Family Dermatology, P.C.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

209782 Issued in MA

Legal business name

FAMILY DERMATOLOGY, P.C.

Practice address

747 Main St Ste 212
Concord, MA 01742-3330

Phone

(978) 369-7701

Fax

(978) 369-7702

NPI assigned

Sep 15, 2008

Last updated

Sep 15, 2008By 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. Ira Lawrence Skolnik, M.D.NPI 1609813237

Title

President

Phone

(978) 369-7701

Specialties & licenses 2

Addresses

Practitioners 1

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.

• Ira L Skolnik, M.D.

  • Dermatology Physician
  • Concord, MA
  • NPI 1609813237
  Authorized official Same address or phone

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

{
    "created_epoch": "1221436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221436800000",
    "number": "1689823650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "747 MAIN ST STE 212",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017423330",
            "telephone_number": "978-369-7701",
            "fax_number": "978-369-7702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "747 MAIN ST STE 212",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017423330",
            "telephone_number": "978-369-7701",
            "fax_number": "978-369-7702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY DERMATOLOGY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-15",
        "last_updated": "2008-09-15",
        "status": "A",
        "authorized_official_last_name": "SKOLNIK",
        "authorized_official_first_name": "IRA",
        "authorized_official_middle_name": "LAWRENCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "978-369-7701",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MA",
            "license": "209782",
            "primary": true
        },
        {
            "code": "207NP0225X",
            "taxonomy_group": "",
            "desc": "Dermatology, Pediatric Dermatology",
            "state": "MA",
            "license": "209782",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jean Barbara Fain, LICSW
• Paige Fairbanks, PA-C
• Baylee Fairhurst
• James Daniel Falvey
• Family Dermatology, P.C.
• Familywell PLLC
• Karen Marie Fanucci, MD
• Ellen Farmer, RN
• Philip Farrelly
• Allyson Morgan Farren, MS, OTR/L

• Dermatology Physician in Concord, MA
• Providers in Concord, MA by specialty
• Dermatology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2008; 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.