Organization Active NPI

Skin Path Services, LLC

  • Dermatopathology (Pathology) Physician
  • Pinellas Park, FL
National Provider Identifier
1417082769
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology (Pathology) PhysicianTaxonomy code 207ZD0900X
Legal business name
SKIN PATH SERVICES, LLC
Practice address
7641 66TH St
Suite C
Pinellas Park, FL 33781-3173
Phone
(813) 785-7198
NPI assigned
Feb 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Seth Rosenthal, M.D.
Title
Director
Phone
(813) 785-7198

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatopathology (Pathology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207ZD0900X Primary

Addresses

Primary practice location

7641 66TH St
Suite C
Pinellas Park, FL 33781-3173

Mailing address

10419 Canary Isle Dr
Tampa, FL 33647-2713
Phone (813) 785-7198

Other identifiers 1

IdentifierTypeStateIssuer
71887OtherFLBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417082769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10419 CANARY ISLE DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336472713",
            "telephone_number": "813-785-7198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7641 66TH ST",
            "address_2": "SUITE C",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337813173",
            "telephone_number": "813-785-7198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKIN PATH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROSENTHAL",
        "authorized_official_first_name": "SETH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "813-785-7198",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207ZD0900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Dermatopathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "71887",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinellas Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.