Skyline Dermatology PLLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

SKYLINE DERMATOLOGY PLLC

Doing business as

Skyline Dermatology

Practice address

120 Chris Kelley Blvd Ste 100
Hutto, TX 78634-5359

Phone

(737) 231-1855

Fax

(737) 221-5662

NPI assigned

Jan 19, 2024

Last updated

Jan 23, 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

Johnny Zhao, MDNPI 1447600697

Title

Owner

Phone

(737) 231-1855

Specialties & licenses 1

Addresses

Other names 1

• Skyline Dermatology Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

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

Locations

Practitioners 2

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.

• Johnny Zhao, M.D.

  • Dermatology Physician
  • Hutto, TX
  • NPI 1447600697
  Medicare reassignment Care Compare group NPD Authorized official
• Eugen Stancut, MD

  • Dermatology Physician
  • Georgetown, TX
  • NPI 1356508352
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1705622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737590400000",
    "number": "1659132389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 CHRIS KELLEY BLVD STE 100",
            "city": "HUTTO",
            "state": "TX",
            "postal_code": "786345359",
            "telephone_number": "512-870-8383",
            "fax_number": "737-221-5662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 CHRIS KELLEY BLVD STE 100",
            "city": "HUTTO",
            "state": "TX",
            "postal_code": "786345359",
            "telephone_number": "737-231-1855",
            "fax_number": "737-221-5662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKYLINE DERMATOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-19",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A",
        "authorized_official_last_name": "ZHAO",
        "authorized_official_first_name": "JOHNNY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "737-231-1855",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Skyline Dermatology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Skyline Dermatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Trisha Sharma
• Casey Patricia Shaw, LPC
• Christa Shuman, CCC-SLP
• Silmon Care LT.D. Co.
• Cynthia Elizabeth Singer
• Cassondra Sloan
• Chanelle Smith, HAIR REPLACEMENT SPE
• Jennifer K Smith, LPC
• Sarah E Snelson
• Social Integrative Services LLC

• Dermatology Physician in Hutto, TX
• Providers in Hutto, TX by specialty
• Dermatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.