MDNPI 1851453765
Title
Owner/MD
Phone
(215) 836-7818

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
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

910 E. Willow Grove Avenue
Wyndmoor, PA 19038

Mailing address

910 E. Willow Grove Avenue
Wyndmoor, PA 19038
Phone (215) 836-7212

Other names 1

  • SKINSMART DERMATOLOGY Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040723000658 PA Part B Supplier - Clinic/Group Practice 3072593698 Receives reassigned benefits from 5 practitioners
Practice locations: Wyndmoor, PA; New Britain, PA

National Provider Directory

National Provider Directory

Locations

125 E Mill St
Ukiah, CA 95482

65 E Butler Ave
Ste 202
New Britain, PA 18901
Phone (215) 836-7212

65 E Butler Ave
Ste 203
New Britain, PA 18901
Phone (215) 836-7212

910 E Willow Grove Ave
Wyndmoor, PA 19038
Phone (215) 233-4300

Practitioners & affiliated clinicians

Practitioners 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380758400000",
    "number": "1265584577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 E. WILLOW GROVE AVENUE",
            "city": "WYNDMOOR",
            "state": "PA",
            "postal_code": "19038",
            "telephone_number": "215-836-7212",
            "fax_number": "215-836-7715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 E. WILLOW GROVE AVENUE",
            "city": "WYNDMOOR",
            "state": "PA",
            "postal_code": "19038",
            "telephone_number": "215-836-7212",
            "fax_number": "215-836-7715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TASKER HEALTHCARE GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2013-10-03",
        "status": "A",
        "authorized_official_last_name": "SHAWE",
        "authorized_official_first_name": "TOBY",
        "authorized_official_title_or_position": "OWNER/MD",
        "authorized_official_telephone_number": "215-836-7818",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SKINSMART DERMATOLOGY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wyndmoor, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2013; 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.