George C Skandamis, MD

Primary specialty

Procedural Dermatology PhysicianTaxonomy code 207NS0135X

License

35.091957 Issued in OH

Practice address

425 Metro PL N
Suite 195
Dublin, OH 43017-5325

Phone

(614) 602-6455

Fax

(614) 259-9944

NPI assigned

Mar 29, 2007

Last updated

Sep 20, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

Medical College of Ohio, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Universal Dermatology LTDGroup PAC ID 9335388925, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mount Carmel East & West Hospital, Columbus, OH, CCN 360035
• Knox Community Hospital Hospital, Mount Vernon, OH, CCN 360040

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Universal Dermatology, LTD

  • Specialist
  • Dublin, OH
  • NPI 1578805677
  Medicare reassignment Care Compare group NPD Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Knox Community Hospital

  • General Acute Care Hospital
  • Mount Vernon, OH
  • NPI 1295761963
  Care Compare affiliation
• Mount Carmel Health System

  • General Acute Care Hospital
  • Grove City, OH
  • NPI 1710067376
  Care Compare affiliation
• Mount Carmel Health System

  • General Acute Care Hospital
  • Columbus, OH
  • NPI 1982784534
  Care Compare affiliation

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379635200000",
    "number": "1366561292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 METRO PL N",
            "address_2": "SUITE 195",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430175325",
            "telephone_number": "614-602-6455",
            "fax_number": "614-259-9944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 METRO PL N",
            "address_2": "SUITE 195",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430175325",
            "telephone_number": "614-602-6455",
            "fax_number": "614-259-9944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKANDAMIS",
        "first_name": "GEORGE",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-29",
        "last_updated": "2013-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MI",
            "license": "430184294",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "OH",
            "license": "35.091957",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2849725",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONTROLLED SUBSTANCE LICE",
            "identifier": "5315018697",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sister Hope Home Healthcare LLC
• Sarah Sivinski, PA-C
• Rebecca Six
• Caleb Michael Sizemore
• Holly Sizemore
• Allie Skelly
• Melissa Gay Skillman, LSW
• Christina Skinner
• Lisa D Skipper, LISW
• John P Skrobot, O.D.

• Procedural Dermatology Physician in Dublin, OH
• Providers in Dublin, OH by specialty
• Procedural Dermatology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.