Skintegration Management

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

SKINTEGRATION MANAGEMENT

Practice address

2308 Kettner Blvd Ste C
San Diego, CA 92101-1283

Phone

(619) 294-4119

Fax

(619) 295-5044

NPI assigned

May 20, 2020

Last updated

Aug 17, 2020By 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

Roger Schechter, MD

Title

MD

Phone

(619) 294-4119

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1589932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597622400000",
    "number": "1275156655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2308 KETTNER BLVD STE C",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921011283",
            "telephone_number": "619-294-4119",
            "fax_number": "619-295-5044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2308 KETTNER BLVD STE C",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921011283",
            "telephone_number": "619-294-4119",
            "fax_number": "619-295-5044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKINTEGRATION MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-20",
        "last_updated": "2020-08-17",
        "certification_date": "2020-08-17",
        "status": "A",
        "authorized_official_last_name": "SCHECHTER",
        "authorized_official_first_name": "ROGER",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "619-294-4119",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1346257649",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "G47922",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Isabel Skinner
• Magdalene Elizabeth Skinner, BSW
• Nicole Jacaruso Skinner, PT
• Richard William Skinner, DO
• Taylor McKenzie Skinner
• Skippergosh Therapy Licensed Clinical Social Worker Inc (Skippergosh Therapy and Counseling)
• Kristyne Skippergosh, ASW
• Lynette Faye Skippon, CCC-SLP
• John Skirgaudas, MD
• Marc Benjamin Sklar, LAC, DA (RI)

• Emergency Medicine Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Emergency Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.