Suncoast Skin Solutions

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

SUNCOAST SKIN SOLUTIONS

Practice address

4651 Van Dyke Rd
Lutz, FL 33558-4880

Phone

(813) 321-1786

Fax

(813) 321-1787

NPI assigned

Apr 10, 2008

Last updated

Oct 14, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Christopher David Ewanowski, MDNPI 1780880476

Title

Medical Director

Phone

(813) 321-1786

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Skin Cancer Care Specialists LLC

  • MOHS-Micrographic Surgery Physician
  • Jupiter, FL
  • NPI 1841559606

  Member Of

  NPD member

Locations

Practitioners 171

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.

• Christopher David Ewanowski, M.D.

  • Procedural Dermatology Physician
  • Lutz, FL
  • NPI 1780880476
  Medicare reassignment Care Compare group NPD Authorized official
• Mary Elizabeth Anderson, MD

  • Dermatology Physician
  • Jacksonville Beach, FL
  • NPI 1265960264
  Medicare reassignment Care Compare group NPD
• Frank T Armstrong, DO

  • Dermatology Physician
  • Seminole, FL
  • NPI 1952390148
  Medicare reassignment Care Compare group NPD
• Brooke Taylor Baldwin, MD

  • Dermatology Physician
  • Lutz, FL
  • NPI 1568650661
  Medicare reassignment Care Compare group NPD
• Christopher J Ballard, MD

  • Dermatology Physician
  • Largo, FL
  • NPI 1164679668
  Medicare reassignment Care Compare group NPD
• Brandon Michael Basehore, DO

  • Dermatology Physician
  • Clearwater, FL
  • NPI 1598111999
  Medicare reassignment Care Compare group NPD
• Michael Jay Bernhardt, MD

  • Dermatology Physician
  • Jacksonville, FL
  • NPI 1386695054
  Medicare reassignment Care Compare group NPD
• Spencer Bezalel, MD

  • MOHS-Micrographic Surgery Physician
  • Sarasota, FL
  • NPI 1477932341

  Dermatology

  Medicare reassignment Care Compare group NPD
• Brett Patrick Blake, M.D.

  • Dermatology Physician
  • Lecanto, FL
  • NPI 1376772707
  Medicare reassignment Care Compare group NPD
• Teresa E Bowman, ARNP

  • Nurse Practitioner
  • Clearwater, FL
  • NPI 1831321793
  Medicare reassignment Care Compare group NPD
• Bethany Brown, ARNP

  • Adult Health Nurse Practitioner
  • Tampa, FL
  • NPI 1912399817
  Medicare reassignment Care Compare group NPD
• Nicholas Bradford Castner, MD

  • Dermatology Physician
  • Largo, FL
  • NPI 1992201875
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1207785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760400000000",
    "number": "1487827416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18228 N US HIGHWAY 41",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335494400",
            "telephone_number": "813-321-1786",
            "fax_number": "813-321-1787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4651 VAN DYKE RD",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335584880",
            "telephone_number": "813-321-1786",
            "fax_number": "813-321-1787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNCOAST SKIN SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-10",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A",
        "authorized_official_last_name": "EWANOWSKI",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "813-321-1786",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001793700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melanie Suarez, RBT
• Michael Suarez
• Kalee Sullivan, PHARMD
• Sonya M Sumpter, MD
• Sun Dental Inc (Premier Dental Associates)
• Suncoast U R L L C
• Suncoast Ur Inc
• Sunlake Pain Management, LLC (Sunlake Medical Associates)
• Sunny Side Up Therapy and Consulting, LLC
• Sunshine Family Psych & Wellness LLC

• Dermatology Physician in Lutz, FL
• Providers in Lutz, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.