Skin Firm, LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

SKIN FIRM, LLC

Practice address

1005 E Temple St
Washington Court House, OH 43160-3600

Phone

(740) 208-2550

Fax

(740) 431-4447

NPI assigned

Oct 10, 2021

Organization subpart

No

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

Authorized official

Name

Tabitha Sue Melvin, PANPI 1376513564

Title

President

Phone

(740) 208-2550

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

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.

• Tabitha Sue Melvin, PA-C

  • Medical Physician Assistant
  • Washington Court House, OH
  • NPI 1376513564
  Medicare reassignment Authorized official
• Whitney Jane Cockerill, APRN

  • Nurse Practitioner
  • Washington Court House, OH
  • NPI 1477424901

  Single Specialty

  Medicare reassignment NPD
• Eugene Conte, DO

  • Dermatology Physician
  • Centerville, OH
  • NPI 1316056567
  Medicare reassignment NPD

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

{
    "created_epoch": "1633824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696809600000",
    "number": "1285396978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 E TEMPLE ST",
            "city": "WASHINGTON COURT HOUSE",
            "state": "OH",
            "postal_code": "431603600",
            "telephone_number": "740-208-2550",
            "fax_number": "740-853-4229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 E TEMPLE ST",
            "city": "WASHINGTON COURT HOUSE",
            "state": "OH",
            "postal_code": "431603600",
            "telephone_number": "740-208-2550",
            "fax_number": "740-431-4447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKIN FIRM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-10",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-09",
        "status": "A",
        "authorized_official_last_name": "MELVIN",
        "authorized_official_first_name": "TABITHA",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "740-208-2550",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Louise Shaw, M.D.
• Chelsea Nichole Showalter
• Melissa Siemer, RPH
• Sydney Simons
• Edward Raymond Sipe, LPCC
• Matthew W.R. Slusher, PMHNP
• Elizabeth Marie Smith
• Matthew Smith, PT
• Matthew D. Smith, MD
• Michele Renee Snider

• Dermatology Physician in Washington Court House, OH
• Providers in Washington Court House, OH by specialty
• Dermatology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.