NPIMap

Organization Active NPI

Skyline Wound Care PLLC

Doing business as Skyline Wound Care

  • Plastic and Reconstructive Surgery Physician
  • Easton, MD
National Provider Identifier
1407343601
Registry record updated Sep 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
Legal business name
SKYLINE WOUND CARE PLLC
Doing business as
Skyline Wound Care
Practice address
501 Dutchmans LN
Easton, MD 21601-3342
Phone
(877) 940-7200
NPI assigned
Apr 13, 2018
Last updated
Sep 25, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2026

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

Authorized official

Name
Amani Hemphill, MDNPI 1679754212
Title
Owner
Phone
(443) 803-6830

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X Primary

Addresses

Primary practice location

501 Dutchmans LN
Easton, MD 21601-3342

Mailing address

7756 N Kendall Dr # 446
Miami, FL 33156-7523
Phone (877) 940-7200

Other practice location 1

80 Maddex Dr
Shepherdstown, WV 25443-4305
Phone (304) 876-9422

Other practice location 2

260 Sunrise Blvd
Romney, WV 26757-6345
Phone (304) 822-7527

Other practice location 3

18086 State Route 55
Baker, WV 26801
Phone (304) 897-5903

Other practice location 4

8 Rose St
Grafton, WV 26354-1678
Phone (304) 265-0095

Other practice location 5

15 Diane Dr
Fort Ashby, WV 26719
Phone (304) 298-4602

Other practice location 6

2 Hospital Plaza
Grafton, WA 26354
Phone (304) 265-0008

Other names 1

  • Skyline Wound Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, PA, OH, VA, MD, DC, IN, KY8 enrollments

Enrollment records 8

Enrollment IDStateProvider typePAC IDDetails
O20180612000708 WV Part B Supplier - Clinic/Group Practice 5294080404 Receives reassigned benefits from 10 practitioners
Practice locations: Baker, WV; Elkins, WV; Fort Ashby, WV; Grafton, WV; Romney, WV; Shepherdstown, WV
O20220628000167 PA Part B Supplier - Clinic/Group Practice 5294080404 Receives reassigned benefits from 1 practitioner
Practice locations: Pittsburgh, PA
O20220709000712 OH Part B Supplier - Clinic/Group Practice 5294080404 Receives reassigned benefits from 2 practitioners
Practice locations: Portsmouth, OH
O20220726000208 VA Part B Supplier - Clinic/Group Practice 5294080404 Receives reassigned benefits from 2 practitioners
Practice locations: Clifton Forge, VA
O20220727004390 MD Part B Supplier - Clinic/Group Practice 5294080404 Receives reassigned benefits from 4 practitioners
Practice locations: Easton, MD
O20220808000314 DC Part B Supplier - Clinic/Group Practice 5294080404 Receives reassigned benefits from 4 practitioners
Practice locations: Bowie, MD; Washington, DC
O20220813000758 IN Part B Supplier - Clinic/Group Practice 5294080404 Receives reassigned benefits from 1 practitioner
Practice locations: West Lafayette, IN
O20231108003678 KY Part B Supplier - Clinic/Group Practice 5294080404 Practice locations: Louisa, KY

National Provider Directory

National Provider Directory

Locations

6307 Arlington Blvd
Falls Church, VA 22044

18086 State Road 55
Baker, WV 26801
Phone (304) 897-5903

15 Diane Dr
Fort Ashby, WV 26719
Phone (304) 298-4602

Practitioners & affiliated clinicians

Practitioners 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1523577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790294400000",
    "number": "1407343601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7756 N KENDALL DR # 446",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331567523",
            "telephone_number": "877-940-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 DUTCHMANS LN",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216013342",
            "telephone_number": "877-940-7200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "80 Maddex Dr",
            "address_purpose": "LOCATION",
            "city": "Shepherdstown",
            "state": "WV",
            "postal_code": "254434305",
            "country_code": "US",
            "telephone_number": "304-876-9422",
            "fax_number": "304-876-6869",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "260 Sunrise Blvd",
            "address_purpose": "LOCATION",
            "city": "Romney",
            "state": "WV",
            "postal_code": "267576345",
            "country_code": "US",
            "telephone_number": "304-822-7527",
            "fax_number": "304-822-7330",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18086 State Route 55",
            "address_purpose": "LOCATION",
            "city": "Baker",
            "state": "WV",
            "postal_code": "26801",
            "country_code": "US",
            "telephone_number": "304-897-5903",
            "fax_number": "304-897-5906",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8 Rose St",
            "address_purpose": "LOCATION",
            "city": "Grafton",
            "state": "WV",
            "postal_code": "263541678",
            "country_code": "US",
            "telephone_number": "304-265-0095",
            "fax_number": "304-265-6215",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15 Diane Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Ashby",
            "state": "WV",
            "postal_code": "26719",
            "country_code": "US",
            "telephone_number": "304-298-4602",
            "fax_number": "304-298-4897",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 Hospital Plaza",
            "address_purpose": "LOCATION",
            "city": "Grafton",
            "state": "WA",
            "postal_code": "26354",
            "country_code": "US",
            "telephone_number": "304-265-0008",
            "fax_number": "304-344-5853",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SKYLINE WOUND CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-13",
        "last_updated": "2026-09-25",
        "certification_date": "2026-09-25",
        "status": "A",
        "authorized_official_last_name": "HEMPHILL",
        "authorized_official_first_name": "AMANI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-803-6830",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Skyline Wound Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Skyline Wound Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Easton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.