Active NPI
Frederick Jonathan Skilton, M.D.
- Emergency Medicine Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- MT216783
- Practice address
- 230 N Broad St
Philadelphia, PA 19102 - Phone
- (215) 762-7963
- NPI assigned
- May 21, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | MT216783 | PA | Primary |
Addresses
Primary practice location
230 N Broad St
Philadelphia, PA 19102
Mailing address
1636 S Clarion St
Philadelphia, PA 19148-1009
Phone (267) 994-1797
Other practice location 1
2075 San Joaquin Hills Rd
Newport Beach, CA 92660-6505
Phone (877) 693-6266
Other practice location 2
2075 San Joaquin Hills Rd
Newport Beach, CA 92660-6505
Phone (877) 693-6266
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Drexel University College of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2205 Vista Way
Oceanside, CA 92054-5661
Phone (858) 554-9100
250 Prospect PL
Coronado, CA 92118-1943
Phone (858) 759-4765
Hospital & facility affiliations
- Sharp Coronado Hospital and Hlthcr Ctr
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT216783 | PA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scripps Health | Emergency Medicine | Current | Accepting new patients |
| Scripps Health | Current | Accepting new patients | |
| Scripps Health | Emergency Medicine | Current | Accepting new patients |
| Emergency Services Medical Corporation Coronado | Emergency Medicine | Current | Accepting new patients |
Locations
9888 Genesee Ave
La Jolla, CA 92037
Phone (858) 457-4123
File 54433
Los Angeles, CA 90074
Phone (858) 784-5645
2205 Vista Way
Oceanside, CA 92054
Phone (760) 704-5400
250 Prospect Pl
San Diego, CA 92118
Phone (619) 522-3600
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Coronado, CA
- NPI 1598395675
-
- Home Health Agency
- San Diego, CA
- NPI 1578556114
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Coronado, CA
- NPI 1154304475
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548806400000",
"number": "1457763708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1636 S CLARION ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191481009",
"telephone_number": "267-994-1797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 N BROAD ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19102",
"telephone_number": "215-762-7963"
}
],
"practiceLocations": [
{
"address_1": "2075 San Joaquin Hills Rd",
"address_purpose": "LOCATION",
"city": "Newport Beach",
"state": "CA",
"postal_code": "926606505",
"country_code": "US",
"telephone_number": "877-693-6266",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2075 San Joaquin Hills Rd",
"address_purpose": "LOCATION",
"city": "Newport Beach",
"state": "CA",
"postal_code": "926606505",
"country_code": "US",
"telephone_number": "877-693-6266",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SKILTON",
"first_name": "FREDERICK",
"middle_name": "JONATHAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-05-21",
"last_updated": "2019-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "PA",
"license": "MT216783",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2019; 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.