Active NPI
John C Skillings, M.D.
- Surgery Physician
- Dansville, NY
National Provider Identifier
1740256403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 124859 1
- Practice address
- 111 Clara Barton St
Dansville, NY 14437-9503 - Phone
- (585) 335-8550
- NPI assigned
- Feb 23, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 124859 1 | NY | Primary |
Addresses
Primary practice location
111 Clara Barton St
Dansville, NY 14437-9503
Mailing address
111 Clara Barton St
Dansville, NY 14437-9503
Phone (585) 335-8550
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0168 | Other | NY | EXCELLUS ROCHESTER |
| 01724607 | Medicaid | NY | |
| 100725FL | Other | NY | PREFERRED CARE |
| 000911651001 | Other | NY | BLUE CROSS BLUE SH WNY |
| 100725FP | Other | NY | PREFERRED CARE ID |
| P010124859 | Other | NY | EXCELLUS BLUE CHOICE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 124859 1 | NY | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424822400000",
"number": "1740256403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 CLARA BARTON ST",
"city": "DANSVILLE",
"state": "NY",
"postal_code": "144379503",
"telephone_number": "585-335-8550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 CLARA BARTON ST",
"city": "DANSVILLE",
"state": "NY",
"postal_code": "144379503",
"telephone_number": "585-335-8550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SKILLINGS",
"first_name": "JOHN",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-23",
"last_updated": "2015-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NY",
"license": "124859 1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EXCELLUS ROCHESTER",
"identifier": "0168",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01724607",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED CARE",
"identifier": "100725FL",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SH WNY",
"identifier": "000911651001",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED CARE ID",
"identifier": "100725FP",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EXCELLUS BLUE CHOICE",
"identifier": "P010124859",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dansville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.