Skin Dermatology and Cosmetic Services, P.a.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

SKIN DERMATOLOGY AND COSMETIC SERVICES, P.A.

Practice address

504 S Orange St
New Smyrna Beach, FL 32168-7319

Phone

(386) 256-1969

Fax

(386) 960-7863

NPI assigned

Sep 8, 2025

Last updated

Sep 8, 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

Ross C. Wheeler, MD

Title

MD

Phone

(386) 256-1969

Specialties & licenses 1

Addresses

Tax ID family

Skin Dermatology and Cosmetic Services PA3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Skin Dermatology and Cosmetic Services, P.a.

  • Dermatology Physician
  • Palm Coast, FL
  • NPI 1003582123
  NPD tax ID
• Skin Dermatology and Cosmetic Services, P.a.

  • Dermatology Physician
  • Windermere, FL
  • NPI 1427841865
  NPD tax ID

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

{
    "created_epoch": "1757289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757289600000",
    "number": "1609757624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "865 SAXON BLVD",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327638204",
            "telephone_number": "386-256-1969",
            "fax_number": "386-960-7863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 S ORANGE ST",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321687319",
            "telephone_number": "386-256-1969",
            "fax_number": "386-960-7863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKIN DERMATOLOGY AND COSMETIC SERVICES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-08",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A",
        "authorized_official_last_name": "WHEELER",
        "authorized_official_first_name": "ROSS",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "386-256-1969",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David H Sienkiewicz, RMHCI
• Kenneth M Simon, D.O.
• Phillip M Sinaikin, M.D.
• Robert Singleton, HAS
• Kathryn Sirutis, CRNA
• Erin C. Sloan, PA
• Beth Anne Smith, CRNA
• Christopher Thomas Smith, DC
• Matthew James Smith, DC
• Teresa Carla Smith, LCSW

• Dermatology Physician in New Smyrna Beach, FL
• Providers in New Smyrna Beach, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2025; 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.