Orisek and McCaskill Medical Group, Inc.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

ORISEK AND MCCASKILL MEDICAL GROUP, INC.

Practice address

4080 Cavitt Stallman Rd Ste 100a
Granite Bay, CA 95746-9049

Phone

(916) 771-0715

NPI assigned

Jul 13, 2022

Organization subpart

No

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

Authorized official

Name

Michel Maxsom

Title

Business Manager

Phone

(916) 871-5624

Specialties & licenses 3

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

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.

• Aubrey Winn, M.D.

  • Dermatology Physician
  • Bend, OR
  • NPI 1861803330

  CA

  Medicare reassignment Care Compare group NPD
• Fallon Nassiem Agahi

  • Physician Assistant
  • Granite Bay, CA
  • NPI 1538456090
  Medicare reassignment Care Compare group
• Kehli Ayn McCaskill, P.A.

  • Medical Physician Assistant
  • Woodland, CA
  • NPI 1457430365
  Medicare reassignment Care Compare group
• Amanda Splinter, NP

  • Nurse Practitioner
  • Granite Bay, CA
  • NPI 1669328993
  NPD (past)

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

{
    "created_epoch": "1657670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657670400000",
    "number": "1336873546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4080 CAVITT STALLMAN RD STE 100A",
            "city": "GRANITE BAY",
            "state": "CA",
            "postal_code": "957469049",
            "telephone_number": "916-771-0715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4080 CAVITT STALLMAN RD STE 100A",
            "city": "GRANITE BAY",
            "state": "CA",
            "postal_code": "957469049",
            "telephone_number": "916-771-0715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORISEK AND MCCASKILL MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-13",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A",
        "authorized_official_last_name": "MAXSOM",
        "authorized_official_first_name": "MICHEL",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "916-871-5624"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207NP0225X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology, Pediatric Dermatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://allureskin.ema.md/",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "secure link exchange",
            "address_1": "4080 Cavitt Stallman Rd Ste 100A",
            "city": "Granite Bay",
            "state": "CA",
            "country_code": "US",
            "postal_code": "957469049",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mataya Oakes
• Nicholas Oddo
• Eric Odegard, PT
• Oluwatomilayo Grace Ogunrinde
• Taylor Oravillo
• Ian Orndorff
• Jason Arend Orozco, PHARMD
• Alexandra Ostry
• Taylor Ott
• Timeisha Marie Overton-Seymore

• Dermatology Physician in Granite Bay, CA
• Providers in Granite Bay, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2022; 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.