Skin Cancer Center of Central Florida, P.a.

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

Legal business name

SKIN CANCER CENTER OF CENTRAL FLORIDA, P.A.

Practice address

10973 SE 175TH PL Ste 100
Summerfield, FL 34491

Phone

(352) 873-7788

Fax

(352) 873-9397

NPI assigned

Aug 28, 2006

Last updated

Nov 5, 2024By 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

Mary F Barber, M.D.NPI 1003812207

Title

President

Phone

(352) 259-6553

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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 4

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.

• Mary F Barber, M.D.

  • MOHS-Micrographic Surgery Physician
  • Summerfield, FL
  • NPI 1003812207

  Dermatology

  Medicare reassignment Care Compare group NPD Authorized official
• Casandra L Slavens, ARNP

  • Dermatology Physician
  • Summerfield, FL
  • NPI 1548596083
  Medicare reassignment Care Compare group NPD
• Rebecca Stoner Thornhill, M.D.

  • MOHS-Micrographic Surgery Physician
  • Summerfield, FL
  • NPI 1164957916

  Dermatology

  Medicare reassignment Care Compare group NPD
• Carla Renee Bailey, PA-C

  • Physician Assistant
  • Summerfield, FL
  • NPI 1366771115
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730764800000",
    "number": "1336257450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10973 SE 175TH PL STE 100",
            "city": "SUMMERFIELD",
            "state": "FL",
            "postal_code": "344918983",
            "telephone_number": "352-259-6553",
            "fax_number": "352-873-9397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10973 SE 175TH PL STE 100",
            "city": "SUMMERFIELD",
            "state": "FL",
            "postal_code": "34491",
            "telephone_number": "352-873-7788",
            "fax_number": "352-873-9397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKIN CANCER CENTER OF CENTRAL FLORIDA, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-28",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A",
        "authorized_official_last_name": "BARBER",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-259-6553",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0062067",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "372699100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shands Teaching Hospital and Clinics Inc
• Svetlana Shchukina, ARNP
• Peter B Shehata
• Sheridan Emergency Physician Services Inc
• Frances Antonina Shirley
• Casandra L Slavens, ARNP
• Page Armand Smith, M.D.
• Michael Paul Snider, PHARMACIST
• Sourial Morris Sourial MD (Sourial FP and Pain Care, P.A.)
• Sphinx Wellness Inc

• MOHS-Micrographic Surgery Physician in Summerfield, FL
• Providers in Summerfield, FL by specialty
• MOHS-Micrographic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; 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.