Skin Cancer and Dermatology of Columbus, LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

SKIN CANCER AND DERMATOLOGY OF COLUMBUS, LLC

Practice address

1161 Bethel Rd
Suite 301
Columbus, OH 43220-2773

Phone

(614) 459-5227

NPI assigned

May 3, 2010

Organization subpart

No

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

Authorized official

Name

Michael Chen, M.D.

Title

President

Phone

(614) 459-5227

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1272844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619740800000",
    "number": "1265759013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1161 BETHEL RD",
            "address_2": "SUITE #301",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432202773",
            "telephone_number": "614-459-5227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1161 BETHEL RD",
            "address_2": "SUITE 301",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432202773",
            "telephone_number": "614-459-5227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKIN CANCER AND DERMATOLOGY OF COLUMBUS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-03",
        "last_updated": "2021-04-30",
        "certification_date": "2021-04-30",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-459-5227",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE SOLE OWNED ORGANIZATION PTAN",
            "identifier": "9389581",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Skilled Healthcare, LLC
• Cheryl Skillern
• Danielle D. Skillman
• Maggie Skillman
• Thadius Michael Skillman
• Alexis Skinner, BA
• Carmen R Skinner, DO
• Korina K. Skinner, APRN-CNP
• Nicole E. Skinner, MD
• Shayla Skinner

• Dermatology Physician in Columbus, OH
• Providers in Columbus, OH by specialty
• Dermatology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2021; 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.