Organization Active NPI

Boyd a Skinner PA

  • Dermatology Physician
  • Pensacola, FL
National Provider Identifier
1457688400
Registry record updated Nov 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
ME30859 Issued in FL
Legal business name
BOYD A SKINNER PA
Practice address
4301 Spanish TRL
Pensacola, FL 32504-4942
Phone
(850) 434-3000
Fax
(850) 469-8196
NPI assigned
Nov 12, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2009

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

Authorized official

Name
Dr. Boyd A Skinner, MD
Title
Physician/Owner
Phone
(850) 434-3000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X ME30859 FL Primary

Addresses

Primary practice location

4301 Spanish TRL
Pensacola, FL 32504-4942

Mailing address

4301 Spanish TRL
Pensacola, FL 32504-4942
Phone (850) 434-3000

National Provider Directory

National Provider Directory

Locations

4301 Spanish Trl
Pensacola, FL 32504
Phone (850) 434-3000

NPI Registry JSON

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

{
    "created_epoch": "1257984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257984000000",
    "number": "1457688400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 SPANISH TRL",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325044942",
            "telephone_number": "850-434-3000",
            "fax_number": "850-469-8196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 SPANISH TRL",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325044942",
            "telephone_number": "850-434-3000",
            "fax_number": "850-469-8196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOYD A SKINNER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-12",
        "last_updated": "2009-11-12",
        "status": "A",
        "authorized_official_last_name": "SKINNER",
        "authorized_official_first_name": "BOYD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "850-434-3000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME30859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2009; 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.