Jonathan L Skinner LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

18574 Issued in AL

Legal business name

JONATHAN L SKINNER LLC

Practice address

1118 Ross Clark Cir
Ste 302
Dothan, AL 36301-3001

Phone

(334) 699-0060

Fax

(334) 699-0061

NPI assigned

Sep 15, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Jonathan L Skinner, MD

Title

Surgeon - Owner

Phone

(334) 699-0060

Specialties & licenses 1

Addresses

Other names 1

• Southern Surgical Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alexia Kristianna Vasquez Powell, CRNP

  • Nurse Practitioner
  • Dothan, AL
  • NPI 1750053088
  NPD

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

{
    "created_epoch": "1316044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653350400000",
    "number": "1528340536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 PROFESSIONAL LN",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363033875",
            "telephone_number": "334-699-0060",
            "fax_number": "334-699-0061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1118 ROSS CLARK CIR",
            "address_2": "STE 302",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363013001",
            "telephone_number": "334-699-0060",
            "fax_number": "334-699-0061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONATHAN L SKINNER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-15",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-24",
        "status": "A",
        "authorized_official_last_name": "SKINNER",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SURGEON - OWNER",
        "authorized_official_telephone_number": "334-699-0060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "AL",
            "license": "18574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern Surgical",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Southern Surgical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Steven Wesley Johnson, PA-C
• Thad S Johnson
• Adam Klye Johnston, DPT
• Katlin Breanna Johnston
• Nicole Bishop Johnston, MD
• Jones Medical Supply, LLC
• Alaina Danner Jones, CRNP
• Annie Lee Jones
• Christina Jones
• Darcy Jones

• Surgery Physician in Dothan, AL
• Providers in Dothan, AL by specialty
• Surgery Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2022; 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.